--- title: "How Much Does Zepbound Cost?" description: "Zepbound costs $299–$699 a month on LillyDirect by dose, or $449 for 7.5–15 mg with refills within 45 days (Oct 8, 2026); list $499–$1,086.37." summary: "As of October 8, 2026, Zepbound costs $299 a month for the 2.5 mg starting dose and $399 for 5 mg on LillyDirect self-pay. The 7.5–15 mg doses cost $449 a month if each refill is bought within 45 days, otherwise $499 (7.5 mg) or $699 (10–15 mg). Lilly's list price is $499–$1,086.37 per fill." canonical: https://remevihealth.com/blog/how-much-does-zepbound-cost/ language: en publisher: REMEVi author: "REMEVi Medical Team" medicalReviewer: "Linda West-Conforti, RN" reviewStatus: current reviewedDate: 2026-09-22T00:00:00.000Z pubDate: 2026-06-30T00:00:00.000Z updatedDate: 2026-09-16T00:00:00.000Z tags: ["zepbound cost","how much does zepbound cost","zepbound price without insurance","zepbound cost 2026"] alternateLanguage: https://remevihealth.com/es/blog/cuanto-cuesta-zepbound/ license: "© 2026 REMEVi LLC. Please cite https://remevihealth.com/blog/how-much-does-zepbound-cost/ as the source." --- ## Short answer As of October 8, 2026, Zepbound costs $299 a month for the 2.5 mg starting dose and $399 for 5 mg on LillyDirect self-pay. The 7.5–15 mg doses cost $449 a month if each refill is bought within 45 days, otherwise $499 (7.5 mg) or $699 (10–15 mg). Lilly's list price is $499–$1,086.37 per fill. **Medically reviewed by** [Linda West-Conforti, RN](/medical-team/) · [CA RN #389453](https://search.dca.ca.gov/details/4500/RN/389453/) · 2026-09-22. Founding Nurse · Patient Care Lead. As of October 8, 2026, Zepbound costs **$299 a month** for the 2.5 mg starting dose and **$399** for 5 mg on LillyDirect self-pay; 7.5–15 mg cost **$449** if each refill is bought within 45 days, otherwise $499 or $699 ([LillyDirect terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions)). Lilly's list price is $499–$1,086.37 per fill ([Lilly pricing](https://pricinginfo.lilly.com/zepbound)). ## How much does Zepbound cost without insurance? **Quick answer:** $299 to $699 a month on LillyDirect, depending on dose, or $449 for 7.5–15 mg when you refill within 45 days, as of October 8, 2026. Lilly sells Zepbound to self-pay buyers through LillyDirect as a single-dose vial or a KwikPen, at the same price per 28-day supply for either. The 2.5 mg dose is a starting dose, not a maintenance dose. Taxes and fees may apply. [Source: LillyDirect Zepbound terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions) | Zepbound dose (vial or KwikPen) | Refill within 45 days | Refill after 45 days | |---|---:|---:| | 2.5 mg | $299 | $299 | | 5 mg | $399 | $399 | | 7.5 mg | $449 | $499 | | 10 mg | $449 | $699 | | 12.5 mg | $449 | $699 | | 15 mg | $449 | $699 | Per 28-day supply on LillyDirect, checked October 8, 2026. The 45-day price is Lilly's Self Pay Journey offer, which Lilly may change or end. Elsewhere, Costco's member price search lists only the KwikPen, at $499.22 (2.5–7.5 mg) or $699.21 (10–15 mg) at pickup ([Costco](https://rx.costco.com/cmvps?drugIdentifierParam=55557801156&drugNameParam=Zepbound+Kwikpen)), and GoodRx shows coupons from $299 without naming a location ([GoodRx](https://www.goodrx.com/zepbound)). ## How much does Zepbound cost with insurance? **Quick answer:** With commercial coverage, as little as $25 a fill with Lilly's savings card; if your commercial plan doesn't cover the pen, as low as $499. | Zepbound savings card | You pay | Conditions | Source | |---|---:|---|---| | Commercial plan covers the single-dose pen | $25 | As little as, per 1-, 2- or 3-month fill; savings capped at $100 per 1-month fill and $1,300 a year | [LillyDirect terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions) | | Commercial plan does not cover the pen | $499 | As low as, per 28-day fill of up to 4 single-dose pens | [LillyDirect terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions) | | KwikPen self-pay card | $299–$449 | By dose; 7.5–15 mg follow the 45-day refill rule | [LillyDirect terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions) | The cards expire December 31, 2026, and none can be used by people with Medicare, Medicaid or other government coverage. Checked October 8, 2026. ## Why don't Mounjaro and Zepbound cost the same? **Quick answer:** Lilly sells Zepbound self-pay through LillyDirect but publishes no self-pay price for Mounjaro, whose list price is $1,112.16 per fill. Mounjaro is indicated for type 2 diabetes; Zepbound has its own indications including weight management. Zepbound self-pay offers advertise a starting price of **$299 for a four-week supply of 2.5 mg** in a KwikPen or vials; this is a starting dose, not maintenance. Later costs depend on dose, device and refill terms. That offer does not establish a Mounjaro price. Check each manufacturer’s information, reviewed **October 8, 2026**. [Source: Zepbound manufacturer savings terms](https://zepbound.lilly.com/savings) [Source: Mounjaro manufacturer cost information](https://pricinginfo.lilly.com/mounjaro) ## Does Medicare change what I pay for Zepbound? **Quick answer:** Possibly. CMS's temporary Medicare GLP-1 Bridge has a $50 copay for eligible Part D members; Lilly's savings cards exclude government coverage. Coverage depends on the drug, diagnosis, plan formulary and prior authorization. Ask about the cost after your deductible and any required clinical documentation. Commercial savings and self-pay offers have different rules. Medicare GLP-1 Bridge is a temporary program for certain eligible beneficiaries beginning in July 2026; it does not mean automatic coverage for everyone. [CMS: Medicare GLP-1 Bridge eligibility](https://www.cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge) ## What do REMEVi plans cost, and how are they billed? **Quick answer:** REMEVi bills every four weeks, not by calendar month, and the 12- and 24-week plans are paid upfront. These are compounded preparations, not Zepbound. REMEVi prices use **four-week billing periods**, which are not calendar months. The 12- and 24-week terms require the full total upfront. Lab work that the clinician requires for treatment is included. | Compounded preparation | Every 4 weeks | 12 weeks: total upfront | 24 weeks: total upfront | |---|---:|---:|---:| | Injectable semaglutide | $199 | $507 ($169/4 weeks) | $954 ($159/4 weeks) | | Injectable tirzepatide | $269 | $699 ($233/4 weeks) | $1,350 ($225/4 weeks) | | Compounded oral semaglutide | $249 | $687 ($229/4 weeks) | $1,290 ($215/4 weeks) | See current [semaglutide](/semaglutide/) and [tirzepatide](/tirzepatide/) plan details. Compounded oral semaglutide is not an approved Wegovy, Ozempic or Rybelsus tablet. Eligibility and prescribing depend on clinical evaluation. Service is available in 49 states and Washington, DC, excluding Louisiana. ## Is compounded tirzepatide FDA-approved? **Quick answer:** No. Compounded preparations are not FDA-approved, are not generics of Zepbound or any brand, and have no established clinical equivalence to them. Compounded preparations are not FDA-approved, are not generics of the brands and do not have established clinical equivalence to them. FDA recommends their use only when an available approved product cannot meet the medical need. A lower price does not establish equal safety or effectiveness. [Source: FDA: unapproved GLP-1 medicines](https://www.fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss) ## What should I check before choosing? **Quick answer:** The product, route, pharmacy, supply length, full upfront payment, refill terms and cancellation policy — and who handles side effects. Confirm the product, route, pharmacy, supply length, full upfront payment, refill terms and cancellation policy. Ask who handles side effects and what happens if clinical review does not recommend treatment. [Review care options](/semaglutide/). ## Frequently asked questions ### Is the starting price the maintenance cost? Not necessarily. Confirm dose, supply period, eligibility and ongoing price; manufacturer offers can change. ### Are REMEVi plans billed by calendar month? No. Prices use four-week periods. The 12- and 24-week plans require the full total upfront; clinician-required labs are included. ### How much is Zepbound per month without insurance? As of October 8, 2026, LillyDirect self-pay is $299 (2.5 mg), $399 (5 mg) and $449 (7.5–15 mg, refilled within 45 days) per 28-day supply. A late refill costs $499 (7.5 mg) or $699 (10–15 mg). ### Do Zepbound vials and the KwikPen cost the same? Yes, on LillyDirect: the single-dose vial and the KwikPen are priced the same at every dose. Vials need syringes and needles, bought separately. ### How much is Zepbound with insurance? With commercial coverage for the single-dose pen, Lilly's savings card can bring a fill to as little as $25. If your commercial plan does not cover it, the card brings a 28-day fill to as low as $499. Both cards expire December 31, 2026. ## Sources linked in this article These are the external references linked in the article. A reference supports the statement where it appears; it is not an endorsement of REMEVi or a substitute for individual medical advice. - [LillyDirect terms](https://www.lilly.com/lillydirect/zepbound/zepbound-tirzepatide-full-terms-conditions) - [Lilly pricing](https://pricinginfo.lilly.com/zepbound) - [Costco](https://rx.costco.com/cmvps?drugIdentifierParam=55557801156&drugNameParam=Zepbound+Kwikpen) - [GoodRx](https://www.goodrx.com/zepbound) - [Source: Zepbound manufacturer savings terms](https://zepbound.lilly.com/savings) - [Source: Mounjaro manufacturer cost information](https://pricinginfo.lilly.com/mounjaro) - [CMS: Medicare GLP-1 Bridge eligibility](https://www.cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge) - [Source: FDA: unapproved GLP-1 medicines](https://www.fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss) ## Related reading - [How Much Does Mounjaro Cost?](/blog/how-much-does-mounjaro-cost/) - [How Much Does Tirzepatide Cost in 2026?](/blog/how-much-does-tirzepatide-cost/) - [Semaglutide vs. Tirzepatide: Differences, Results and Costs](/blog/semaglutide-vs-tirzepatide/) ## About this article Published by REMEVi, a telehealth business offering paid treatment programs. REMEVi has a commercial interest in the services discussed here. Educational content supports informed conversations with a licensed clinician; it does not determine your eligibility or replace individual care.