What is the cheapest tirzepatide provider over a full year?

At its disclosed rate, plus any required published fee, Hello Alpha carries the lowest twelve-month tirzepatide cost we track — $79/mo (brand Mounjaro, plus a separate fee) works out to about $948 a year. It serves Coverage not published, which is the catch. Among providers publishing an all-50-state footprint, the lowest twelve-month figure is Nu Image Medical at about $1,068.

Is the cheapest tirzepatide compounded or brand-name Zepbound?

Compounded, on every row of the providers here. Zepbound is Eli Lilly's FDA-approved brand tirzepatide, and it is not what most of this site sells — compounded tirzepatide is a different, non-FDA-approved product from a compounding pharmacy. If you specifically want the brand, start at /best/zepbound-cost rather than here.

How much more does tirzepatide cost than semaglutide at the same provider?

Across the providers we track that disclose both molecules, the annual premium for tirzepatide over semaglutide ranges from $-3,600 to $4,596 a year, averaging about $893. 19 providers on that list price both molecules identically.

Does pricing a full year change which provider is cheapest?

Sometimes. A plan billed monthly is twelve charges a year, so it keeps the order a monthly list would show; a plan billed every four weeks is thirteen charges, so its year costs one charge more than its sticker suggests. What can also move a row on the page you're looking at is placement: partners are surfaced first, as they are on every ranking on this site (see our disclosure), and every row is still ordered strictly by twelve-month cost within its group. The dollar figure next to each provider is never adjusted either way.

What does the twelve-month tirzepatide figure leave out?

It is the disclosed tirzepatide rate times the charges in a year (13, not 12, for a plan billed every four weeks), plus any membership or care fee the company requires and publishes at a fixed monthly or yearly amount, such as a $199 annual membership. Nothing is estimated. It does not model dose escalation into a higher price tier, a promotional first month that resets, one-time consultation or lab fees, optional add-ons, or a fee the company does not publish. Every one of those pushes the real figure up, never down.

Annual price comparison · updated October 2026

The cheapest tirzepatide online, over twelve months, not one.

Compare compounded tirzepatide programs over a full year, including required published fees. Compounded drugs are not FDA-approved. Four-week plans count as 13 charges. Partners appear first; providers are ordered by annual cost within each group.

Listed firstPartner

Collective

Index 65 C · 44 states (not AL, CA, LA, MA, MS or WA)

$1,027tirzepatide / yr (includes $199/yr membership)

Check price Review

Read this before the ranking

Almost everything below is compounded tirzepatide — a medication prepared by a compounding pharmacy that is not an FDA-approved drug. The FDA-approved brand tirzepatide is Zepbound (and Mounjaro for type 2 diabetes), both from Eli Lilly. They are not the same regulatory product, and this page does not blur the two. If you specifically want the brand and what it actually costs, start with the Zepbound cost page instead — this site is the compounded, twelve-month comparison.

Compare annual tirzepatide costs

Priced programs · sorted by 12-month cost

Partners appear first; providers are ordered by annual cost within each group. Four-week plans count as 13 charges. See our disclosure.

#Provider & coverage12-month tirz costDetails

01
Collective
44 states (not AL, CA, LA, MA, MS or WA) · Index 65 C
Price terms: $69/mo for the medication, plus the same required $199/year membership
Price & billing details
Tirzepatide: $69/mo for the medication, plus the same required $199/year membership
$1,027 / yr (includes $199/yr membership)
Check price Read review
02
Eden
All 50 states · Index 94 A
Price terms: all doses, compounded
Price & billing details
Tirzepatide: $129/mo (all doses, compounded)
$1,548 / yr
Check price Read review
03
Embody
All 50 states · Index 77 C
Price terms: sale price, compounded
Price & billing details
Tirzepatide: $129/mo (sale price, compounded)
$1,548 / yr
Check price Read review
04
CoreAge Rx
All 50 states · Index 94 A
Price & billing details
Tirzepatide: $149/mo
$1,788 / yr
Check price Read review
05
Strut Health
49 states (not Arkansas) · Index 87 B+
Price & billing details
Tirzepatide: From $149/mo injection, $199/mo lozenge (auto-refill)
$1,788 / yr
Check price Read review
06
Lttl
Coverage not published · Index 61 C
Price terms: $149 per 4 weeks
Price & billing details
Tirzepatide: $149 per 4 weeks (compounded, auto-refill)
$1,937 / yr (13 charges)
Check price Read review
07
Gala Health
50 states claimed, no list published · Index 71 C
Price terms: $199/mo on a 3-month plan
Price & billing details
Tirzepatide: $179/mo (yearly subscription; $199/mo on a 3-month plan)
$2,148 / yr
Check price Read review
08
Belle Health
Confirm state eligibility before enrolling · Index 71 C
Price & billing details
Tirzepatide: From $179/mo (compounded; confirm your plan at checkout)
$2,148 / yr
Check price Read review
09
Bodybuilding Health+
50 states claimed, no list published · Index 74 C
Price & billing details
Tirzepatide: $209/mo month-to-month; $179 on three months, $174.67 on six and $187.33 on twelve
$2,508 / yr
Check price Read review
10
Sprout Health
44 states (not AL, AR, CA, LA, MS or ND) · Index 80 B−
Price terms: $199 per 4 weeks; $149/mo on a prepaid 12-month plan
Price & billing details
Tirzepatide: $199 per 4 weeks ($149/mo on a prepaid 12-month plan)
$2,587 / yr (13 charges)
Check price Read review
11
HealthRX
All 50 states · Index 74 C
Price terms: all doses, compounded
Price & billing details
Tirzepatide: $239/mo (all doses, compounded)
$2,868 / yr
Check price Read review
12
bmiMD
All 50 states · Index 83 B
Price terms: $179/mo on a prepaid 12-month plan
Price & billing details
Tirzepatide: $249/mo month to month ($179/mo on a prepaid 12-month plan)
$2,988 / yr
Check price Read review
13
Peter MD
Varies by treatment — semaglutide not in AL, AK, HI or ID, tirzepatide not in AL or ID; additional reported restrictions need confirmation · Index 72 C
Price terms: $149 first month, then $249/mo billed quarterly
Price & billing details
Tirzepatide: $149 first month, then $249/mo billed quarterly
$2,988 / yr
Check price Read review
14
Luvo Health
50 states claimed, no list published · Index 66 C
Price terms: $249 per 4 weeks
Price & billing details
Tirzepatide: $249 per 4 weeks (injection, compounded)
$3,237 / yr (13 charges)
Check price Read review
15
Enhance MD
40 states + DC · Index 76 C
Price terms: first month $180
Price & billing details
Tirzepatide: $280/mo (first month $180)
$3,360 / yr
Check price Read review
16
RNK Health
Not published (US only) · Index 59 C
Price & billing details
Tirzepatide: From $297/mo (compounded, month to month)
$3,564 / yr
Check price Read review
17
ShedRx (Shed)
All 50 states · Index 87 B+
Price terms: $239 on a 12-month plan
Price & billing details
Tirzepatide: $299/mo ($239 on a 12-month plan)
$3,588 / yr
Check price Read review
18
SkinnyRx
Most states · Index 74 C
Price terms: $299/mo month to month after a $99 first month; $225/mo on a 12-month plan
Price & billing details
Tirzepatide: $299/mo month to month after a $99 first month ($225/mo on a 12-month plan)
$3,588 / yr
Check price Read review
19
Direct Meds
Not disclosed · Index 71 C
Price terms: sublingual, 90-day supply billed monthly
Price & billing details
Tirzepatide: $299/mo (sublingual, 90-day supply billed monthly)
$3,588 / yr
Check price Read review
20
Oak
45 states (list not published) · Index 77 C
Price terms: same price at every dose; $267/mo on a 3-month supply paid upfront
Price & billing details
Tirzepatide: $300/mo (same price at every dose; $267/mo on a 3-month supply paid upfront)
$3,600 / yr
Check price Read review
21
Found
All 50 states · Index 92 A−
Price terms: insurance-linked
Price & billing details
Tirzepatide: $289/mo (insurance-linked)
$3,757 / yr (13 charges)
Check price Read review
22
RxSpan MD
All 50 states · Index 83 B
Price & billing details
Tirzepatide: $329/mo month-to-month for the injection; $309 on three months, $289 on six and $269 on twelve
$3,948 / yr
Check price Read review
23
MyDrHank
Not published; program excludes KS, LA, MS, NM, ND, WV · Index 65 C
Price terms: $240/mo only on a year prepaid
Price & billing details
Tirzepatide: $349/mo month-to-month ($240/mo only on a year prepaid)
$4,188 / yr
Check price Read review
24
Willow
35 states + Puerto Rico · Index 68 C
Price & billing details
Tirzepatide: $399/mo (compounded, month to month)
$4,788 / yr
Check price Read review
25
MEDGm
All 50 states · Index 67 C
Price terms: the advertised $279 is the first month only
Price & billing details
Tirzepatide: $399/mo month-to-month (the advertised $279 is the first month only)
$4,788 / yr
Check price Read review
26
Wellorithm
All 50 states and D.C. · Index 72 C
Price terms: fine print ties the price to a 3-month plan paid upfront
Price & billing details
Tirzepatide: $1,199/mo (brand Zepbound; fine print ties the price to a 3-month plan paid upfront)
$14,388 / yr
Check price Read review
27
Sesame Care
Nationwide · Index 86 B
Price & billing details
Tirzepatide: Brand (Zepbound)
Not disclosed — sorted last
Check price Read review
28
WellMedr
50 states claimed, no list published · Index 54 C
Price terms: Not disclosed — "starting at" only, no standing rate
Price & billing details
Tirzepatide: Not disclosed — "starting at" only, no standing rate
Not disclosed — sorted last
Check price Read review
29
EverPrime
Varies by treatment and state; confirmed during intake · Index 50 C
Price terms: optional membership pricing
Price & billing details
Tirzepatide: $329 standard one-month plan; optional membership pricing
Not disclosed — sorted last
Check price Read review
30
YourEra
Coverage not published · Index 43 C
Price terms: Not disclosed — advertised from $159/mo with a new-patient coupon
Price & billing details
Tirzepatide: Not disclosed — advertised from $159/mo with a new-patient coupon; the standing monthly rate shows only after you enter an email
Not disclosed — sorted last
Check price Read review
31
HumeCare+
Coverage not published · Index 42 C
Price terms: plus a separate fee at enrollment and every refill, never published; no dose stated, compounded
Price & billing details
Tirzepatide: $299/mo (visible only after the medical intake; plus a separate fee at enrollment and every refill, never published; no dose stated, compounded)
Not disclosed — sorted last
Check price Read review
32
Hello Alpha
Coverage not published · Index 67 C
Price terms: brand Mounjaro, plus a separate fee
Price & billing details
Tirzepatide: $79/mo (brand Mounjaro, plus a separate fee)
$948 / yr
Check price Read review
33
WeightRx
Coverage not published · Index 66 C
Price & billing details
Tirzepatide: $83/mo ('as low as', plan length not published, compounded)
$996 / yr
Check price Read review
34
Nu Image Medical
All 50 states · Index 74 C
Price terms: as low as, 6-month supply, compounded
Price & billing details
Tirzepatide: $89/mo (as low as, 6-month supply, compounded)
$1,068 / yr
Check price Read review
35
PreventiveMD
36 states · Index 77 C
Price & billing details
Tirzepatide: $97/mo (as low as, term not published, all-in, compounded)
$1,164 / yr
Check price Read review
36
Vivanta Care
All 50 states and D.C. · Index 80 B−
Price terms: starting dose; $139, $249 and $329 at higher dose stages, compounded
Price & billing details
Tirzepatide: $99/mo (starting dose; $139, $249 and $329 at higher dose stages, compounded)
$1,188 / yr
Check price Read review
37
Teleios Health
All 50 states · Index 77 C
Price & billing details
Tirzepatide: $99/mo (includes medication, provider visits and shipping, compounded)
$1,188 / yr
Check price Read review
38
RxPepsDirect
28 states · Index 60 C
Price terms: starting dose, visit fee and shipping included, compounded
Price & billing details
Tirzepatide: $99/mo (starting dose, visit fee and shipping included, compounded)
$1,188 / yr
Check price Read review
39
Thryve
Not disclosed · Index 22 C
Price & billing details
Tirzepatide: $99/mo (drug not specified — site never names semaglutide or tirzepatide)
$1,188 / yr
Check price Read review
40
Lean Meds
All 50 states · Index 84 B
Price terms: $109/mo month-to-month, flat at every dose; the advertised $95 is the 12-month plan
Price & billing details
Tirzepatide: $109/mo month-to-month, flat at every dose (the advertised $95 is the 12-month plan)
$1,308 / yr
Check price Read review
41
NextMeds
All 50 states · Index 87 B+
Price terms: dated enrollment offer, all doses, compounded; ends October 31
Price & billing details
Tirzepatide: $119/mo (dated enrollment offer, all doses, compounded; ends October 31)
$1,428 / yr
Check price Read review
42
Mint Med
36 states (published list; confirm yours) · Index 81 B−
Price terms: all doses, month-to-month, compounded
Price & billing details
Tirzepatide: $119/mo (all doses, month-to-month, compounded)
$1,428 / yr
Check price Read review
43
Vaylen
Terms say 49 states; marketing says all 50 · Index 75 C
Price terms: 12-month program prepaid, compounded
Price & billing details
Tirzepatide: $124/mo advertised from (12-month program prepaid, compounded; exact total to confirm)
$1,488 / yr
Check price Read review
44
LumiMeds
Coverage not published · Index 57 C
Price terms: first month as low as $75
Price & billing details
Tirzepatide: $125/mo (as low as, fixed-term plan, plan length not stated, compounded; first month as low as $75)
$1,500 / yr
Check price Read review
45
Tryozi
All 50 states · Index 88 B+
Price terms: current enrollment offer, all doses, compounded
Price & billing details
Tirzepatide: $129/mo (current enrollment offer, all doses, compounded; usual price $379)
$1,548 / yr
Check price Read review
46
OurView Health
46 states plus DC (excludes AR, CT, HI and NJ) · Index 83 B
Price terms: any dose, compounded; $357 prepaid for three months
Price & billing details
Tirzepatide: $129/mo (any dose, compounded; $357 prepaid for three months)
$1,548 / yr
Check price Read review
47
Enhanced
Not published · Index 65 C
Price terms: starting price, compounded
Price & billing details
Tirzepatide: $129/mo (starting price, compounded)
$1,548 / yr
Check price Read review
48
NuuVim
All 50 states and DC (some services vary by state) · Index 81 B−
Price terms: all doses, 3-mo plan, new patients only, compounded
Price & billing details
Tirzepatide: $133/mo (all doses, 3-mo plan, new patients only, compounded)
$1,596 / yr
Check price Read review
49
Fifty 410
Coverage not published · Index 59 C
Price terms: starting dose, 3-month plan, compounded
Price & billing details
Tirzepatide: $133/mo (starting dose, 3-month plan, compounded)
$1,596 / yr
Check price Read review
50
Shape Vantage
Coverage not published · Index 53 C
Price terms: 3-month plan, compounded
Price & billing details
Tirzepatide: $133/mo (3-month plan, compounded)
$1,596 / yr
Check price Read review
51
Potere Health MD
1 state · Index 62 C
Price terms: starting dose, compounded
Price & billing details
Tirzepatide: $135/mo (starting dose, compounded)
$1,620 / yr
Check price Read review
52
EverSlim
All 50 states · Index 76 C
Price terms: starting price, compounded
Price & billing details
Tirzepatide: $136/mo (starting price, compounded)
$1,632 / yr
Check price Read review
53
Mondae
All 50 states · Index 79 C
Price terms: $126 every 28 days month-to-month; the advertised $124 is the three-month prepay
Price & billing details
Tirzepatide: $126 every 28 days month-to-month (the advertised $124 is the three-month prepay)
$1,638 / yr (13 charges)
Check price Read review
54
Dollar Dad Club
All 50 states (per FAQ; therapy restrictions vary) · Index 83 B
Price terms: compounded, any dose
Price & billing details
Tirzepatide: $139/mo advertised (compounded, any dose; $149 on homepage, confirm quote)
$1,668 / yr
Check price Read review
55
BiltRx
Coverage not published · Index 66 C
Price terms: $129/mo + $9.99/mo required membership
Price & billing details
Tirzepatide: $129/mo + $9.99/mo required membership (compounded; consultation and shipping extra)
$1,668 / yr (includes $9.99/mo membership)
Check price Read review
56
Good Girl Rx
All 50 states · Index 66 C
Price terms: microdose tier, 12-month plan, compounded
Price & billing details
Tirzepatide: $139/mo (microdose tier, 12-month plan, compounded)
$1,668 / yr
Check price Read review
57
Nucific
Coverage not published · Index 66 C
Price terms: plan length and dose not stated, compounded
Price & billing details
Tirzepatide: $139/mo (lowest advertised price; plan length and dose not stated, compounded)
$1,668 / yr
Check price Read review
58
Stealth Health
Coverage not published · Index 62 C
Price terms: tirzepatide with B12 and glycine, weekly injection, starting price, compounded
Price & billing details
Tirzepatide: $140/mo (tirzepatide with B12 and glycine, weekly injection, starting price, compounded; with glycine only from $175)
$1,680 / yr
Check price Read review
59
Healthicare
All 50 states · Index 86 B
Price terms: all doses, all-in, compounded; $122.40/mo on a 3-month plan
Price & billing details
Tirzepatide: $144/mo (all doses, all-in, compounded; $122.40/mo on a 3-month plan)
$1,728 / yr
Check price Read review
60
NewSelf
All 50 states · Index 80 B−
Price terms: all doses, compounded; 3-month commitment
Price & billing details
Tirzepatide: $144.49/mo installment (all doses, compounded; 3-month commitment)
$1,734 / yr
Check price Read review

Method · Year figures are the disclosed tirzepatide rate × the charges in a year (13 for a plan billed every four weeks), plus any membership the company requires and publishes at a fixed amount (the row says so) — not a quote. Nothing is estimated: dose escalation, first-month promotions, one-time consult and lab fees and unpublished fees are not in the number, so read every row as a floor. Partners are placed first; every row is still ordered by annual cost within its group. Assume any provider 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 the disclosure and methodology.

$15,840 separates the cheapest tirzepatide year from the dearest

Hello Alpha anchors the bottom of the ranking at $79/mo (brand Mounjaro, plus a separate fee) — about $948 across a year. At the other end, Layla runs $16,788 for the same twelve months of the same molecule. That gap does not come from the drug — it comes from the program wrapped around it.

Hello Alpha serves Coverage not published — a price you cannot legally buy in your state is not a price. Among providers publishing an all-50-state footprint the cheapest tirzepatide year is Nu Image Medical at $1,068, and that is the number most readers should actually compare against.

What monthly-only lists don't show: the sema-to-tirz premium

Pricing the year mostly keeps the order a monthly list already shows; the exception is a plan billed every four weeks, which charges 13 times a year. Where this site earns its keep is the number no sticker-price list computes: at providers we track that disclose both molecules, tirzepatide costs more than semaglutide over a year at every one of them except where the two are priced identically. The premium ranges from $-3,600 a year (as low as Nurx) to $4,596 a year (at Docberry), averaging about $893. 19 providers on that list — Amble and Teleios Health and Aspen and Nu Image Medical and Clume Health and InstaRX and Hello Alpha and Iron Med RX and Lighter You and CaliberRx and Gaya Wellness and DadVantage Men's Health and AVArx and Layla and Arc-1 and Lemonaid Health and Mint Medical Clinic and Meto and Thryve — charge the same price for both molecules.

Provider	Sema / yr	Tirz / yr	Annual premium
Nurx	$16,548	$12,948	+$-3,600
PlushCare	$6,228	$3,828	+$-2,400
WeightRx	$3,000	$996	+$-2,004
Fifty 410	$2,388	$1,596	+$-792
Bloom MD	$3,240	$2,928	+$-312
Amble	$2,148	$2,148	Same price
Teleios Health	$1,188	$1,188	Same price
Aspen	$2,148	$2,148	Same price
Nu Image Medical	$1,068	$1,068	Same price
Clume Health	$3,108	$3,108	Same price
InstaRX	$3,180	$3,180	Same price
Hello Alpha	$948	$948	Same price
Iron Med RX	$1,788	$1,788	Same price
Lighter You	$2,028	$2,028	Same price
CaliberRx	$2,388	$2,388	Same price
Gaya Wellness	$4,788	$4,788	Same price
DadVantage Men's Health	$3,200	$3,200	Same price
AVArx	$2,388	$2,388	Same price
Layla	$16,788	$16,788	Same price
Arc-1	$2,400	$2,400	Same price
Lemonaid Health	$4,176	$4,176	Same price
Mint Medical Clinic	$3,588	$3,588	Same price
Meto	$2,736	$2,736	Same price
Thryve	$1,188	$1,188	Same price
WePeptideRx	$2,268	$2,388	+$120
Lavender Sky Health	$1,668	$1,788	+$120
Collective	$907	$1,027	+$120
TrueMe	$1,807	$1,937	+$130
PreventiveMD	$996	$1,164	+$168
Nova	$1,824	$2,004	+$180
Healthicare	$1,512	$1,728	+$216
OurView Health	$1,308	$1,548	+$240
Brightmeds	$1,548	$1,788	+$240
DreamHug Medical	$2,148	$2,388	+$240
YOURx Health	$1,908	$2,148	+$240
Vivanta Care	$948	$1,188	+$240
Somira Health	$1,680	$1,920	+$240
Bayan Health	$1,548	$1,788	+$240
Recovery Delivered	$2,388	$2,628	+$240
ElleS	$2,148	$2,388	+$240
Metaboost Rx	$1,548	$1,788	+$240
Yes Clinic	$1,548	$1,788	+$240
Citizen Meds	$1,500	$1,740	+$240
VitaStir	$1,500	$1,740	+$240
AZ Health	$2,148	$2,388	+$240
RxPepsDirect	$948	$1,188	+$240
Carocare Wellness	$2,160	$2,400	+$240
Nucific	$1,404	$1,668	+$264
EverSlim	$1,356	$1,632	+$276
Nova MD	$2,100	$2,388	+$288
CeliaRx	$2,400	$2,700	+$300
EdgeRx	$2,388	$2,700	+$312
Glam Health	$1,788	$2,100	+$312
Eden	$1,188	$1,548	+$360
Lean Meds	$948	$1,308	+$360
Mint Med	$1,068	$1,428	+$360
Alloy	$2,028	$2,388	+$360
Bodybuilding Health+	$2,148	$2,508	+$360
KIN Health	$2,028	$2,388	+$360
Mochi Health	$1,668	$2,028	+$360

What the annual figure leaves out

Every number above is the disclosed rate times the charges in a year (13, not 12, for a plan billed every four weeks) — we invent no cost the ranking does not record. That multiplier also does not tell you where a program is available. These providers do not publish an all-50-state footprint:

Hello Alpha — Coverage not published
WeightRx — Coverage not published
Collective — 44 states (not AL, CA, LA, MA, MS or WA)
PreventiveMD — 36 states
RxPepsDirect — 28 states
Thryve — Not disclosed
Mint Med — 36 states (published list; confirm yours)
LumiMeds — Coverage not published
OurView Health — 46 states plus DC (excludes AR, CT, HI and NJ)
Enhanced — Not published
Fifty 410 — Coverage not published
Shape Vantage — Coverage not published
Potere Health MD — 1 state
BiltRx — Coverage not published
Nucific — Coverage not published
Stealth Health — Coverage not published
RxPros — Coverage not published
Luci — Coverage not published
Citizen Meds — Coverage not published
VitaStir — Coverage not published
Strut Health — 49 states (not Arkansas)
Vitara RX — 49 states
Brightmeds — 38 states + DC
SnagRx — All states except Louisiana (Nebraska: 19 and older)
Harbor — Coverage not published
Liv Body — Not published
altRX — Coverage not published
Metaboost Rx — Coverage not published
Iron Med RX — Coverage not published
AbundRX — Coverage not published
FeelGood — Coverage not published
Yes Clinic — Not published
Trinity Meds — Coverage not published
Revel RX — Coverage not published
Blis MD — 29 states
Pomegranate Health — Coverage not published
TrueMe — 6 states
Lttl — Coverage not published
Novera MD — Not published
Somi Health — Coverage not published
Brello Health — 40 states + D.C.
Nova — 49 states
Novi — Coverage not published
Elevate Health — Coverage not published
NexLife — Coverage not published
Alternate Health Club — Coverage not published
Lighter You — Not published
Zeuss — Coverage not published
NuviaRx — Coverage not published
Glam Health — Not disclosed
YOURx Health — All states except Mississippi
Gala Health — 50 states claimed, no list published
Belle Health — Confirm state eligibility before enrolling
Zenbody — Not published
Trava Health — Confirm availability in your state before paying
TRYM Health — Confirm eligibility; FAQ limits service to continental US
Invyncible — 46 states plus DC
Balanced Hormone Health — 47 contiguous states (excluding CA; package limits apply)
Roboclinic — Coverage not published
Navio MD — 48 states

Dose escalation, a promotional first month that resets, one-time consult or lab fees and any fee a company does not publish are also not in the number (a required membership with a published price is) — the method is the same one behind the true monthly cost of GLP-1, and the cost calculators will run your own numbers.

Cheapest tirzepatide, answered

What is the cheapest tirzepatide provider over a full year?: At its disclosed rate, plus any required published fee, Hello Alpha carries the lowest twelve-month tirzepatide cost we track — $79/mo (brand Mounjaro, plus a separate fee) works out to about $948 a year. It serves Coverage not published, which is the catch. Among providers publishing an all-50-state footprint, the lowest twelve-month figure is Nu Image Medical at about $1,068.
Is the cheapest tirzepatide compounded or brand-name Zepbound?: Compounded, on every row of the providers here. Zepbound is Eli Lilly's FDA-approved brand tirzepatide, and it is not what most of this site sells — compounded tirzepatide is a different, non-FDA-approved product from a compounding pharmacy. If you specifically want the brand, start at /best/zepbound-cost rather than here.
How much more does tirzepatide cost than semaglutide at the same provider?: Across the providers we track that disclose both molecules, the annual premium for tirzepatide over semaglutide ranges from $-3,600 to $4,596 a year, averaging about $893. 19 providers on that list price both molecules identically.
Does pricing a full year change which provider is cheapest?: Sometimes. A plan billed monthly is twelve charges a year, so it keeps the order a monthly list would show; a plan billed every four weeks is thirteen charges, so its year costs one charge more than its sticker suggests. What can also move a row on the page you're looking at is placement: partners are surfaced first, as they are on every ranking on this site (see our disclosure), and every row is still ordered strictly by twelve-month cost within its group. The dollar figure next to each provider is never adjusted either way.
What does the twelve-month tirzepatide figure leave out?: It is the disclosed tirzepatide rate times the charges in a year (13, not 12, for a plan billed every four weeks), plus any membership or care fee the company requires and publishes at a fixed monthly or yearly amount, such as a $199 annual membership. Nothing is estimated. It does not model dose escalation into a higher price tier, a promotional first month that resets, one-time consultation or lab fees, optional add-ons, or a fee the company does not publish. Every one of those pushes the real figure up, never down.

The other rankings

Cheapest semaglutide over 12 months — the molecule-first answer if semaglutide, not tirzepatide, is what you're actually pricing.
Zepbound cost — for the brand-name answer first, if FDA-approved tirzepatide is what you actually want.
Compounded tirzepatide, plainly explained — what compounded tirzepatide is and its FDA status, plus a top-picks version of this same ranking.
Cheapest GLP-1 providers that are actually worth it — partners listed first, each with its Cost-Efficiency Index score across both molecules.
Cheapest GLP-1 for a full year — the same annual method as this page, applied to semaglutide, which is usually the cheaper molecule.

Prices are each provider's public disclosures at last check and move fast — confirm before you buy. Compounded medications are not FDA-approved. Not medical advice; see our medical disclaimer.