COST / COST BRIEF
Separate the medicine from the service. Then ask what can change after the first month.
PRICE LAYERS
List price, cash offer, insured cost, and membership fee are not interchangeable.
The maker’s September 26, 2026 price file put Zepbound’s list-price span at $499–$1,086.37 a fill; Mounjaro was $1,112.16 a fill.
A fill is one pharmacy refill; for Mounjaro that meant four pens. This is a published starting point, not what every person pays.
On September 26, 2026, the maker’s Zepbound self-pay offer ran from $299 to $699 for a month, depending on form and strength.
The printed terms said those Zepbound self-pay offers ended on December 31, 2026.
On September 26, 2026, eligible people with workplace or private insurance could pay as little as $25 under a maker savings card, subject to limits and an end date.
The card is not the same thing as insurance coverage.
THE WHOLE BILL
Of six national online weight-care services this guide looked at in September 2026, five charged a monthly membership, and the medicine was usually billed separately.