How Much Does Tirzepatide Cost in 2026? Pricing Breakdown

Key Takeaways

• Typical Cost: Tirzepatide costs range from $800 to $1,200 per month without insurance.
• Insurance Reality: Coverage varies; many patients pay out of pocket.
• Savings Programs: Manufacturer savings and patient assistance programs can help reduce costs.
• Telehealth Options: Often provide bundled pricing for medication and consultations.
• Alternatives: Consider comparing costs with other GIP/GLP-1 receptor agonists.

What Is Tirzepatide?

Tirzepatide is a dual GIP/GLP-1 receptor agonist approved by the FDA for the treatment of type 2 diabetes and for weight loss management. You can learn more about its pharmacology and clinical applications on its full profile.

Typical Cost Ranges

Tirzepatide, marketed under the brand name Mounjaro, is typically priced between $800 and $1,200 per month when purchased without insurance. This cost can vary based on dosage requirements and pharmacy pricing. Currently, compounded versions of tirzepatide are not legally available in the United States due to regulatory restrictions on compounding FDA-approved medications.

Brand-Name vs. Compounded

• Brand-Name Medication: $800 to $1,200 per month.
• Compounded Version: Not legally available.

Per-Dose vs. Monthly

• Per-Dose Cost: Approximately $200 to $300 per injection.
• Monthly Cost: Typically between $800 and $1,200, depending on dosing frequency.

Insurance Coverage

Tirzepatide is FDA-approved, which increases the likelihood of insurance coverage. However, many insurers require prior authorization and may impose step therapy protocols, meaning patients must try other medications first. Despite this, coverage is inconsistent, and many patients find themselves paying out of pocket.

• Common Insurers: Coverage is more likely with major providers such as Blue Cross Blue Shield and UnitedHealthcare, but specifics vary by plan.
• Prior Authorization: Often required.
• Step Therapy: Commonly mandated.

HSA/FSA Eligibility

Tirzepatide qualifies for Health Savings Account (HSA) and Flexible Spending Account (FSA) spending if prescribed for a medical condition such as type 2 diabetes. However, eligibility for compounded medications, if they were available, would be less certain.

Telehealth vs. In-Person Pricing

Telehealth clinics often offer bundled pricing, which can include the medication, consultations, and follow-up care. These programs can range from $900 to $1,500 per month. In-person visits may involve separate charges for consultations and medication, potentially increasing overall costs.

• Telehealth Bundles: $900 to $1,500 per month.
• In-Person Visits: Varies widely; often higher due to separate service fees.

Ways to Reduce Cost

• Manufacturer Savings Programs: Eli Lilly offers savings cards for eligible patients, reducing costs significantly.
• Patient Assistance Programs: Available for those who qualify based on income.
• Discount Tools: Platforms like GoodRx can offer discounts on prescriptions.

Cost Compared to Alternatives

Tirzepatide is often compared to other GLP-1 receptor agonists such as semaglutide, which can cost between $700 and $1,100 per month. Each peptide has its own efficacy profile and side effect considerations, which should be discussed with a healthcare provider.

What to Ask Your Provider About Cost

• "What are the total monthly costs I should expect for Tirzepatide therapy?"
• "Is prior authorization required for my insurance plan?"
• "Are there any patient assistance programs I can apply for?"
• "How does the cost compare to other treatment options like semaglutide?"

FAQ

How much does Tirzepatide cost per month without insurance?
Tirzepatide typically costs between $800 and $1,200 per month without insurance.

Is Tirzepatide covered by insurance?
Coverage varies; many insurers require prior authorization and step therapy.

Can I use HSA/FSA funds for Tirzepatide?
Yes, if prescribed for a medical condition like type 2 diabetes.

Are there ways to reduce the cost of Tirzepatide?
Yes, through manufacturer savings programs, patient assistance programs, and discount tools like GoodRx.

How does Tirzepatide compare in cost to semaglutide?
Tirzepatide and semaglutide have similar cost ranges, but specific prices can vary based on dosage and insurance coverage.

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Medical Disclaimer
This content is for informational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.