Ranked board
Every tirzepatide seller we have priced, ranked by what a year really costs
Tirzepatide is the more expensive half of this market and the one where the billing cycle does the most damage. LillyDirect defines a month as 28 days in its own price-list terms, so its cheapest Zepbound vial is billed thirteen times a year, not twelve — a whole extra fill that no per-month figure anywhere will show you. This board multiplies it out for every seller we have read a price off.
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What gets on this board
Every company with a published review here that sells a product naming tirzepatide, compounded or branded, in any formulation. Each appears once, on whichever of its tirzepatide products costs least over a year.
What decides the order
Companies we have an affiliate relationship with are listed first, and we may earn a commission if you start with one. Within that group and within the rest, the order is true-year cost, cheapest first — the price of one cycle with no commitment, multiplied by the number of times a year it is actually billed. The prices themselves are read off each company's own page and are the same either way.
What the spread looks like
$1,026.96
Cheapest year
$7,176
Dearest year
$6,149.04
Between the two
Ranked by what a year actually costs
The advertised column is what the company leads with. The walk-away column is what one cycle costs if you stop after it. The year column is the second of those multiplied by the number of times a year it is genuinely billed — which is thirteen, not twelve, for anyone on a four-week cycle.
| Company & compound | Advertised | Walk-away | Year at this price | Visit |
|---|---|---|---|---|
| $69 | $85.58+$16.58 on the ad | $1,026.96$85.58 × 12 | Visit | |
| $119 | $129+$10 on the ad | $1,548$129 × 12 | Visit | |
| $99 | $129+$30 on the ad | $2,236$129 × 17.333333333333332 | Visit | |
| $159 | $199+$40 on the ad | $2,388$199 × 12 | Visit | |
| $169 | $189+$20 on the ad | $2,457$189 × 13 | Visit | |
| $187.33 | $209+$21.67 on the ad | $2,508$209 × 12 | Visit | |
| $125 | $235+$110 on the ad | $2,820$235 × 12 | Visit | |
| $549 | $549 | $2,854.80$549 × 5.2 | Visit | |
| $149 | $239+$90 on the ad | $2,868$239 × 12 | Visit | |
| $179 | $239+$60 on the ad | $2,868$239 × 12 | Visit | |
| $199 | $239+$40 on the ad | $2,868$239 × 12 | Visit | |
| $169 | $289+$120 on the ad | $3,468$289 × 12 | Visit | |
| $1,194 | $1,734+$540 on the ad | $3,468$1,734 × 2 | Visit | |
| $199 | $298+$99 on the ad | $3,576$298 × 12 | Visit | |
| $299 | $299 | $3,588$299 × 12 | Visit | |
| $299 | $299 | $3,588$299 × 12 | Visit | |
| $239 | $299+$60 on the ad | $3,588$299 × 12 | Visit | |
| $190 | $300+$110 on the ad | $3,600$300 × 12 | Visit | |
| $897 | $897 | $3,887.00$897 × 4.333333333333333 | Visit | |
| $240 | $349+$109 on the ad | $4,188$349 × 12 | Visit | |
| $269 | $339+$70 on the ad | $4,407$339 × 13 | Visit | |
| $199 | $349+$150 on the ad | $4,537$349 × 13 | Visit | |
| $399 | $399 | $4,788$399 × 12 | Visit | |
| $279 | $399+$120 on the ad | $4,788$399 × 12 | Visit | |
| $319 | $399+$80 on the ad | $4,788$399 × 12 | Visit | |
| $119 | $399+$280 on the ad | $4,788$399 × 12 | Visit | |
| $349 | $399+$50 on the ad | $4,788$399 × 12 | Visit | |
| $179 | $399+$220 on the ad | $5,187$399 × 13 | Visit | |
| $249 | $433+$184 on the ad | $5,196$433 × 12 | Visit | |
| $299 | $448+$149 on the ad | $5,376$448 × 12 | Visit | |
| $358 | $548+$190 on the ad | $7,124$548 × 13 | Visit | |
| $95 | $109+$14 on the ad | $1,308$109 × 12 | Visit | |
| $119 | $119 | $1,428$119 × 12 | Visit | |
| $124 | $126+$2 on the ad | $1,638$126 × 13 | Visit | |
| $140 | $140 | $1,680$140 × 12 | Visit | |
| $149 | $149 | $1,812.83$149 × 12.166666666666666 | Visit | |
| $467 | $467 | $2,023.67$467 × 4.333333333333333 | Visit | |
| $174 | $174 | $2,088$174 × 12 | Visit | |
| $139 | $179+$40 on the ad | $2,148$179 × 12 | Visit | |
| $159 | $179+$20 on the ad | $2,148$179 × 12 | Visit | |
| $96 | $179+$83 on the ad | $2,327$179 × 13 | Visit | |
| $149 | $179+$30 on the ad | $2,327$179 × 13 | Visit | |
| $100 | $199+$99 on the ad | $2,388$199 × 12 | Visit | |
| $199 | $199 | $2,388$199 × 12 | Visit | |
| $179 | $199+$20 on the ad | $2,388$199 × 12 | Visit | |
| $125 | $199+$74 on the ad | $2,388$199 × 12 | Visit | |
| $49 | $199+$150 on the ad | $2,388$199 × 12 | Visit | |
| $179 | $199+$20 on the ad | $2,388$199 × 12 | Visit | |
| $189 | $189 | $2,457$189 × 13 | Visit | |
| $199 | $199 | $2,587$199 × 13 | Visit | |
Clume Health Microdose and Maintain program — semaglutide or tirzepatide, oral or injectable Checked September 2026 | $200 | $219+$19 on the ad | $2,628$219 × 12 | Visit |
| $149 | $224.27+$75.27 on the ad | $2,691.24$224.27 × 12 | Visit | |
| $171 | $229+$58 on the ad | $2,748$229 × 12 | Visit | |
| $229 | $229 | $2,748$229 × 12 | Visit | |
| $209 | $239+$30 on the ad | $2,868$239 × 12 | Visit | |
| $149 | $239+$90 on the ad | $2,907.83$239 × 12.166666666666666 | Visit | |
| $199 | $249+$50 on the ad | $2,988$249 × 12 | Visit | |
| $199 | $249.99+$50.99 on the ad | $2,999.88$249.99 × 12 | Visit | |
| $225 | $258+$33 on the ad | $3,096$258 × 12 | Visit | |
| $269 | $269 | $3,228$269 × 12 | Visit | |
| $199 | $249+$50 on the ad | $3,237$249 × 13 | Visit | |
| $238 | $278+$40 on the ad | $3,336$278 × 12 | Visit | |
| $259 | $259 | $3,367$259 × 13 | Visit | |
| $259 | $285+$26 on the ad | $3,420$285 × 12 | Visit | |
| $167 | $297+$130 on the ad | $3,564$297 × 12 | Visit | |
| $229 | $299+$70 on the ad | $3,588$299 × 12 | Visit | |
| $259 | $299+$40 on the ad | $3,588$299 × 12 | Visit | |
| $149 | $299+$150 on the ad | $3,588$299 × 12 | Visit | |
| $219 | $299+$80 on the ad | $3,588$299 × 12 | Visit | |
| $149 | $299+$150 on the ad | $3,588$299 × 12 | Visit | |
| $299 | $299 | $3,588$299 × 12 | Visit | |
| $199 | $299+$100 on the ad | $3,637.83$299 × 12.166666666666666 | Visit | |
| $299 | $299 | $3,637.83$299 × 12.166666666666666 | Visit | |
| $209 | $309+$100 on the ad | $3,708$309 × 12 | Visit | |
| $299 | $299 | $3,887$299 × 13 | Visit | |
| $169 | $344+$175 on the ad | $4,128$344 × 12 | Visit | |
| $349 | $349 | $4,188$349 × 12 | Visit | |
| $224 | $350+$126 on the ad | $4,200$350 × 12 | Visit | |
| $269 | $339+$70 on the ad | $4,407$339 × 13 | Visit | |
| $129 | $369+$240 on the ad | $4,428$369 × 12 | Visit | |
| $259 | $399+$140 on the ad | $4,788$399 × 12 | Visit | |
| $209 | $406+$197 on the ad | $5,278$406 × 13 | Visit | |
| $338 | $448+$110 on the ad | $5,376$448 × 12 | Visit | |
| $349 | $449+$100 on the ad | $5,388$449 × 12 | Visit | |
| $428 | $468.99+$40.99 on the ad | $5,627.88$468.99 × 12 | Visit | |
| $388 | $498+$110 on the ad | $5,976$498 × 12 | Visit | |
| $349 | $578+$229 on the ad | $6,936$578 × 12 | Visit | |
| $338 | $598+$260 on the ad | $7,176$598 × 12 | Visit |
Every price was read off the company's own page on the date shown beside it. The capture procedure, and the five ways a price gets captured wrong, are on our methodology page.
Key terms
Show definitions
- Walk-away price
- What one cycle costs at the standing, no-commitment rate — what you pay if you stop after it. Not a prepay tier and not a first-month promotion.
- Year at this price
- The walk-away price multiplied by the number of times it is actually billed in a year: 12 on a calendar-month cycle, 13 on a four-week cycle.
- Advertised price
- The figure the company leads with on its own pricing page. It is shown here beside the price you pay rather than instead of it.
What this board does not tell you
Whether you qualify
Coverage varies by state, and several of these companies serve fewer states than they appear to. Each review names the exclusions its company actually discloses.
Whether the care is good
This board ranks on cost, not on care. We have not assessed anyone's clinical care, and there is no quality score anywhere on this site.
What your insurer pays
Every figure here is a cash price. What a covered drug costs you depends on your own plan's formulary and deductible, and no public source publishes a per-drug copay.
Whether the price will hold
Plans restructure without notice. Every row carries the date it was read so you can see how old the number is before you rely on it.
Frequently asked questions
How is this different from the cheapest compounded tirzepatide board?
It sorts on a year instead of on one cycle, and it includes branded Zepbound rather than excluding them. Those are different questions rather than a re-sort: a company billing every four weeks charges thirteen times a year, so it can be cheaper per cycle and dearer per year than the company beside it. The cheapest board answers what next month costs and is the one to read if that is your question.
Is a compounded tirzepatide the same product as Zepbound?
No. Zepbound and Mounjaro are FDA-approved tirzepatide products from Eli Lilly. A compounded tirzepatide is prepared by a state-licensed compounding pharmacy and is not FDA-approved or evaluated for safety, effectiveness or quality — several of the companies here lead with that disclaimer themselves. They are on one board because a reader pricing a year of tirzepatide is choosing between them, and the row says which is which.
Why is a plan covering "semaglutide or tirzepatide" on a tirzepatide board?
Because it is a real route to compounded tirzepatide at a published price, and leaving it off would hide one. Two companies price a program rather than a molecule, and the row label says so rather than implying a tirzepatide-specific quote neither of them publishes. At one of them, which compound you are prescribed is the provider's decision and not a tier you pick at checkout — that caveat is on its review.
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.