Tool
The $149 rate on this page is not open-ended. The $149 rate covers 1.5 mg and 4 mg. The 4 mg price rises to $199 after this date. It stops applying on 2026-08-31, in 28 days.
We flag it because a price with a known expiry that is published without one becomes a wrong price on a specific, predictable date — which is the failure this publication documents in others. Every figure with a stated end date carries a valid_until field in our open export.
GLP-1 Total Cost Calculator
All calculations show inputs, formula, date and disclaimer
This tool calculates from the figures you enter and publishes its formula and assumptions below the result. It stores nothing, sends nothing, and collects no health information. It does not recommend a medication, a dose, a provider or a course of treatment.
Show this figure as a table
| Component | Amount |
|---|---|
| Medication | not captured |
| Membership | not captured |
| Shipping | not captured |
| Dose surcharge | not captured |
| Consultation | not captured |
| Labs | not captured |
| All-in total | not captured |
Show this figure as a table
| Item | Value | Evidence |
|---|---|---|
| 6 months | not captured | — |
| 12 months | not captured | — |
| 24 months | not captured | — |
| Recurring costs | Medication, membership, shipping and dose surcharge are multiplied by the number of months. |
| One-off costs | Consultation and laboratory fees are added once. If your provider bills them repeatedly, enter them as a monthly cost instead. |
| Dose escalation | Not assumed. Enter the surcharge for the dose you expect to reach. |
| Insurance | Not modelled. This is a self-pay calculation. |
| Rounding | Displayed to the nearest dollar; the calculation is not rounded. |
Why an all-in figure is the only comparable one
Providers in this category publish a monthly medication price. Almost none publish what you will actually pay, because between the advertised figure and the amount leaving your account sit up to five other charges: a membership, shipping, an initial consultation, required laboratory work and a surcharge that applies once you titrate above the starting dose.
Each is disclosed somewhere. None is usually in the headline. The result is that a straight comparison of advertised prices ranks providers in an order that does not survive contact with a bank statement.
The formula, in full
(medication + membership + shipping + dose surcharge) × months + consultation + labs
Recurring costs multiply by the term. Consultation and laboratory fees are treated as one-off, because most providers charge them at intake — if yours bills them repeatedly, enter them as monthly costs instead and the projection will follow.
Two things the calculator deliberately does not assume
It does not assume a dose. If your provider charges more at higher doses, enter the surcharge for the dose you expect to reach rather than the one you start on. The label schedule runs 2.5 mg for four weeks and then upward; the starting dose is a tolerance dose and is not where you will spend your treatment.
It does not assume you stop. The projection runs to 36 months because the withdrawal evidence suggests treatment continues to hold its result. In SURMOUNT-4, participants withdrawn after a lead-in regained 14% of body weight over the following year while those continuing lost a further 5.5%. That is the argument for comparing indefinite monthly cost rather than a first-year total.
What to do with the result
Run it twice: once with the figures a provider advertises, and once with the figures they confirm in writing at a maintenance dose. The gap between those two numbers is the most useful thing this tool produces.
Related on this site
- All toolsTools
- GLP-1 Semaglutide Rx ToolTools
- Annual GLP-1 Cost CalculatorTools
- GLP-1 Hidden Fee CalculatorTools
- Provider ranking methodologyCore & Trust
- Download the pricing recordsData
- Methodology and Dataset ChangelogData
- Medical ReviewersCore & Trust
- MEDVi Tirzepatide ReviewProviders
- Insurance vs Self-Pay TirzepatideComparisons
Related coverage
GLP-1 Semaglutide Rx. “GLP-1 Total Cost Calculator.” S.J Partners LLC, 2026-08-03. https://glp1semaglutiderx.com/tools/glp1-cost-calculator/
Quote the capture date beside a figure, not the date you read this page. Why.
| Route | Monthly | Twelve months | Evidence |
|---|---|---|---|
| Covered brand plus savings card | $25 | $300 | Provider-reported |
| Medicare GLP-1 Bridge | $50 | $600 | Reported |
| Approved oral GLP-1 | $149 | $1,788 | Captured at source |
| Compounded tirzepatide, flat, 12-month | $186 | $2,232 | Captured at source |
| Brand Zepbound, LillyDirect vials | $299–$449 | $4,788 | Captured at source |
| Brand Zepbound, retail pens | ~$1,060 | ~$12,720 | Third-party claim |
Prices re-confirmed at source on 2026-08-03. The compounded row has no trial of its own; every efficacy figure on this site was collected on the approved product. Full ladder and evidence grades: the ranking.