Tirzepatide-only ladder · updated July 2026
The cheapest tirzepatide programs, ranked by price.
37 of the 41 programs we track publish a monthly tirzepatide price. Here they are, grouped into price bands and sorted cheapest first — with a flat-or-watch flag on every rung, and no number invented for the 4 that don't disclose one.
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 on our semaglutide board, 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
37 priced · 24 flat · 13 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
8 programs4 of 8 ship to all 50 states. 4 carry our flat flag and 4 carry a pricing structure to watch. 8 of 8 also disclose a semaglutide price, so you could add that molecule without switching desks.
Some of the lowest published prices we track — microdosed semaglutide from $49/mo and tirzepatide from $99/mo — but only on 6–12 month plans; month-to-month short plans start at $145/$199/$399 the first month, so budget for the commitment, not the headline.
- 02
Primary Clinic (Direct GLP)
10 states (WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA) · Value Score 73
$110/moWatch terms
The lowest sticker on the board at $65 — but at that price in only 10 states with no LegitScript, treat it as a teaser to verify before you trust it as your ongoing rate.
Both molecules under the price of a single brand-name copay — $99 sema, $125 tirz, flat, with no month-two step-up.
Cheapest sticker on both molecules — but it's a coaching subscription you can't fully unbundle.
- 05
Care Clinics
TX, FL, CA, OK, LA, AR, AL, GA, AZ, MA, PA, CO, NM, ID, WY, IL, OH, MN, MI, CT, DC, MS, NH, NJ, WA, NY, HI, TN, DE, IN, KY, WI · Value Score 89
$133/moHolds flat
Flat $100/$133 on both molecules from a LegitScript-certified pharmacy — cheap and step-up-free.
Near-lowest sticker on the board at $80 — LegitScript-backed, but Utah-only, so confirm it's a real ongoing rate before you count on it.
$99 flat semaglutide and a cheap $139 tirzepatide — priced up front with no known step-up.
$99 flat sema with a cheap tirzepatide too — priced up front, no known intro-rate gimmick.
$150–$199/mo
14 programs9 of 14 ship to all 50 states. 11 carry our flat flag and 3 carry a pricing structure to watch. 13 of 14 also disclose a semaglutide price, so you could add that molecule without switching desks.
- 09
Mint Med
AZ, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD, MI, MN, MT, NV, NH, NJ, NY, NC, ND, OH, OK, PA, TN, TX, UT, VT, VA, WA, WV, WI, WY · Value Score 87
$159/moHolds flat
Flat $117/$159 on both molecules from a LegitScript-certified pharmacy — low and step-up-free.
Flat pricing on both molecules with a tight $130/$163 spread — no bait, no surprise second-month jump.
Lowest disclosed flat semaglutide sticker in the whole roster — no intro-rate step-up baked in.
Flat $133/$166 on both molecules from a LegitScript-certified program — a tight, honest spread with no bait.
Unusually low headline pricing — $119 compounded semaglutide, $169 tirzepatide — but the site frames these as floors ("final price after clinical review"), so treat them as starting points, not guarantees.
$100 flat semaglutide nationwide, no step-up; tirzepatide sits a bit higher at $175.
Compounded tirzepatide from $149/mo at the microdose tier ($179 at a full compounded dose) — flat monthly pricing with no first-month step-up. A brand-name Ozempic path exists but runs $1,299/mo.
$99 flat semaglutide nationwide; tirzepatide runs a bit higher at $183 but there's no intro-rate gimmick.
One price across every dosage and no membership fee — titrating up costs nothing extra, and there is no subscription to escape.
Flat $117 semaglutide nationwide, no step-up; tirzepatide runs pricier at $196.
Flat $149/$199 on both molecules from a LegitScript-certified program — the price you see is the price you keep.
- 20
Strut Health
49 states (not Arkansas) · Value Score 87
From $199/mo either routeWatch terms
The headline $99 and $149 are AUTO-REFILL rates — a one-off order costs more. The saving is real but conditional on staying subscribed.
Flat compounded pricing — $149 semaglutide / $199 tirzepatide — with a brand-name Wegovy/Zepbound route on the same account and no first-month step-up. Transparency is thin, though: no named medical director and state availability is quiz-gated, so confirm coverage before you buy.
- 22
Care Bare Rx
Multi-state · Value Score 73
From $199/mo (shared weight-loss price)Watch terms
The advertised "from $199/mo" is one figure covering all weight-loss treatments; neither molecule is priced separately and per-dose rates are quiz-gated.
$200–$299/mo
7 programs5 of 7 ship to all 50 states. 3 carry our flat flag and 4 carry a pricing structure to watch. 7 of 7 also disclose a semaglutide price, so you could add that molecule without switching desks.
Rare oral/sublingual route — sublingual sema ~$179 (injectable ~$297), sublingual tirz ~$224 (injectable ~$399), with a promo as low as ~$147 — but these are company-stated numbers we could not verify live, so confirm before you count on them.
Flat $179/$239 pricing, LegitScript-certified, with both brand-name and oral routes available — no bait.
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.
Flat $199/$299 from a LegitScript-certified program, with a cheaper oral route as the true budget entry.
The advertised "as low as $239" tirzepatide rate is a twelve-month commitment; month-to-month is $299. Semaglutide works the same way — $159 needs twelve months, $199 is the real month-to-month entry.
Prices are published openly on the site — $199 semaglutide, $299 tirzepatide, no quiz-gate. Honest and flat, but mid-market, not the cheapest compounder we track.
- 29
Breeze Meds
All 50 states · Value Score 78
From $299/mo first month, $399/mo thereafterWatch terms
Every quoted figure is for the LOWEST dose — the funnel says outright that higher doses may cost more — and the $299 tirzepatide is a first-month rate that becomes $399.
$300/mo and up
8 programs3 of 8 ship to all 50 states. 6 carry our flat flag and 2 carry a pricing structure to watch. 8 of 8 also disclose a semaglutide price, so you could add that molecule without switching desks.
Transparent, all-inclusive published pricing across all 50 states — compounded semaglutide runs $249 month-to-month and steps down to $194/mo on the 12-month plan ($219 for 3-mo, $199 for 6-mo); tirzepatide is $329 and oral semaglutide capsules $249. The $194 headline is the annual rate, so budget for the commitment, not the month-to-month.
Mid-market flat pricing on both molecules with no known teaser tier.
Flat all-in price — the month-one rate is the month-twelve rate. No step-up.
Transparent flat monthly pricing, no insurance — GLP-1 injection ~$189, a rare oral tablet ~$239, and GLP+GIP ~$349. A brand-name Ozempic path exists but runs ~$1,299/mo. Some tiers are company-stated on a thin site, so confirm before you count on them.
Fully transparent pricing — you pay more, but there's no bait and no surprise step-up.
The flat-fee pioneer — honest and step-up-free, just priced at the higher end now.
Publishes NO GLP-1 price on its own site at all — it prices its longevity line openly and this one not at all, so nothing here can be compared before an enquiry.
- 37
MadeMed
40 states · Value Score 85
$399/mo quarterly (from $369/mo on 6 months)Holds flat
The clearest pricing on the board: one flat rate published at every single dose, so nothing changes as you titrate.
Tirzepatide price not disclosed
4 programsKept on the board, sorted last, and not scored on price here — these programs either don't offer tirzepatide or don't publish a figure to compare.
Sesame Care
Nationwide marketplace · Not disclosed
AgelessRx
Not disclosed · Not disclosed
Hims & Hers
All 50 states · Not disclosed
Ro
Multi-state · 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
Telos Rx tops this ladder at From $99/mo (annual). Some of the lowest published prices we track — microdosed semaglutide from $49/mo and tirzepatide from $99/mo — but only on 6–12 month plans; month-to-month short plans start at $145/$199/$399 the first month, so budget for the commitment, not the headline. The cheapest price we've flagged as flat — the month-one rate is the month-twelve rate — is Trimi Health at $125/mo.
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 board is for you
- Cheapest GLP-1 programs, ranked — the flagship board: 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.
Cheapest tirzepatide, answered
- What is the cheapest tirzepatide program in 2026?
- Of the 37 programs that publish a tirzepatide price, Telos Rx is lowest at From $99/mo (annual) — 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 Trimi Health at $125/mo.
- 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 37 priced programs, 24 carry our flat flag — the month-one rate is the month-twelve rate — and 13 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 on this board 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.