Mounjaro vs Compounded Tirzepatide: $1,069 or $69 a Month

12 months of Mounjaro or compounded tirzepatide

What Mounjaro costs without insurance

Mounjaro is approved for type 2 diabetes, and Lilly publishes no cash price for it. Someone paying out of pocket faces the list price, about $1,069 a month, or switches to Zepbound, the same tirzepatide sold through LillyDirect at $299 to $449 a month on the discounted schedule.

There are two Mounjaro savings cards, both for people with commercial insurance. If the plan covers Mounjaro, a fill of up to three months can come down to $25. If the plan refuses it, a separate card puts a month at $499. Both require an approved use, which means type 2 diabetes, and both end December 31, 2026. Lilly Cares does not include Mounjaro.

The 12 cheapest compounded tirzepatide sellers

Standing monthly price for the injection, lowest first. First-month offers, microdose and oral tiers, and fee-only plans are left out.

All 353 sellers, side by side: the full price table or compare sellers.

What compounded tirzepatide costs instead

353 of the 353 sellers who post a standing monthly price for compounded tirzepatide injections charge less than Mounjaro's $1,069 list price, and 349 charge less than half of it. The cheapest is Collective at $69; the middle price is $249.

Mounjaro's list price is the same at 2.5 mg and 15 mg, and compounded pricing is not always as steady: 21 tirzepatide sellers say their price goes up with the dose, against 128 that keep one flat price. Ask for the price at the dose you expect to reach before you sign up.

Mounjaro or compounded tirzepatide over 12 months

12 months at the $1,069 list price, since Lilly offers Mounjaro no cash program. Zepbound on LillyDirect is the same molecule for less. That comes to $12,828 for a year of Mounjaro. The same 12 months of compounded tirzepatide costs $828 at the cheapest seller and $2,988 at the middle price, which keeps $12,000 or $9,840 in your pocket.

Mounjaro is Lilly's approved tirzepatide pen for type 2 diabetes, in six strengths from 2.5 to 15 mg. Compounded tirzepatide contains the same active ingredient but is prepared by a pharmacy for one patient, and the FDA does not review the finished product. A Mounjaro prescription can also use Lilly's diabetes savings cards; a compounded vial cannot.

Where to buy Mounjaro itself online

17 sellers post a standing monthly price for Mounjaro. The lowest are Noom ($349/mo), Vital Edge ($835/mo) and NowPatient ($1,069/mo). A seller's price can sit above the manufacturer's own because it adds a clinician visit or a membership to the medication.

FDA warning letters on compounded tirzepatide

The FDA has sent 113 warning letters that name tirzepatide to sellers and compounders, 64 of them dated 2026. The subject lines FDA used most often are "False & Misleading Claims/Misbranded" (54) and "Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet" (35).

8 letters name Mounjaro itself in the summary or the passages quoted on our letter pages; the most recent went to All American Wellness in September 2025.

We found no FDA warning letters issued to any of the 12 cheapest sellers listed on this page.

Frequently Asked Questions