Zepbound alternatives
Zepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.
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.
20 of the 23 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 | SuperHealthy Rx | $135 | $4,368/yr | $1,620 |
| 3 | Likeness Rx | $199 | $3,600/yr | $2,388 |
| 4 | Trimi | $125 | $4,488/yr | $1,500 |
| 5 | PlexusDx | $189 | $3,720/yr | $2,268 |
| 6 | Ozari Health | $125 | $4,488/yr | $1,500 |
| 7 | Fifty 410 | $133 | $4,392/yr | $1,596 |
| 8 | Ivím Health | $199 | $3,600/yr | $2,388 |
| 9 | Mochi Health | $278 | $2,652/yr | $3,336 |
| 10 | Coby Health | $239 | $3,120/yr | $2,868 |
| 11 | Hims & Hers | $238 | $3,132/yr | $2,856 |
| 12 | Ro | $448 | $612/yr | $5,376 |
| 13 | Zealthy | $216 | $3,396/yr | $2,592 |
| 14 | Remedy Meds | $399 | $1,200/yr | $4,788 |
| 15 | Lemonaid Health | $348 | $1,812/yr | $4,176 |
| 16 | Eden | $298 | $2,412/yr | $3,576 |
| 17 | Henry Meds | $449 | $600/yr | $5,388 |
| 18 | TrimRx | $399 | $1,200/yr | $4,788 |
| 19 | Willow | $399 | $1,200/yr | $4,788 |
| 20 | 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 $79 semaglutide and $129 tirzepatide rates require 12-month plans. One-month plans are $139 and $199 respectively. Read the payment and refund terms before committing to a longer plan. Read the full Coreage Rx review.
2. SuperHealthy Rx — Public offer; not independently scored
$135 a month, no membership fee. Online provider review for compounded semaglutide and tirzepatide; provider visit and shipping included according to the offer.
Confirm the total upfront payment, renewal, state availability and dispensing pharmacy. Read the full SuperHealthy Rx review.
3. Likeness Rx — Public offer; not independently scored
$199 a month, no membership fee. Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month.
The lowest monthly equivalents accompany 12-month subscriptions: $948 for semaglutide or $1,548 for tirzepatide. One-month plans are $139 and $199. The page says the selected term renews automatically; check the amount due and cancellation date. Read the full Likeness Rx 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.
More from the desk
- The cheapest tirzepatide online
Every provider whose monthly price actually includes the medication, sorted on what you are billed in month two.
- Wegovy alternatives
Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.
Coreage Rx pays us a commission on sign-ups through our links. It does not affect our scores or rankings. How we rate · Disclosure