Weight loss · medicine cost
Zepbound cost without insurance
Zepbound is a prescription tirzepatide injection taken once a week.
General information, not medical advice. Last reviewed: pending clinical review.
Eli Lilly sells the Zepbound vial or KwikPen to people paying for it themselves through LillyDirect, Lilly’s self-pay pharmacy program. The price depends on the dose, and the dose rises on the schedule on the label — so the first month’s price is not the price of the months after it. Every figure on this page is a published price with its source beside it.
Eli Lilly’s self-pay price
Published price$299 – $449a month, by dose · vial or KwikPen
$299 at 2.5 mg to $449 at 15 mg. From 7.5 mg, $449 holds only when each refill is bought within 45 days of the last; otherwise the price is $499 to $699. Seen October 11, 2026 on lilly.com (opens in a new tab).
By dose
Zepbound price at each dose
Eli Lilly’s self-pay price for a month of the vial or KwikPen, dose by dose. The first price column is the lowest one Eli Lilly publishes for the dose and says what it depends on; the regular price is what the same month costs otherwise.
| Dose | Price (a month) | Regular price | Source |
|---|---|---|---|
| 2.5 mgstarting dose | $299lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 | |
| 5 mg | $399lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 | |
| 7.5 mg | $449refilled within 45 daysRegular price: $499lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 | |
| 10 mg | $449refilled within 45 daysRegular price: $699lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 | |
| 12.5 mg | $449refilled within 45 daysRegular price: $699lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 | |
| 15 mg | $449refilled within 45 daysRegular price: $699lilly.com (opens in a new tab)seen Oct 11, 2026 | lilly.com (opens in a new tab)seen Oct 11, 2026 |
Zepbound 2.5 mg price
$299 a month from Eli Lilly.
Zepbound 5 mg price
$399 a month from Eli Lilly.
Zepbound 7.5 mg price
$449 a month from Eli Lilly, only when each refill is bought within 45 days of the last; $499 otherwise.
Zepbound 10 mg price
$449 a month from Eli Lilly, only when each refill is bought within 45 days of the last; $699 otherwise.
Zepbound 12.5 mg price
$449 a month from Eli Lilly, only when each refill is bought within 45 days of the last; $699 otherwise.
Zepbound 15 mg price
$449 a month from Eli Lilly, only when each refill is bought within 45 days of the last; $699 otherwise.
The conditions printed with these prices
What each price depends on, by form and dose, as Eli Lilly states it.
- Vial, 2.5 mg: Self-pay only; month = 28 days / 4 vials; 2.5 mg is the starting dose
- Vial, 5 mg: Self-pay only; month = 28 days / 4 vials; no refill-timing condition
- Vial, lower price, 7.5 mg to 15 mg: Self-pay only; price applies to the first fill and to refills bought within 45 days of the previous delivery (Zepbound Journey Program); otherwise the regular price applies
- Vial, regular price, 7.5 mg to 15 mg: Applies when the refill is bought more than 45 days after the previous delivery
- KwikPen, 2.5 mg and 5 mg: Regular one-month price, with no savings offer applied.
- KwikPen, lower price, 7.5 mg: Self-pay savings card; at most 11 fills per calendar year; card expires 12/31/2026; $449 on the first fill and on refills bought within 45 days of the previous delivery, otherwise the regular $499
- KwikPen, regular price, 7.5 mg to 15 mg: Regular one-month price, with no savings offer applied.
- KwikPen, lower price, 10 mg to 15 mg: Self-pay savings card; at most 11 fills per calendar year; card expires 12/31/2026; $449 on the first fill and on refills bought within 45 days of the previous delivery, otherwise the regular $699
Why the dose matters to the price
The dose rises on the schedule on the label, and the price is set by the dose. The label’s schedule is inside, cited.
- The label’s schedule is once a week: 2.5 mg for four weeks, then 5 mg; after at least four weeks on a dose, it may be raised in 2.5 mg steps. The label says 2.5 mg is a starting dose and not an approved maintenance dose.Source: FDA-approved label for Zepbound (DailyMed) (opens in a new tab), label revised 8/2026. Checked October 11, 2026.
- The label’s maintenance doses for weight reduction are 5 mg, 10 mg or 15 mg once a week, and its maximum is 15 mg.Source: FDA-approved label for Zepbound (DailyMed) (opens in a new tab), label revised 8/2026. Checked October 11, 2026.
The year, not the month
What a first year of Zepbound costs
13 fills of 28 days, priced from Eli Lilly’s list along the dose schedule on the label: $5,087 to $5,637, depending on the dose the schedule levels off at. Arithmetic on a price list, not a prediction or a recommendation of any dose: a prescriber sets the schedule, and a slower one changes the sum.
Rising to 5 mg and staying there: $5,087
1 × $299 + 12 × $399 = $5,087
Rising to 10 mg or 15 mg and staying there: $5,637 (or $8,187 at the regular prices)
1 × $299 + 1 × $399 + 11 × $449 = $5,637
At the regular prices: 1 × $299 + 1 × $399 + 1 × $499 + 10 × $699 = $8,187
Each sum, dose by dose
To 5 mg
At Eli Lilly’s prices
| Dose | Fills × price | Subtotal |
|---|---|---|
| 2.5 mg | 1 × $299 | $299 |
| 5 mg | 12 × $399 | $4,788 |
| 13 fills in all | $5,087 | |
To 10 mg
With every lower price Eli Lilly prints
| Dose | Fills × price | Subtotal |
|---|---|---|
| 2.5 mg | 1 × $299 | $299 |
| 5 mg | 1 × $399 | $399 |
| 7.5 mg | 1 × $449refilled within 45 days | $449 |
| 10 mg | 10 × $449refilled within 45 days | $4,490 |
| 13 fills in all | $5,637 | |
At the regular prices
| Dose | Fills × price | Subtotal |
|---|---|---|
| 2.5 mg | 1 × $299 | $299 |
| 5 mg | 1 × $399 | $399 |
| 7.5 mg | 1 × $499 | $499 |
| 10 mg | 10 × $699 | $6,990 |
| 13 fills in all | $8,187 | |
To 15 mg
With every lower price Eli Lilly prints
| Dose | Fills × price | Subtotal |
|---|---|---|
| 2.5 mg | 1 × $299 | $299 |
| 5 mg | 1 × $399 | $399 |
| 7.5 mg | 1 × $449refilled within 45 days | $449 |
| 10 mg | 1 × $449refilled within 45 days | $449 |
| 12.5 mg | 1 × $449refilled within 45 days | $449 |
| 15 mg | 8 × $449refilled within 45 days | $3,592 |
| 13 fills in all | $5,637 | |
At the regular prices
| Dose | Fills × price | Subtotal |
|---|---|---|
| 2.5 mg | 1 × $299 | $299 |
| 5 mg | 1 × $399 | $399 |
| 7.5 mg | 1 × $499 | $499 |
| 10 mg | 1 × $699 | $699 |
| 12.5 mg | 1 × $699 | $699 |
| 15 mg | 8 × $699 | $5,592 |
| 13 fills in all | $8,187 | |
Thirteen fills of 28 days cover 364 days.
Zepbound cost calculator
Change the dose the schedule stops at, add a program’s fee, and see the first and second year. It runs in your browser; nothing you choose is sent or saved.
First year of Zepbound to 15 mg
$5,637
Medicine: 1 × $299 + 1 × $399 + 11 × $449 = $5,637.
- Second year, staying at 15 mg
- $5,837
- Two years
- $11,474
At the regular prices the first year’s medicine would be $8,187.
Other sellers
Zepbound at other sellers
Published Zepbound prices from programs, pharmacies and price sites, A to Z, as each seller’s own page printed them. Open a row for its conditions and what it covers. A program’s own fee is separate unless the row says otherwise.
- joinfound.com (opens in a new tab)seen Oct 11, 2026
Foundfrom $299 a monthTelehealth program · sells nationallyLowest dose
Telehealth program · sells nationally
from $299 a month
Conditions: Lowest dose; paid separately at the pharmacy
Includes: The medication at the manufacturer price
Does not include: Found membership ($149 self-pay or $89 with insurance)
joinfound.com (opens in a new tab)seen Oct 11, 2026 - fh.co (opens in a new tab)seen Oct 11, 2026
FuturHealthfrom $395 a monthTelehealth program · sells nationallyPen · first fill
Telehealth program · sells nationally
from $395 a monthPenfirst fill
28-day supply: one KwikPen holding four weekly doses
Conditions: Introductory month only; the ongoing price is not on the page
fh.co (opens in a new tab)seen Oct 11, 2026 - goodrx.com (opens in a new tab)seen Oct 11, 2026
GoodRxfrom $299 a monthDiscount marketplace · sells nationallyWithout insurance, with a GoodRx coupon
Discount marketplace · sells nationally
from $299 a month
Conditions: Without insurance, with a GoodRx coupon
Includes: The medication at a participating retail pharmacy (CVS, Costco, Walgreens, Walmart and others are listed)
Does not include: Prescription and visit; price is without insurance
goodrx.com (opens in a new tab)seen Oct 11, 2026 - lemonaidhealth.com (opens in a new tab)seen Oct 11, 2026
Lemonaid Health$299–$449 a monthTelehealth program · sells nationallyVial · $299 for 2.5 mg, $449 for higher doses
Telehealth program · sells nationally
$299–$449 a monthVial
28-day supply: four single-dose vials
Conditions: $299 for 2.5 mg, $449 for higher doses; cash only; charged and managed by LillyDirect
Includes: The medication
Does not include: The $49 monthly membership
lemonaidhealth.com (opens in a new tab)seen Oct 11, 2026 - lifemd.com (opens in a new tab)seen Oct 11, 2026
LifeMDfrom $299 a monthTelehealth program · sells nationallyVial · Lowest dose
Telehealth program · sells nationally
from $299 a monthVial
28-day supply: four single-dose vials
Conditions: Lowest dose
Includes: The medication
Does not include: The monthly program fee
lifemd.com (opens in a new tab)seen Oct 11, 2026 - trymeasured.com (opens in a new tab)seen Oct 11, 2026
Measured$299–$449 a monthTelehealth program · sells nationallyBy dose
Telehealth program · sells nationally
$299–$449 a month
Conditions: By dose
Includes: The medication
Does not include: Membership
trymeasured.com (opens in a new tab)seen Oct 11, 2026 - joinmochi.com (opens in a new tab)seen Oct 11, 2026
Mochi Healthfrom $299 a monthTelehealth program · sells nationallyLowest dose
Telehealth program · sells nationally
from $299 a month
Conditions: Lowest dose
Includes: The medication
Does not include: Mochi Health membership
joinmochi.com (opens in a new tab)seen Oct 11, 2026 - ro.co (opens in a new tab)seen Oct 11, 2026
Ro$299–$399 a monthTelehealth program · sells nationallyPen · members
Telehealth program · sells nationally
- $299 at 2.5 mg
- $399 at 5 mg
Each a month · Penmembers
28-day supply: one KwikPen holding four weekly doses
Conditions: Cash pay; membership required
Includes: The medication at the manufacturer cash price
Does not include: Ro Body membership fee (separate charge); insurance not applied to this price
ro.co (opens in a new tab)seen Oct 11, 2026
Show all 11 sellers
- sesamecare.com (opens in a new tab)seen Oct 11, 2026
Sesame (Success by Sesame)from $1,086 a monthTelehealth program · sells nationallySingle-dose pen · Cash price without insurance
Telehealth program · sells nationally
from $1,086 a monthSingle-dose pen
28-day supply: four single-dose pens
Conditions: Cash price without insurance
Includes: The medication
Does not include: Success by Sesame subscription fee (separate)
sesamecare.com (opens in a new tab)seen Oct 11, 2026 - trumprx.gov (opens in a new tab)seen Oct 11, 2026
TrumpRx.govfrom $299 a monthGovernment price portal · sells nationallyVial · Lowest dose
Government price portal · sells nationally
from $299 a monthVial
28-day supply: four single-dose vials
Conditions: Lowest dose; the order is completed on LillyDirect, not on TrumpRx
Includes: The medication only (order handed to LillyDirect)
Does not include: Prescription and visit; insurance cannot be used; the site itself sells nothing
trumprx.gov (opens in a new tab)seen Oct 11, 2026 - weightwatchers.com (opens in a new tab)seen Oct 11, 2026
WeightWatchers (WW Clinic / Med+)$299–$399 a monthTelehealth program · sells nationallyPen · Cash pay
Telehealth program · sells nationally
- $299 at 2.5 mg
- $399 at 5 mg
Each a month · Pen
28-day supply: one KwikPen holding four weekly doses
Conditions: Cash pay
Includes: Medication dispensed and paid for through LillyDirect (28-day supply)
Does not include: Med+ membership fee (separate)
weightwatchers.com (opens in a new tab)seen Oct 11, 2026
Zepbound by form: what each one costs
The vial or KwikPen share one price list. The single-dose pen: from $499 a month, under its own conditions.
from $499 a monthSingle-dose penwith a condition
28-day supply: four single-dose pens
Conditions: Only for people with commercial insurance that does not cover the single-dose pen; month = 28 days / 4 pens; not a pure cash price
Includes: Four single-dose autoinjector pens
Does not include: Prescriber visit; anyone on a government plan is excluded
zepbound.lilly.com (opens in a new tab)seen Oct 11, 2026from $499 a monthSingle-dose penwith a condition
28-day supply: four single-dose pens
Conditions: Only for people with commercial insurance that does not cover the single-dose pen; month = 28 days / 4 pens; not a pure cash price
Includes: Four single-dose autoinjector pens
Does not include: Prescriber visit; anyone on a government plan is excluded
zepbound.lilly.com (opens in a new tab)seen Oct 11, 2026- The label lists Zepbound in 2.5, 5, 7.5, 10, 12.5 and 15 mg as single-dose pens, single-dose vials, a multi-dose vial with four doses, and a KwikPen with four weekly doses. It says a vial is used with a syringe and needle that are not supplied with it.Source: FDA-approved label for Zepbound (DailyMed) (opens in a new tab), label revised 8/2026. Checked October 11, 2026.
What the Zepbound self-pay price covers
Includes: Four single-dose vials (a 28-day supply); free home delivery or free pickup at a retail pharmacy. Does not include: Needles and syringes (bought separately); the prescriber visit; taxes and fees; cannot be run through insurance or government programs.
What Eli Lilly’s page says its self-pay price includes and leaves out, in the seller’s words above and counted here across the 23 prices on this page. “Not stated” is never read as included.
| What | What the prices say |
|---|---|
| The medicine itself |
|
| Prescriber or clinician visits |
|
| Program or membership fee |
|
| Lab work |
|
| Needles and injection supplies |
|
| Shipping or delivery |
|
| Coaching or dietitian support |
|
What a program adds on top
$19.99 to $299 a month for the program itself, across the 10 programs whose month-to-month fee we have checked: $239.88 to $3,588 over twelve months (12 × the fee), before the medicine.
Will insurance or Medicare cover it?
The National Institute of Diabetes and Digestive and Kidney Diseases says some, but not all, insurance plans cover medicines for overweight and obesity. (NIDDK: prescription medications to treat overweight and obesity, last reviewed June 2024.) More from Medicare.gov, CMS and the IRS inside, each linked and dated.
- The National Institute of Diabetes and Digestive and Kidney Diseases says some, but not all, insurance plans cover medicines for overweight and obesity.Source: NIDDK: prescription medications to treat overweight and obesity (opens in a new tab), last reviewed June 2024. Checked October 11, 2026.
- Medicare.gov says that, starting July 1, 2026, Medicare covers Foundayo, Wegovy and the Zepbound KwikPen — not single-dose Zepbound vials or pens — under a temporary program, the Medicare GLP-1 Bridge, for eligible people with Medicare drug coverage (Part D), for a $50 monthly copayment.Source: Medicare.gov: weight loss drugs (opens in a new tab), no page date. Checked October 11, 2026.
- Medicare.gov lists who is eligible by body mass index and health conditions when therapy starts, and says people who have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease are not eligible for the Bridge, though their Part D plan might cover the medicine.Source: Medicare.gov: weight loss drugs (opens in a new tab), no page date. Checked October 11, 2026.
- CMS describes the Bridge as a short-term demonstration running from July 1, 2026 to December 31, 2027.Source: CMS: the Medicare GLP-1 Bridge (opens in a new tab), page last modified 07/13/2026. Checked October 11, 2026.
- CMS says type 2 diabetes, moderate to severe obstructive sleep apnea, and MASH with moderate to advanced liver fibrosis are uses eligible for Part D coverage, received through the person’s Part D plan rather than the Bridge.Source: CMS: Medicare GLP-1 Bridge, information for Part D plans (opens in a new tab), page last modified 08/06/2026. Checked October 11, 2026.
- CMS says Medicare and Medicaid generally do not cover GLP-1 drugs for weight loss, and that Medicaid coverage under its voluntary BALANCE model depends on participation by states and drug manufacturers.Source: CMS: the BALANCE model (opens in a new tab), page last modified 09/29/2026. Checked October 11, 2026.
What we could not confirm
Which state Medicaid programs cover these medicines for weight loss: no official page we could read names them. Check with your state’s Medicaid agency, and for Medicare with Medicare.gov (opens in a new tab).
HSA and FSA
IRS Publication 502 says weight-loss costs can be included as medical expenses only when the weight loss is a treatment for a disease diagnosed by a physician, such as obesity, and that prescribed medicines can be included.Source: IRS Publication 502, Medical and Dental Expenses (opens in a new tab), Publication 502 (2025), for 2025 returns. Checked October 11, 2026.
How long will I pay?
For as long as the medicine is taken. What the label is for, and what it reports about stopping, are inside, cited.
- Zepbound’s label is for use with a reduced-calorie diet and increased physical activity: to reduce excess body weight and maintain the reduction in adults with obesity, or with overweight and a weight-related condition; and for moderate to severe obstructive sleep apnea in adults with obesity.Source: FDA-approved label for Zepbound (DailyMed) (opens in a new tab), label revised 8/2026. Checked October 11, 2026.
- The label reports a study (section 14.1, Study 4) in which 783 patients took Zepbound for 36 weeks and 670 were then randomized to continue it or to switch to placebo for 52 weeks. From week 36 to week 88, body weight changed by +14.0% on placebo and −5.5% on Zepbound.Source: FDA-approved label for Zepbound (DailyMed) (opens in a new tab), label revised 8/2026. Checked October 11, 2026.
Questions people ask about Zepbound cost
5 questions, each answered from the prices on this page.
- How much is Zepbound without insurance?
- Eli Lilly sells the Zepbound vial or KwikPen to self-pay patients for $299 to $449 a month, depending on the dose: $299 at 2.5 mg and $449 at 15 mg. From 7.5 mg, $449 holds only when each refill is bought within 45 days of the last; otherwise the price is $499 to $699. Those are the manufacturer’s published prices as seen on October 11, 2026; a prescriber’s visit is separate. Every dose
- Does the price of Zepbound go up with the dose?
- Yes. Eli Lilly’s price is $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 mg to 15 mg. From 7.5 mg, $449 holds only when each refill is bought within 45 days of the last; otherwise the price is $499 to $699. The price at each dose
- Is the Zepbound vial priced differently from the single-dose pen?
- The vial or KwikPen is $299 to $449 a month; the single-dose pen is from $499 a month, and only under its own conditions. Each is the manufacturer’s own published price. Each form
- What does a year of Zepbound cost?
- At Eli Lilly’s prices, along the dose schedule on the label up to 15 mg, 13 fills come to $5,637 (1 × $299 + 1 × $399 + 11 × $449 = $5,637), or $8,187 at the regular prices. That is arithmetic on the price list, not a prediction: a prescriber sets the schedule. The sum, line by line
- What does a telehealth program add to the cost of Zepbound?
- The 10 programs whose month-to-month fee we have checked charge $19.99 to $299 a month for the program itself. Where a program sells a brand medicine, that fee is on top of the medicine’s price. Program by program
Not medical advice. This page is about what things cost. Prices change: the newest here was seen on its source page on October 11, 2026.
What that means, and how we check prices
Not medical advice
This page is about what things cost. It does not say what anyone should take or have done; that is a decision for you and a licensed clinician. Statements from labels and agencies are quoted from the sources linked beside them and have not been clinically reviewed.
Prices change
Every price here is a published price as it was seen on its source page — the newest on October 11, 2026. Sellers change prices and end offers; the seller’s page is the authority.
How we check prices
Each price is read from the seller’s own page and checked against its source before it appears, with the unit it is quoted in and the conditions printed beside it. Published prices are re-checked monthly. How we estimate · How this site works