in 22 days NovoCare Pharmacy self-pay — Wegovy® tablets (oral semaglutide) 4 mg moves to $199/month See the changelog
WalletNoise

Zepbound® (tirzepatide) — 7.5 mg

Your cheapest verified route right now

verified price

$449 /month

LillyDirect self-pay

Verified Aug 8, 2026 · lilly.com

Per year at 12 fills
$5,388
Medicaid coverage of GLP-1s for obesity is state-by-state (13 states as of Jan 2026). See the Medicaid policy page for the current picture and your appeal rights.
Plan the whole climb, not just this month Price every fill between any two doses, over 3 to 24 months, on the dates each one actually falls. Dated price changes are already in the arithmetic. Calculate ramp cost

Every route we can price

Verified prices outrank cheaper estimates. Reference rows inform, never win.

  1. Rank 1

    LillyDirect self-pay

    $449/mo

    Rises to $499/month if the refill condition is missed.

    • Refill within 45 days of your last fill to keep this price (Zepbound Journey Program); otherwise $499
    • Lilly's direct channel. Vial and KwikPen at identical self-pay prices at every tier. Telehealth not included.

    Verified Aug 8, 2026 · lilly.com

  2. Rank 2

    Discount card at retail (GoodRx and similar)

    verify locally
    $299/mo
    • As low as; dose- and pharmacy-dependent — verify at your ZIP
    • Dose- and pharmacy-dependent. Verify at your ZIP before relying on it.

    Verified Aug 8, 2026 · goodrx.com

  3. TrumpRx

    reference verify locally
    $299/mo
    • Starting-at price; routes you to LillyDirect pricing tiers by dose
    • Government referral site — does not sell drugs or process payments; issues coupons or routes to manufacturer DTC channels. Displayed prices are starting-at tiers mirroring LillyDirect / NovoCare offers.

    Verified Aug 8, 2026 · trumprx.gov

  4. Retail list price (reference)

    reference verify locally
    $1,087/mo
    • Reference only
    • Context anchor only — what the drug costs with no route at all. Walk-in cash at retail typically exceeds WAC.

    Verified Aug 8, 2026 · drugs.com