Home / Medication guides / Tirzepatide
Medication guide · Prices checked October 29, 2026
tir-ZEP-uh-tide
The active ingredient in Zepbound and Mounjaro. Which telehealth providers prescribe the brand, which sell compounded versions, and the full monthly cost.
FDA-approved
Made by Eli Lilly and reviewed by FDA. Lilly sells Zepbound vials and the KwikPen for cash through LillyDirect, and the telehealth providers below fill through it at the same price. Medicare Part D members can get the Zepbound KwikPen for $50 a month through the Medicare GLP-1 Bridge.
Approved for weight management and for obstructive sleep apnea in adults with obesity. Self-pay only, through LillyDirect.
The autoinjector most insurance plans cover. Same medicine as the vial and KwikPen.
Approved for type 2 diabetes. Lilly says plainly that Mounjaro is not a weight-loss drug.
| Seller | Sells | Price | Insurance | Go |
|---|---|---|---|---|
| LillyDirectEli Lilly's own pharmacy | Zepbound vial and KwikPen, Mounjaro | $299–$449/moZepbound by dose; Mounjaro $499; you need a prescription first | Self-pay; pen covered by many plans | See LillyDirect prices Official |
| TrumpRxFederal price site | Zepbound, Mounjaro | From $299/mosends you to LillyDirect at the same price | Self-pay only | See TrumpRx price Official |
| Sesame CareTelehealth, fills through LillyDirect | Zepbound vial and KwikPen, Mounjaro | Care from $59/moplus medication at LillyDirect prices; some pages list $99/mo care | Medication billed separately | Start with Sesame Paid link |
| Ivim HealthTelehealth membership | Zepbound vial or pen | $74.99/momembership; medication billed separately | Insurance or self-pay | Start with Ivim Paid link |
| Found HealthTelehealth, insurance or cash | Zepbound, Mounjaro | From $650/moZepbound; Mounjaro about $1,100; $100 off a first cash order | Works with insurance; free coverage check | Start with Found Paid link |
| WellorithmTelehealth, insurance route | Zepbound, Mounjaro | $49/moservice fee; medication cost depends on your coverage | Yes, built for insured patients | Check coverage with Wellorithm Paid link |
| GobyMedsTelehealth, cash brand | Zepbound | $1,399/mocash price, medication included | No insurance; HSA/FSA accepted | See GobyMeds Paid link |
| BiltRxTelehealth, cash brand | Zepbound, Mounjaro | $1,499/moeach; consult and shipping extra | Not stated | See BiltRx Paid link |
GobyMeds and BiltRx charge far more for brand-name Zepbound than LillyDirect does. If you are paying cash, LillyDirect or a provider that fills through it costs less.
Not FDA-approved
Know what you're buying. Compounded medicines are mixed by a pharmacy for an individual prescription. FDA doesn't review them for safety, effectiveness or quality, and since the shortages ended in 2025 pharmacies can't routinely make copies of the brand drugs. Each provider below says a licensed clinician reviews you first, and none can promise a prescription.
Compounded tirzepatide injections, billed monthly.
Paid link · price checked October 29, 2026 on biltrx.com
Compounded tirzepatide in 3-month bundles, priced by dose.
Paid link · price checked October 29, 2026 on gobymeds.com
Compounded tirzepatide; same price at every dose.
Paid link · price checked October 29, 2026 on tydewellness.com
Compounded tirzepatide plans, with insurance used for visits where it applies.
Paid link · price checked October 29, 2026 on joinfound.com
Compounded tirzepatide, one flat price for all doses.
Paid link · price checked October 29, 2026 on galaglp1.com
Compounded tirzepatide plus a required care membership.
Paid link · price checked October 29, 2026 on ivimhealth.com
Compounded tirzepatide with a locked-in price.
Paid link · price checked October 29, 2026 on coivas.com
Compounded tirzepatide; medication, visits and shipping included.
Paid link · price checked October 29, 2026 on healthrx.com
Compounded tirzepatide; same price at every dose.
Paid link · price checked October 29, 2026 on wellorithm.com
Compounded tirzepatide (GLP-1/GIP injection).
Paid link · price checked October 29, 2026 on oaklovesyou.com
Side by side
| Brand-name (Zepbound, Mounjaro) | Compounded tirzepatide | |
|---|---|---|
| FDA-approved | Yes, for the uses on the label | No. FDA does not review compounded drugs |
| Who makes it | Eli Lilly | A state-licensed compounding pharmacy chosen by the provider |
| Cash price | $299–$449/mo (Zepbound), $499/mo (Mounjaro) | About $129–$349/mo, often with multi-month plans |
| Insurance | Zepbound pen covered by some plans; $25 savings card | Not covered; HSA/FSA often accepted |
| Forms | Vial, KwikPen or single-dose pen | Mostly vials you draw up with a syringe |
| Dose price | Rises from $299 to $449 as you step up | Many providers charge one price at every dose |
Decide in three questions
The single-dose pen can cost $25 a month with the savings card. See brand-name sellers.
Zepbound vials or the KwikPen run $299–$449 a month through LillyDirect. Sesame, Ivim or Wellorithm can write the prescription.
Compounded tirzepatide runs $129–$349 a month, and many providers keep one price at every dose. See compounded options.
Questions
Tirzepatide is the active ingredient in Zepbound and Mounjaro. Zepbound is the brand approved for weight management and sleep apnea; Mounjaro is approved for type 2 diabetes. Compounded tirzepatide is not an FDA-approved product.
With coverage, the savings card can bring the pen to $25 a month. Paying cash, LillyDirect sells vials and the KwikPen for $299 at 2.5 mg, $399 at 5 mg and $449 at higher doses if you refill within 45 days.
The tirzepatide shortage ended in late 2024, so pharmacies can no longer make routine copies. A compounding pharmacy can still prepare it for a specific patient when a clinician documents a medical need.
In head-to-head trials, people on tirzepatide lost more weight on average than people on semaglutide. Your clinician weighs that against side effects, cost and your health history.
Prices come from each seller's own page on October 29, 2026. Prices change often, so check the total before you pay.