Rankings

Zepbound alternatives

Zepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.

Illustration of ascending stacked blocks

Updated 2026-09-18

Zepbound is Eli Lilly’s brand of tirzepatide, approved for weight management. Self-pay pricing has been listed around $299 to $499 a month, which is what sends most people looking for alternatives.

The realistic alternatives fall into two groups: compounded tirzepatide, which is the same molecule prepared by a pharmacy and not FDA-approved, and a different drug entirely such as semaglutide or one of the new approved pills. This page covers the first group, priced honestly.

What gets a listing on this board

Delivers tirzepatide — the same active ingredient as Zepbound.
Monthly price includes the medication.
Sorted cheapest first on the billed figure.

18 of the 21 providers we track qualify. Board verified 2026-09-18 and re-checked periodically.

The list

Every row below is priced against Zepbound at $499 a month, and sorted by how much it saves you over a year. We use the $499 self-pay figure listed for the 5 mg, 7.5 mg and 10 mg single-dose vials; lower starting doses have been listed nearer $299. Ranked on our overall score rather than price alone — the cheapest option is on the cheapest tirzepatide page.

#	Provider	Per month	Saves vs Zepbound	Per year
1	Coreage Rx	$199	$3,600/yr	$2,388
2	Trimi	$125	$4,488/yr	$1,500
3	PlexusDx	$189	$3,720/yr	$2,268
4	Ozari Health	$125	$4,488/yr	$1,500
5	Fifty 410	$133	$4,392/yr	$1,596
6	Ivím Health	$199	$3,600/yr	$2,388
7	Mochi Health	$278	$2,652/yr	$3,336
8	Coby Health	$239	$3,120/yr	$2,868
9	Hims & Hers	$238	$3,132/yr	$2,856
10	Ro	$448	$612/yr	$5,376
11	Zealthy	$216	$3,396/yr	$2,592
12	Remedy Meds	$399	$1,200/yr	$4,788
13	Lemonaid Health	$348	$1,812/yr	$4,176
14	Eden	$298	$2,412/yr	$3,576
15	Henry Meds	$449	$600/yr	$5,388
16	TrimRx	$399	$1,200/yr	$4,788
17	Willow	$399	$1,200/yr	$4,788
18	MEDVi	$399	$1,200/yr	$4,788

Cheapest qualifying option: Trimi at $125 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.

1. Coreage Rx — Best overall on true monthly cost

$199 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.

The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year. Read the full Coreage Rx review.

2. Trimi — Lowest flat price with named pharmacies

$125 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.

Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.

3. PlexusDx — Pharmacy transparency and genetic testing

$189 a month, no membership fee. Prescription GLP-1 and peptide programmes with no membership fee, built around genetic testing, using independent clinicians and a publicly listed set of 503A pharmacies.

The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier. Read the full PlexusDx review.

Reader questions

Is compounded tirzepatide the same as Zepbound?

Same active ingredient, different product. Zepbound is manufactured and FDA-approved; compounded tirzepatide is prepared by a pharmacy against a prescription and has not been reviewed by the FDA for safety, effectiveness or manufacturing quality.

Is there a cheaper way to get Zepbound itself?

Possibly. Manufacturer self-pay channels have brought the price down considerably, and from July 2026 eligible Medicare beneficiaries may access certain GLP-1s for $50 a month.