Tirzepatide Cost in 2026: Zepbound, Compounded, and What 20 Providers Charge
Branded prices checked September 22, 2026 on lilly.com. Provider prices checked August 9 to September 22, 2026, each row dated.
There are three tirzepatide prices, and most pages only show you one. Lilly’s list price for Zepbound is $499 to $1,086 per fill. Lilly’s own cash price for the vial is $299 to $699 a month depending on dose. Telehealth companies selling compounded tirzepatide charge $179 to $449 a month, and the number on their homepage is often the twelve-month rate or the first-month rate, not what you pay in month two. Below: the branded ladder from Lilly’s own page, then every compounded price we could read on a provider’s own site, dated.
What Zepbound costs from Lilly, with and without insurance
The vial is the cash product. It is the same drug as the pen at a lower price, in a form you draw up yourself, and Lilly sells it direct at $299 for the starting dose rising to $699 at 10 mg and above. Most people on tirzepatide move past 5 mg, so budget the higher rows, not the $299. Two telehealth companies resell branded Zepbound and add a membership on top: Hims & Hers lists the Zepbound vial and KwikPen from $299 plus a $149 monthly membership, and Weight Watchers lists Zepbound from $299 plus $74 to $84 a month. Neither publishes a compounded tirzepatide price.
Ro, the most-searched provider on this page, publishes no tirzepatide price
Ro’s weight-loss membership is $39 the first month, then $74 a month prepaid for a year or $149 month to month. Ro states that medication is not included and that its cost depends on your treatment and insurance. No tirzepatide figure appears anywhere on ro.co that we could read on September 16, 2026.
What 20 providers charge for compounded tirzepatide
Sorted by month-to-month price, low to high. Month-to-month is the recurring cash price after any first-month offer, with visits included where the provider bundles them. Long-commitment rates are shown in the notes.
Prices appear as each provider publishes them. “Not confirmed at checkout” means the figure is on the provider’s site but sits behind an intake we did not complete. Providers can change prices without notice.
On August 9 we checked 60 provider sites and found a tirzepatide price on 7. Provider reviews between September 14 and 21 read a price on 13 more. Most sites still route you into a quiz before showing a number.
Who tells you where the medication comes from?
Compounded tirzepatide is made by a compounding pharmacy, not the brand manufacturer. That makes the pharmacy one of the first things to check.
Only 9 of the 60 providers we reviewed named the pharmacy on their own site. The rest leave you to ask after you’re already interested, sometimes after intake. It’s the easiest honesty test in this market. Most fail it.
Of the 20 providers in the table, one, Trava Health, names its pharmacy.
That doesn’t automatically mean something is wrong. But it does mean you should ask before paying. Ask: which pharmacy fills the prescription, and can I look up its license and inspection history?
What the prices really tell you
The lowest number isn’t always the deal it looks like.
A $99 plan may only cover access to the platform. A $199 plan may include more. A $349 plan may include medication, shipping, and clinician follow-up. The number matters. The details matter more.
Before you compare prices, confirm:
A lower advertised price can get expensive once the missing pieces are added.
How Vial confirms a price
If we can’t confirm it, we leave it out.
One important distinction
Vial doesn’t sell tirzepatide or set these prices, and providers can change pricing at any time. Some links on this page pay Vial a referral fee. Referral relationships never determine the prices shown, the Vial Scores, or the order of this list.