Tirzepatide-only ladder · updated September 2026
The cheapest tirzepatide programs, ranked by price.
359 of the 418 programs we track publish a monthly tirzepatide price. The ladder below prints the 48 cheapest across every price band, sorted cheapest first — with a flat-or-watch flag on every rung, and no number invented for the 59 that don't disclose one.
The other 311 sit further down inside their own band. Nothing cheap is hidden — each band shows its cheapest rungs first. Every one of them still has a full review, and the complete index lists all 418.
Read this before the ladder
Zepbound and Mounjaro are Eli Lilly's FDA-approved brand-name tirzepatide. Most programs below sell compounded tirzepatide instead — a different product that is not FDA-approved and is not reviewed by the FDA for safety, effectiveness, or quality the same way. Confirm the pharmacy before you shop on price alone — start with is cheap compounded GLP-1 safe? and compounded vs brand-name GLP-1 cost.
One more honesty note: we publish an approximate brand cash reference for semaglutide (Wegovy) that we use in our semaglutide ranking, but we don't have one for tirzepatide — so you won't see a “% saved vs brand” figure anywhere on this page. We'd rather show nothing than a number we haven't measured.
The tirzepatide price ladder
359 priced · 52 flat · 307 to watch
Climb the rungs cheapest first. Each band is grounded in the programs actually inside it — footprint, flat-vs-watch mix, and whether semaglutide is also on the same account.
Under $150/mo
44 programs5 of 12 ship to all 50 states. 0 carry our flat flag and 12 carry a pricing structure to watch. 12 of 12 also disclose a semaglutide price, so you could add that molecule without switching desks.
$69/mo month-to-month plus a separate fee — a required $199-a-year membership. The medication really is $59 and $69 a month, and those are standing rates rather than introductory ones — but nobody pays only that. A $199 annual membership is required, and the headline that carries the site, "Get GLP-1s at $59/month", leaves it out; it appears in a card panel, a small disclaimer and the questions. Twelve months of semaglutide is therefore $708 in medication plus $199 in membership, or $907, which is about $76 a month; tirzepatide works out to $1,027, about $86. The site's own comparison chart quietly uses the tirzepatide basket. The membership runs on a twenty-one-day free trial that converts automatically, renews annually, and is not refundable in part. And the terms reserve a "nominal, uniform technology transaction fee" for each electronic prescription that is never given an amount, on a site that promises no hidden costs.
From $79.99/mo (all doses included, compounded). Factor Health prices both molecules from the same figure - $79.99 a month with all doses included - which is at the very bottom of everything tracked here. A separate "Tirzepatide Plus" product sits above it at $149.99, so the cheap number buys the standard formulation rather than the enhanced one.
From $83/mo (term not published, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
From $97/mo (as low as, term not published, all-in, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
From $99/mo (starting dose, visit fee and shipping included, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose, and the price is not shown until after you complete an intake.
$109/mo month-to-month on the 1-month plan ($95/mo only on the 12-month plan). The month-to-month rate is $79 for semaglutide and $109 for tirzepatide, and both are flat at every dose by the seller's own statement — genuinely cheap, and the full ladder is on one page. The hero is the problem. It reads "Starting at $49/mo. Same price every month, first order and every order after", and $49 is the twelve-month tier: a shopper who reads only that is off by $30 a month, and the reassurance about every order after is attached to a figure that requires a year's commitment. The same page runs a countdown reading "Price increases in 05 : 08 : 50 : 03" with no dated deadline behind it, and a chip promising no automatic rebilling sits above terms saying the card is charged at the recurring interval until canceled.
From $119/mo (promotional rate, compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose.
$125/mo on the annual plan. The $99 and $125 figures are annual-plan pricing — Trimi qualifies both with "on the annual plan" and publishes no month-to-month price anywhere. The rate is genuinely flat across every dose; what it is not is a monthly commitment.
From $125/mo (3-month plan, new patients only, compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose, it is tied to a longer commitment rather than month-to-month billing.
From $125/mo (lowest rate needs a longer plan, compounded). LumiMeds headlines $89 for semaglutide and $125 for tirzepatide, and its own plan page shows those are the floor of a ladder running monthly, 3, 6 and 12 months — the lowest number needs the longest commitment. There is no membership fee on top, which is worth something: the price you agree to is the whole price.
FDA warning letter, September 2025 — FDA database
From $126/mo (all doses, compounded). The rate is stated as the same at every dose, but it is not a plain month-to-month figure.
FDA warning letter, September 2025 — FDA database
$126 every 28 days, month-to-month ($124/mo only on a $372 three-month prepay). Two of the cheapest published figures anywhere on this site — and two reasons to check the arithmetic before believing them. The homepage quotes "from $75/mo" and "from $124/mo"; both are three-month prepay rates, and the month-to-month figures are $87 and $126. And a month here is twenty-eight days, stated in the signup as shipped and billed every twenty-eight days, so thirteen charges a year make semaglutide about $1,131 rather than $1,044. The discount for prepaying is also wildly uneven and never explained: 13.8 percent on semaglutide and 2 percent on tirzepatide. The hero line "prices start from $87" sits above a grid whose lowest number is $63.
$150–$199/mo
82 programs1 of 12 ship to all 50 states. 3 carry our flat flag and 9 carry a pricing structure to watch. 11 of 12 also disclose a semaglutide price, so you could add that molecule without switching desks.
From $150/mo (compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose.
From $150/mo (plus a separate fee, compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose, and it is only part of the cost — a separate line item is billed alongside it.
From $150/mo (compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose, and the price is not shown until after you complete an intake.
From $155/mo (all doses, compounded). The published rate is stated as the same at every dose, so titrating up does not raise the bill.
- 49
All 50 states per Sunlight's own FAQ, though availability of specific services varies by state licensure · Value Score 84
From $157/moHolds flat
$157/mo (flat, injection only — no step-up). Sunlight's own site quotes three different things at once. Its FAQ says semaglutide is $88 and tirzepatide $157 as flat monthly rates with no increases. Its product cards say both start at $179. And its promotion prices semaglutide as "Reg $1196" struck through to $88 - an anchor worth pausing on, because $1,196 is close to the brand-name cash reference for a product that is compounded. Read the page you actually land on.
From $159/mo (same price at every dose). Prices are published openly on the site with no quiz-gate - semaglutide from $79 and tirzepatide from $159 - and yourEra states one price at every dose with no hidden fees. Both figures are "from" rates, so confirm which plan yours belongs to.
From $159/mo (microdose plan). The $139 is the four-month plan. AgelessRx offers monthly, two-month and four-month terms but prints only the cheapest one, and says so in small type: "Starting price applies to 4-mo plan". What a month-to-month patient pays is never stated.
From $159/mo (2.5 mg dose, plus a separate fee, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose, and it is only part of the cost — a separate line item is billed alongside it, and the price is not shown until after you complete an intake.
From $165/mo (all doses, compounded). The rate is stated as the same at every dose, but it is not a plain month-to-month figure.
From $165/mo (starting dose, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
From $166/mo (starting dose, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose, it is tied to a longer commitment rather than month-to-month billing.
From $169/mo (all doses, compounded). The rate is stated as the same at every dose, but it is not a plain month-to-month figure, it is tied to a longer commitment rather than month-to-month billing.
FDA warning letter, September 2025 — FDA database
$200–$299/mo
142 programs3 of 12 ship to all 50 states. 2 carry our flat flag and 10 carry a pricing structure to watch. 11 of 12 also disclose a semaglutide price, so you could add that molecule without switching desks.
From $200/mo (compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose, it is tied to a longer commitment rather than month-to-month billing.
From $209/mo (starting dose, compounded). beyondMD does not publish a price before the intake, and its coverage claim is softer than most: it says it serves "most" US states rather than all 50, without listing which. Confirm your state and your rate in the same sitting.
- 129
Coverage not published — no served-states list appears anywhere on the site · Value Score 52
From $209/moWatch terms
$209/mo month-to-month — its cheapest rate; the 3-, 6- and 12-month bundles bill $286, $250 and $244/mo. Two things to watch. A standing "$100 off your first month" banner puts $279 and $319 on the product cards as struck-through anchors, so the rate you are shown is not a rate anyone is charged today. And the tirzepatide commitment ladder runs backwards: $209 month-to-month, then $286, $250 and $244 on the three-, six- and twelve-month bundles, each badged "Save $X". Buying a year of tirzepatide up front costs $2,922 against $2,508 paid monthly.
$210/mo month-to-month, all-in on the same basis. The $198 and $210 figures are all-in — medication, shipping and the $99-a-month membership in one number — which is the honest way to price a membership model and is rare. Two things stop it being a flat rate. Every figure is a starting-at floor that rises with dose, and no dose-to-price table exists on any surface, so what a maintenance dose costs is unknown. And three price sets are live at once: the hero says $198 and $210, the same pages' questions say $229 and $279, and the shipped code carries a third set again. The arithmetic in the questions does not reach the hero either — $99 of membership plus $130 of medication is $229, not $198. A daily oral low-dose route is priced separately at $169 and $174.
From $210/mo (compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose, and the price is not shown until after you complete an intake.
From $216/mo (plus a separate fee, compounded). The medication price is not the whole price at Roen Rx. A separate membership runs alongside it - $39 for the first month - and the GLP-1 medication is NOT included in that fee, so you are paying two bills. Roen does coordinate with insurance on the brand-name products, which is worth more than the membership costs if a plan will cover them.
FDA warning letter, June 2026 — FDA database
The $96 and $142 on Ondra's front page are twelve-month rates paid up front - $1,149 and $1,699 in a single charge. Month to month the same two medicines are $149 and $219, and which plan lengths you can even pick depends on the pharmacy licensed in your state.
From $219/mo (compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose.
FDA warning letter, February 2026 — FDA database
From $219/mo (2.5 mg dose, compounded). Recovery Delivered is an addiction-medicine practice first - its main business is online Suboxone treatment - with a GLP-1 weight-loss line alongside it. That is worth knowing rather than hiding: the clinical attention here is split across two very different programs, and the weight-loss side is the smaller one.
From $219/mo (starting dose, annual plan, compounded oral). The published figure is a starting rate, not a price that is guaranteed at every dose, it is tied to a longer commitment rather than month-to-month billing.
$219/mo (compounded). Open Water prices all three routes in one line on its own homepage - $169 for injectable semaglutide, $219 for tirzepatide, $199 for the daily oral tablet - with no plan term attached to any of them and no insurance in the picture. It is one of the plainer price statements on this site.
The published rate is stated as the same at every dose, so titrating up does not raise the bill, and the price is not shown until after you complete an intake.
$300/mo and up
91 programs4 of 12 ship to all 50 states. 0 carry our flat flag and 12 carry a pricing structure to watch. 12 of 12 also disclose a semaglutide price, so you could add that molecule without switching desks.
From $300/mo (starting dose, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
$300/mo (one flat rate at every dose), read on its order form the afternoon of 15 August; it showed $250/mo that morning. Oak publishes nine different "starting" prices — $119, $133, $160, $167, $180, $185, $190, $199 and $250 — and attaches a term or a billing cadence to none of them. NONE of the nine is what it charges: its order form quotes $200/mo for semaglutide and $250 for tirzepatide, one flat rate at every dose, on its first screen before any question is answered. The "$133 / $199" it headlines is the three-month prepay under code OAKSAVE200, billed upfront.
From $309/mo (compounded). Two things to settle before this one. AMP's medication price carries a $79 monthly subscription fee alongside it, which takes a $199 semaglutide month to $278 and a $309 tirzepatide month to $388. And the site was mid-maintenance on 2026-08-27, running a "first month free" banner with the underlying rates not displayed, so the figures here could not be re-confirmed.
FDA warning letter, February 2026 — FDA database
From $309/mo (2.5 mg dose, compounded). The published figure is a single-tier rate, not a price that is guaranteed at every dose.
From $315/mo (starting dose, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
$319/mo (all doses, compounded). The rate is stated as the same at every dose, but it is not a plain month-to-month figure.
From $320/mo (starting dose, 3-month plan, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
- 276
All 50 states claimed, with members in 40+ · Value Score 75
From $324/moWatch terms
$324/mo (injectable standard dose; $282/mo as a daily sublingual). Twelve GLP-1 prices are published openly, one per product, before any intake — standard and low dose, injectable and daily sublingual, with and without B12 — which is a genuinely unusual amount of price detail. There is no introductory month, no prepay ladder and no commitment tier anywhere, so nothing here steps up. What is unresolved is what the figure buys: the weight-loss program page is headed "all-in monthly pricing" and its own fine print says medication, labs and treatment supplies are billed separately, while a third surface answers differently again. Three membership tiers are named once in the financial policy and priced nowhere. And four different starting floors are advertised across the site, one of them belonging to a different treatment line entirely.
$325/mo (standard dose; microdose from $145). Alan Meds sells microdose and standard-dose GLP-1s side by side, and the cheap numbers belong to the microdose line - $99 for a semaglutide tablet, $145 for microdose tirzepatide. Standard tirzepatide is $325. Its headline plan is also quoted "paid upfront with a 2-month plan".
$329/mo month-to-month (as low as $243/mo). Transparent, all-inclusive published pricing across all 50 states - compounded semaglutide runs $249 month to month and the card now advertises "as low as $175/mo" on a plan; tirzepatide is $329, advertised as low as $243, and capsules are sold for both molecules. Budget against $249 and $329, because the low figures are commitment rates.
$329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay. Transparent tiered menu — microdose $169, semaglutide $212, tirzepatide $280, sema+tirz combo $322 — but the $212 semaglutide advertises a $112 first month that steps up after, so budget for the ongoing rate, not the intro.
From $329/mo (starting dose, compounded). The published figure is a starting rate, not a price that is guaranteed at every dose.
Tirzepatide price not disclosed
59 programsKept here, sorted last, and not scored on price here — these programs either don't offer tirzepatide or don't publish a figure to compare.
All 50 states · Not disclosed
45 states · Not disclosed
UT · Not disclosed
All 50 states · Not disclosed
Not disclosed · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
Multi-state · Not disclosed
Coverage not published · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
44 states · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
5 states · Not disclosed
7 states · Not disclosed
Coverage not published · Not disclosed
All 50 states · Not disclosed
All 50 states · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Florida only · Not disclosed
49 states · Not disclosed
Coverage not published · Not disclosed
All 50 states · Not disclosed
10 states · Not disclosed
48 states + DC (excludes Alaska, Mississippi) · Not disclosed
Coverage not published · Not disclosed
13 states · Not disclosed
Coverage not published · Not disclosed
All 50 states · Not disclosed
Coverage not published · Not disclosed
All 50 states · Not disclosed
All 50 states, listed · Not disclosed
49 states (not Louisiana) · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
7 states · Not disclosed
Coverage not published · Not disclosed
Garcia Weight Loss, Aesthetics & Hormone Therapy
Florida only · Not disclosed
Not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Coverage not published · Not disclosed
Value Scores are our own and are printed unmodified — no program can buy a higher number. Order on this page is pure ascending tirzepatide price. Assume any program we list may compensate us — we may earn a commission at no extra cost to you, which we disclose rather than leave you to infer. See our disclosure. Prices are each program's public disclosures at last check — confirm before you buy.
The cheapest sticker and the cheapest price you keep paying
Collective tops this ladder at $69/mo month-to-month plus a separate fee — a required $199-a-year membership. The medication really is $59 and $69 a month, and those are standing rates rather than introductory ones — but nobody pays only that. A $199 annual membership is required, and the headline that carries the site, "Get GLP-1s at $59/month", leaves it out; it appears in a card panel, a small disclaimer and the questions. Twelve months of semaglutide is therefore $708 in medication plus $199 in membership, or $907, which is about $76 a month; tirzepatide works out to $1,027, about $86. The site's own comparison chart quietly uses the tirzepatide basket. The membership runs on a twenty-one-day free trial that converts automatically, renews annually, and is not refundable in part. And the terms reserve a "nominal, uniform technology transaction fee" for each electronic prescription that is never given an amount, on a site that promises no hidden costs. The cheapest price we've flagged as flat — the month-one rate is the month-twelve rate — is BiltRx at $129/mo (compounded).
Notice what's missing from that paragraph: a percentage saved against a brand-name cash price. We publish one for semaglutide (Wegovy, an approximate cash reference) because we can point to a specific brand list price for that molecule. We don't have an equivalent tirzepatide figure we've verified, so we're not going to print one dressed up as savings math. If you want the molecule where we can show that comparison, see the cheapest semaglutide ladder, or weigh the two head-to-head in semaglutide vs tirzepatide: the cheaper effective GLP-1.
Before you compare anything, price the twelfth month, not the first — a cheap intro that steps up isn't a deal. We break the pattern down in how to spot a GLP-1 teaser-rate trap, and walk the full shopping checklist in how to choose a GLP-1 provider without overpaying. If you're just starting out, the general entry point is the cheapest legit way to start GLP-1 in 2026.
Which ranking is for you
- Cheapest GLP-1 programs, ranked — the flagship ranking: every program, value-first, with the cheapest sticker flagged separately.
- Cheapest GLP-1 without insurance — the whole roster sorted strictly by cash price, with flat prices called out from ones to watch.
- Cheapest GLP-1 pill and oral routes — filtered to needle-free programs, cheapest first, regardless of molecule.
- Cheapest semaglutide programs, ranked — the lower-priced, lower-ceiling molecule's own price-only ladder, with a brand-savings comparison.
- Best tirzepatide, ranked by Value Score — this same eligible set, reordered by quality instead of sticker price alone.
Cheapest tirzepatide, answered
- What is the cheapest tirzepatide program in 2026?
- Of the 359 programs that publish a tirzepatide price, Collective is lowest at $69/mo month-to-month plus a separate fee — a required $199-a-year membership — its pricing structure is flagged 'watch,' so confirm what you'll actually pay before you count on that number. The cheapest price we've flagged as flat and holding is BiltRx at $129/mo (compounded).
- How much cheaper is compounded tirzepatide than brand-name Zepbound?
- We don't quote that figure. Our brand cash reference (Wegovy, roughly $1,349/mo) is brand-name semaglutide, not tirzepatide, and we don't publish a separate brand tirzepatide cash reference — so any 'percent saved vs brand' number for tirzepatide would be a comparison we haven't actually measured. What we can tell you is the disclosed compounded price itself, ranked below.
- Is the lowest tirzepatide sticker always the smartest buy?
- Not automatically. Of the 359 priced programs, 52 carry our flat flag — the month-one rate is the month-twelve rate — and 307 carry a pricing structure worth checking first: a promotional first month, an annual-commitment rate quoted like a monthly one, or a figure we couldn't independently verify. A price you keep paying beats a price you were shown once.
- Is compounded tirzepatide the same thing as Zepbound or Mounjaro?
- No. Zepbound and Mounjaro are Eli Lilly's FDA-approved brand-name tirzepatide. Most programs here sell compounded tirzepatide instead — a different product that is not FDA-approved and is not reviewed by the FDA for safety, effectiveness, or quality the same way. Vet the pharmacy before you shop on price alone.
Next: is cheap compounded GLP-1 safe?, or compare any two programs head-to-head.
Not medical advice; see our medical disclaimer and methodology.