THE GLP-1 COMPARISON DESKRESEARCHED OCTOBER 2026
Tirz vs Sema
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The evidence desk

Comparing the full cost of tirzepatide and semaglutide

The meaningful number includes the medicine, clinical care, billing period, dose and program conditions.

Start with two separate line items

Many online services separate care membership from medication. Ro and Hers both advertise an initial $39 membership month and an ongoing $149 monthly plan, while medication is extra. Ro also offers lower monthly equivalents with prepayment.[source][source]

A medication-only quote should not be presented as the total. Record the initial charge and continuing charge separately, including the actual amount due upfront for any prepaid term.

Distinguish starting-dose offers from ongoing prices

LillyDirect’s Zepbound self-pay schedule begins at $299 for the 2.5 mg presentation, which is not an approved maintenance dose. Higher-dose pricing and qualifying offers differ.[source]

Mochi’s compounded product pages also say medication pricing varies by dose. CoreAge Rx advertises a same-price-at-every-dose offer, whose selected-plan terms still require confirmation.[source][source][source]

Read refill and cancellation conditions

Lilly’s selected higher-dose $449 offer requires a refill purchase within 45 days of the prior delivery or receipt. The defined medication month is 28 days. That is a different budgeting unit from a calendar-month membership.[source]

Hers explains that canceling membership also cancels the active medication plan and platform care access. A financial decision may therefore require a clinical continuity plan.[source]

A savings offer is not universal coverage

Manufacturer programs can have eligibility restrictions, and insurance coverage is specific to the product, indication and plan. A quoted cash offer or savings-card minimum does not establish what an individual will pay.

Ask the provider, pharmacy or insurer to confirm the actual prescription cost. Do not combine a restricted insurance offer with a cash membership quote and label the result universally available.

Use a consistent comparison record

For each option, write the exact product and dose, medicine charge, care charge, supplies, shipment period, upfront term and renewal conditions. Leave unknown figures blank until verified.

This approach keeps a cheaper-looking entry from winning merely because part of its cost was omitted. Our individual product reviews identify the main qualifications for each selected route.

THE RESEARCH

Sources & further reading

Provider pages establish what a brand markets. Clinical and regulatory sources establish the limits of the evidence. Each source has its own last-checked date below.

  1. Ro: membership and medication pricingSeparate charges, prepayment periods and dose-specific offers · Checked October 8, 2026
  2. Hers: weight-loss membershipMembership fee and medicine costs are separate · Checked October 8, 2026
  3. LillyDirect: Zepbound formats and pricesManufacturer fulfillment and self-pay program terms · Checked October 8, 2026
  4. Mochi: compounded semaglutideStarting medication quote; dose-dependent; membership extra · Checked October 8, 2026
  5. Mochi: compounded tirzepatideStarting medication quote; dose-dependent; membership extra · Checked October 8, 2026
  6. CoreAge Rx: current advertised treatments and pricesStandard GLP-1 prices use the publisher-supplied correction: semaglutide $79/month from; tirzepatide $129/month from. Other original service details retain their October 8 check date. · Checked October 8, 2026
  7. Lilly: Zepbound savings termsFormat-specific prices, eligibility and refill-window conditions · Checked October 8, 2026
  8. Hers: Wegovy pillCurrent product page and starting medication quote · Checked October 8, 2026

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