Tirzepatide in California: Prices & Providers (2026)
302 tirzepatide sellers list California as a shipping state. The lowest regular price among them is $89/mo, and California Medicaid dropped weight-loss coverage in January 2026.
302 of the 371 tirzepatide sellers that publish a state list include California, the 35th-most of the 50 states and DC. 201 of them ship to all 50 states, and 7 serve 15 states or fewer. Across the 219 with a regular monthly price, the middle figure is $249/mo.
California Medicaid stopped paying for GLP-1 drugs prescribed only for weight loss in January 2026. GLP-1s prescribed for type 2 diabetes are covered without a prior authorization.
The drug itself, including its dosing, side effects and cost, is covered on the tirzepatide drug page, and how the state program handles it is in the California Medicaid GLP-1 coverage guide.
Featured Partners · California
Featured Tirzepatide providers serving California
No insurance needed
reader-supported
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
- Featured partner9.0Get started →Save $350/mo vs Zepbound self-pay
Tirzepatide from
$99/mo
- 9.3Get started →Save $320/mo vs Zepbound self-pay
Tirzepatide from
$129/mo
- 7.3Get started →Save $150/mo vs Zepbound self-pay
Tirzepatide from
$299/mo + membership
- 8.7Get started →Save $320/mo vs Zepbound self-pay
Tirzepatide from
$129/mo
- 7.9Get started →Save $270/mo vs Zepbound self-pay
Tirzepatide from
$179/mo
- 8.2Get started →Save $235/mo vs Zepbound self-pay
Tirzepatide from
$214/mo
| Provider | Tirzepatide from | Save vs Zepbound self-pay | |
|---|---|---|---|
9.0YourEraFeatured partner | $99/mo | Save $350/mo | Get started → |
9.3Embody | $129/mo | Save $320/mo | Get started → |
7.3Found | $299/mo + membership | Save $150/mo | Get started → |
8.7Eden | $129/mo | Save $320/mo | Get started → |
7.9Luvo Health | $179/mo | Save $270/mo | Get started → |
8.2HealthRX | $214/mo | Save $235/mo | Get started → |
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Who Ships Tirzepatide to California
- Nu Image Medical $89/mo
- WellMedRx $89/mo
- Alternate Health Club $99/mo
Lowest regular tirzepatide prices for California: Nu Image Medical at $89/mo, WellMedRx at $89/mo and Alternate Health Club at $99/mo. Brand-name Zepbound lists at $1,086/mo without insurance, $997 more than the lowest; it is $299–$699 a month direct from Lilly, by dose.
Smaller-footprint sellers that include California: MD Total Wellness (1 state), New Hope Weight Loss (1 state), Ora Medical Clinic (1 state), Sculpt Rx (2 states) and Shapely (4 states), plus 2 more.
23 sellers that list 30 or more states leave California off, among them Emerge Weight Loss, Meli Health, HeliMeds, TeleDocs360 and Balanced Hormone Health.
Seller counts next door: Arizona 330, Nevada 316 and Oregon 310.
For semaglutide, 314 sellers list California, starting at $49/mo with WellMedRx.
Every Tirzepatide Provider Serving California
Editorial score · methodology
CoreAge Rx
Best for: flat-priced compounded semaglutide at $79 a month, any dose
Editorial score · methodology
Editorial score · methodology
altRX
Best for: compounded semaglutide from $89/month at the same price at every dose
Editorial score · methodology
Editorial score · methodology
Open the full A–Z list of all 302 Tirzepatide providers in California
- 10rx
- Alan Meds
- Alinwell
- Alloy
- Alternate Health Club
- altRX
- AM Rx
- Amazon One Medical
- Amble
- Andrew Meds
- Apex MD
- AquaVita NextGen
- Ark Health
- ARSYNL Rx
- Ascend Vitality
- AskRx
- Aspen
- Aspire Health
- Astra
- Auren Rx
- AVARA Rx
- Basal Health
- Belle Health
- BestDaysRx
- Better U Care
- BetterMe Rx
- Big Easy Weight Loss
- BioGlow Health
- Bionomy Health
- Bioverse
- Blis MD
- Bloom MD
- Blue Haven RX
- bmiMD
- Bodi Envi
- Bon Health
- boostAGErx
- Breeze Meds
- Brightmeds
- Broose Wellness
- CaliberRx
- California Trim Clinic
- Call-On-Doc
- Candor Rx
- Care Bare Rx
- Care Clinics
- Center for Medical Weight Loss (CMWL)
- Claya
- Coby Health
- Coivas
- Contour Health
- Cora Health
- CoraDoc
- CoreAge Rx
- Curex
- Direct Meds
- DoctorAdam
- Doctronic
- DrBrainRx
- DreamHug Medical
- Eden
- Edessa
- EdgeRx
- Effecty
- Elara Health and Wellness
- Elevated Health
- ElitePhysiqMD
- ElleS
- ElliotMeds
- Embody
- Enhance MD
- EOS Health
- EverPrime
- EverSlim
- Eviora MD
- Fella Health
- Fifty 410
- FitFlow
- FitRx
- Fitstry
- FMmeds
- FORM
- Form Health
- FormBlends
- Found
- Found Youth
- Framework
- Freeley
- Fresh Day Meds
- Freya Meds
- Gala
- Get Thin MD
- Gide Health
- Gimme Care
- GOAL.MD
- GoodLife Health
- GoodRx
- Happy Care Meds
- Harmony Wellness Clinic
- He & She MD
- HealifyNow
- Heally
- HealthRX
- HealthSource
- Healthspan
- Heros Health
- Hers
- Hims
- HumeCare+
- Imbue Health
- Immortals
- InstaRX
- IonicMD
- Ivologist
- Ivy Rx
- Jently
- Joey Med
- Juna
- June Health
- Jyra Health
- KERNX Health
- Knownwell
- Kongo
- Kora MD
- Kova
- Lavender Sky Health
- Lean Meds
- Levers Health
- Lifeforce
- LifeMD
- LifeRx.md
- LifeVine Wellness
- LillyDirect
- Live Vital
- Longevity Meds
- LongevityFix MD
- Longevixx
- Lttl
- Lumora
- Luvo Health
- LVNG RX
- MadeMed
- Mankind Health
- MANÜ Telehealth
- Maximus
- MaxLife
- MD Total Wellness
- MDExam
- Measured
- MEDGm
- MediRX
- Medro
- Medsol RX
- MEDVi
- Metabolyz
- Mint Med
- Mirabel Meds
- Mochi Health
- Mojoon
- Mondae
- Navio MD
- New Hope Weight Loss
- New Tides
- New Wave Health
- NewSelf
- Next Vial
- NextMeds
- NiceRx
- Nolu
- NP2GO
- Nu Image Medical
- NuBloom
- Nucore Health
- NuestraRx
- Nuform Health
- NuuVim
- Oak
- OmniRx Health
- Ondra Health
- One80Rx
- OneTwenty
- Open Water Rx
- Optimize HP
- Ora Medical Clinic
- OrderlyMeds
- Oria Meds
- OurView Health
- Pallas Health
- Panterra Health
- Peak Wellness
- PepHaūs
- Pepti
- PeterMD
- Pillar Health
- PlushCare
- Polly
- Pomegranate Health
- Precision Telemed
- Prescriva
- PreventiveMD
- PrideRx
- Prime Health
- Raeliva
- Rejuve Meds
- Remedy Meds
- Remedy Well
- REMEVi
- Remote Pharmacy
- RenewMD
- Renlo Health
- RENN Health
- Rese Wellness
- Revive Longevity
- Revive Meds
- Rewinding RX
- Riovie
- Rixa Health
- RNK Health
- Ro
- RX Bella
- Rx.com
- RxION Health
- RxSpan MD
- Rylo Health
- Ryze Rx
- Science & Co
- Sculpt Rx
- Semaglutide Online
- Shapely
- ShedRx
- Signos
- SkinnyRx
- SnagRx
- Somira Health
- Sommar Club
- StackLab
- StackMD
- StaveMD
- Stone Health
- Strut Health
- Sumbare Wellness
- Sunlight
- Superior Remedies
- SurpassMD
- Synergy Rx
- Tablet Health
- TeleCareSpot
- Teleios Health
- TelePeptide
- TeleWellnessMD
- TeleZen MD
- The Aesthetic Concierge
- The Edit
- The Protocole
- TMates
- Tomorrow
- TotalRx
- Totara Health
- Transparent Meds
- Trava Health
- Trellis Vitality
- Trillium Meds
- Trimi Health
- Trimrose
- Trinity Meds
- TRYM Health
- Tryozi
- Tummala Health
- Tuyo Health
- Tyde Wellness
- Vaylen
- Verge
- VevaRx
- VigoreMD
- Vita Bella
- Vita Stack Health
- Vital Edge
- Vital Step
- Vitalex Health
- Vitara RX
- VoyoCare
- Vytora Health
- Walgreens Weight Management
- WeightCare
- WeightlessRx
- WeightWatchers Clinic
- Welling Health
- WellMedRx
- Wellorithm
- WePeptideRx
- Willow
- Wisp
- XMD Wellness
- YourEra
- YourHealthRx
- YOURx Health
- Yucca Health
- Zappy Health
- Zealthy
- Zenbody
- Zera Health
- Zoya
What Tirzepatide Costs in California
Brand-name Zepbound lists at $1,086/mo without insurance. It is $299–$699 a month direct from Lilly, by dose.
| Provider | Price | Below Zepbound list |
|---|---|---|
| Nu Image Medical | $89/mo | $997/mo less |
| WellMedRx | $89/mo | $997/mo less |
| Alternate Health Club | $99/mo | $987/mo less |
| Optimize HP | $99/mo | $987/mo less |
| Remedy Well | $99/mo | $987/mo less |
| Teleios Health | $99/mo | $987/mo less |
| YourEra | $99/mo | $987/mo less |
| Framework | $100/mo | $986/mo less |
| NextMeds | $109/mo | $977/mo less |
| Mint Med | $119/mo | $967/mo less |
| Tyde Wellness | $125/mo | $961/mo less |
| Mondae | $126/mo | $960/mo less |
| TRYM Health | $126/mo | $960/mo less |
| CoreAge Rx | $129/mo | $957/mo less |
| Eden | $129/mo | $957/mo less |
| Embody | $129/mo | $957/mo less |
| Lean Meds | $129/mo | $957/mo less |
| OurView Health | $129/mo | $957/mo less |
| StackLab | $129/mo | $957/mo less |
| Tryozi | $129/mo | $957/mo less |
| EverSlim | $136/mo | $950/mo less |
| Happy Care Meds | $139/mo | $947/mo less |
| Lavender Sky Health | $139/mo | $947/mo less |
| NewSelf | $144/mo | $942/mo less |
| boostAGErx | $145/mo | $941/mo less |
| altRX | $149/mo | $937/mo less |
| Aspire Health | $149/mo | $937/mo less |
| Lttl | $149/mo | $937/mo less |
| New Wave Health | $149/mo | $937/mo less |
| Pomegranate Health | $149/mo | $937/mo less |
| SnagRx | $149/mo | $937/mo less |
| Strut Health | $149/mo | $937/mo less |
| Sumbare Wellness | $149/mo | $937/mo less |
| Trinity Meds | $149/mo | $937/mo less |
| Vitara RX | $149/mo | $937/mo less |
| Blis MD | $159/mo | $927/mo less |
| Pepti | $159/mo | $927/mo less |
| Vita Bella | $159/mo | $927/mo less |
| YOURx Health | $159/mo | $927/mo less |
| Alinwell | $166/mo | $920/mo less |
| Mirabel Meds | $166/mo | $920/mo less |
| BioGlow Health | $169/mo | $917/mo less |
| Eviora MD | $169/mo | $917/mo less |
| Mochi Health | $169/mo | $917/mo less |
| Rewinding RX | $169/mo | $917/mo less |
| TotalRx | $174/mo | $912/mo less |
| Metabolyz | $175/mo | $911/mo less |
| Trava Health | $178.98/mo | $907.02/mo less |
| Broose Wellness | $179/mo | $907/mo less |
| Gala | $179/mo | $907/mo less |
| IonicMD | $179/mo | $907/mo less |
| Kora MD | $179/mo | $907/mo less |
| Luvo Health | $179/mo | $907/mo less |
| Prescriva | $179/mo | $907/mo less |
| Stone Health | $179/mo | $907/mo less |
| Longevity Meds | $184.99/mo | $901.01/mo less |
| Navio MD | $189/mo | $897/mo less |
| MaxLife | $195/mo | $891/mo less |
| LifeRx.md | $197/mo | $889/mo less |
| Heros Health | $198/mo | $888/mo less |
| Alloy | $199/mo | $887/mo less |
| Auren Rx | $199/mo | $887/mo less |
| Basal Health | $199/mo | $887/mo less |
| CaliberRx | $199/mo | $887/mo less |
| Care Bare Rx | $199/mo | $887/mo less |
| Claya | $199/mo | $887/mo less |
| Coivas | $199/mo | $887/mo less |
| Curex | $199/mo | $887/mo less |
| DoctorAdam | $199/mo | $887/mo less |
| DreamHug Medical | $199/mo | $887/mo less |
| ElleS | $199/mo | $887/mo less |
| Fifty 410 | $199/mo | $887/mo less |
| Fitstry | $199/mo | $887/mo less |
| FORM | $199/mo | $887/mo less |
| Found Youth | $199/mo | $887/mo less |
| June Health | $199/mo | $887/mo less |
| KERNX Health | $199/mo | $887/mo less |
| MediRX | $199/mo | $887/mo less |
| Pillar Health | $199/mo | $887/mo less |
| Renlo Health | $199/mo | $887/mo less |
| StackMD | $199/mo | $887/mo less |
| Trellis Vitality | $199/mo | $887/mo less |
| Trillium Meds | $199/mo | $887/mo less |
| XMD Wellness | $199/mo | $887/mo less |
| Tablet Health | $199.99/mo | $886.01/mo less |
| FormBlends | $214/mo | $872/mo less |
| HealthRX | $214/mo | $872/mo less |
| AM Rx | $216/mo | $870/mo less |
| FitRx | $216/mo | $870/mo less |
| Open Water Rx | $219/mo | $867/mo less |
| SurpassMD | $222/mo | $864/mo less |
| ElitePhysiqMD | $224.10/mo | $861.90/mo less |
| EdgeRx | $225/mo | $861/mo less |
| Rixa Health | $228.28/mo | $857.72/mo less |
| Jyra Health | $229/mo | $857/mo less |
| One80Rx | $229/mo | $857/mo less |
| Tummala Health | $229/mo | $857/mo less |
| VoyoCare | $229/mo | $857/mo less |
| Remote Pharmacy | $229.99/mo | $856.01/mo less |
| Effecty | $235/mo | $851/mo less |
| FitFlow | $235/mo | $851/mo less |
| Tuyo Health | $235/mo | $851/mo less |
| Center for Medical Weight Loss (CMWL) | $239/mo | $847/mo less |
| Coby Health | $239/mo | $847/mo less |
| Edessa | $239/mo | $847/mo less |
| PepHaūs | $239/mo | $847/mo less |
| Totara Health | $239/mo | $847/mo less |
| Apex MD | $249/mo | $837/mo less |
| Ark Health | $249/mo | $837/mo less |
| Ascend Vitality | $249/mo | $837/mo less |
| Belle Health | $249/mo | $837/mo less |
| Bionomy Health | $249/mo | $837/mo less |
| Bodi Envi | $249/mo | $837/mo less |
| GOAL.MD | $249/mo | $837/mo less |
| Ivologist | $249/mo | $837/mo less |
| Next Vial | $249/mo | $837/mo less |
| NuBloom | $249/mo | $837/mo less |
| Sommar Club | $249/mo | $837/mo less |
| StaveMD | $249/mo | $837/mo less |
| Harmony Wellness Clinic | $250/mo | $836/mo less |
| NP2GO | $250/mo | $836/mo less |
| MDExam | $258/mo | $828/mo less |
| Jently | $259/mo | $827/mo less |
| Medsol RX | $259/mo | $827/mo less |
| FMmeds | $265/mo | $821/mo less |
| TeleZen MD | $268/mo | $818/mo less |
| ARSYNL Rx | $269/mo | $817/mo less |
| Nucore Health | $269/mo | $817/mo less |
| Vital Edge | $269/mo | $817/mo less |
| Verge | $270/mo | $816/mo less |
| Joey Med | $275/mo | $811/mo less |
| AVARA Rx | $279/mo | $807/mo less |
| Nolu | $279/mo | $807/mo less |
| Polly | $279/mo | $807/mo less |
| Revive Longevity | $279/mo | $807/mo less |
| TeleWellnessMD | $279.95/mo | $806.05/mo less |
| Bon Health | $285/mo | $801/mo less |
| Call-On-Doc | $285/mo | $801/mo less |
| Levers Health | $296/mo | $790/mo less |
| Ivy Rx | $297/mo | $789/mo less |
| MANÜ Telehealth | $297/mo | $789/mo less |
| RNK Health | $297/mo | $789/mo less |
| TMates | $297/mo | $789/mo less |
| Amazon One Medical | $299/mo | $787/mo less |
| BetterMe Rx | $299/mo | $787/mo less |
| California Trim Clinic | $299/mo | $787/mo less |
| Direct Meds | $299/mo | $787/mo less |
| DrBrainRx | $299/mo | $787/mo less |
| EOS Health | $299/mo | $787/mo less |
| Found | $299/mo | $787/mo less |
| Freeley | $299/mo | $787/mo less |
| Get Thin MD | $299/mo | $787/mo less |
| Gide Health | $299/mo | $787/mo less |
| GoodRx | $299/mo | $787/mo less |
| Heally | $299/mo | $787/mo less |
| HealthSource | $299/mo | $787/mo less |
| Healthspan | $299/mo | $787/mo less |
| Hers | $299/mo | $787/mo less |
| Hims | $299/mo | $787/mo less |
| HumeCare+ | $299/mo | $787/mo less |
| Imbue Health | $299/mo | $787/mo less |
| Knownwell | $299/mo | $787/mo less |
| LillyDirect | $299/mo | $787/mo less |
| LongevityFix MD | $299/mo | $787/mo less |
| Longevixx | $299/mo | $787/mo less |
| LVNG RX | $299/mo | $787/mo less |
| Measured | $299/mo | $787/mo less |
| Medro | $299/mo | $787/mo less |
| OrderlyMeds | $299/mo | $787/mo less |
| PrideRx | $299/mo | $787/mo less |
| Raeliva | $299/mo | $787/mo less |
| RENN Health | $299/mo | $787/mo less |
| Rese Wellness | $299/mo | $787/mo less |
| Ro | $299/mo | $787/mo less |
| RX Bella | $299/mo | $787/mo less |
| Sculpt Rx | $299/mo | $787/mo less |
| ShedRx | $299/mo | $787/mo less |
| Tomorrow | $299/mo | $787/mo less |
| VigoreMD | $299/mo | $787/mo less |
| Walgreens Weight Management | $299/mo | $787/mo less |
| WeightWatchers Clinic | $299/mo | $787/mo less |
| Zenbody | $299/mo | $787/mo less |
| Oak | $300/mo | $786/mo less |
| Lifeforce | $325/mo | $761/mo less |
| Amble | $329/mo | $757/mo less |
| RxSpan MD | $329/mo | $757/mo less |
| The Protocole | $329/mo | $757/mo less |
| Elara Health and Wellness | $339/mo | $747/mo less |
| The Aesthetic Concierge | $339/mo | $747/mo less |
| Lumora | $345/mo | $741/mo less |
| LifeVine Wellness | $347/mo | $739/mo less |
| Peak Wellness | $349/mo | $737/mo less |
| Synergy Rx | $349/mo | $737/mo less |
| The Edit | $349/mo | $737/mo less |
| Transparent Meds | $349/mo | $737/mo less |
| Wellorithm | $349/mo | $737/mo less |
| Elevated Health | $359/mo | $727/mo less |
| Trimrose | $359/mo | $727/mo less |
| Mankind Health | $359.10/mo | $726.90/mo less |
| HealifyNow | $367/mo | $719/mo less |
| Sunlight | $379/mo | $707/mo less |
| Mojoon | $390/mo | $696/mo less |
| Vital Step | $396/mo | $690/mo less |
| Better U Care | $397/mo | $689/mo less |
| Bioverse | $399/mo | $687/mo less |
| Breeze Meds | $399/mo | $687/mo less |
| Kova | $399/mo | $687/mo less |
| MD Total Wellness | $399/mo | $687/mo less |
| PlushCare | $399/mo | $687/mo less |
| Prime Health | $399/mo | $687/mo less |
| Remedy Meds | $399/mo | $687/mo less |
| Superior Remedies | $399/mo | $687/mo less |
| TeleCareSpot | $399/mo | $687/mo less |
| Willow | $399/mo | $687/mo less |
| AquaVita NextGen | $429/mo | $657/mo less |
| LifeMD | $448/mo | $638/mo less |
| OmniRx Health | $449/mo | $637/mo less |
| Revive Meds | $459/mo | $627/mo less |
| SkinnyRx | $1,400/mo | |
| 10rx | $149.67/mo prepaid | |
| Alan Meds | $145/mo prepaid | |
| Andrew Meds | $229/mo prepaid | |
| AskRx | See review | |
| Aspen | $399/mo prepaid | |
| Astra | $109/mo prepaid | |
| BestDaysRx | See review | |
| Big Easy Weight Loss | $169.94/mo prepaid | |
| Bloom MD | $98/mo prepaid | |
| Blue Haven RX | $179/mo prepaid | |
| bmiMD | $179/mo prepaid | |
| Brightmeds | $119/mo prepaid | |
| Candor Rx | $149/mo prepaid | |
| Care Clinics | $116/mo prepaid | |
| Contour Health | $200/mo prepaid | |
| Cora Health | $135/mo prepaid | |
| CoraDoc | $127/mo prepaid | |
| Doctronic | See review | |
| ElliotMeds | $223/mo prepaid | |
| Enhance MD | $169/mo prepaid | |
| EverPrime | $169/mo prepaid | |
| Fella Health | $399/mo prepaid | |
| Form Health | See review | |
| Fresh Day Meds | $140/mo prepaid | |
| Freya Meds | $332/mo prepaid | |
| Gimme Care | $149/mo prepaid | |
| GoodLife Health | See review | |
| He & She MD | $159/mo prepaid | |
| Immortals | $180/mo prepaid | |
| InstaRX | $265/mo prepaid | |
| Juna | $249 first month | |
| Kongo | $129/mo prepaid | |
| Live Vital | $239/mo prepaid | |
| MadeMed | $299/mo prepaid | |
| Maximus | $99.99/mo prepaid | |
| MEDGm | $269/mo prepaid | |
| MEDVi | See review | |
| New Hope Weight Loss | $233/mo prepaid | |
| New Tides | See review | |
| NiceRx | $129/mo prepaid | |
| NuestraRx | $239/mo prepaid | |
| Nuform Health | $173.33/mo prepaid | |
| NuuVim | $199.67/mo prepaid | |
| Ondra Health | $183/mo prepaid | |
| OneTwenty | $250/mo prepaid | |
| Ora Medical Clinic | See review | |
| Oria Meds | $299/mo prepaid | |
| Pallas Health | $239/mo prepaid | |
| Panterra Health | $180/mo prepaid | |
| PeterMD | $249/mo prepaid | |
| Precision Telemed | $215/mo prepaid | |
| PreventiveMD | $97.33/mo prepaid | |
| Rejuve Meds | $265/mo prepaid | |
| REMEVi | $225/mo prepaid | |
| RenewMD | $269/mo prepaid | |
| Riovie | $195/mo prepaid | |
| Rx.com | $149/mo prepaid | |
| RxION Health | $183/mo prepaid | |
| Rylo Health | $159.67/mo prepaid | |
| Ryze Rx | $166.33/mo prepaid | |
| Science & Co | $99/mo prepaid | |
| Semaglutide Online | $299/mo prepaid | |
| Shapely | $166/mo prepaid | |
| Signos | $199/mo prepaid | |
| Somira Health | $133.33/mo prepaid | |
| TelePeptide | $214/mo prepaid | |
| Trimi Health | $125/mo prepaid | |
| Vaylen | $124/mo prepaid | |
| VevaRx | $87/mo prepaid | |
| Vita Stack Health | $89/mo prepaid | |
| Vitalex Health | $98.99 first month | |
| Vytora Health | $199/mo prepaid | |
| WeightCare | $216/mo prepaid | |
| WeightlessRx | $233/mo prepaid | |
| Welling Health | See review | |
| WePeptideRx | $176.33/mo prepaid | |
| Wisp | See review | |
| YourHealthRx | $180/mo prepaid | |
| Yucca Health | $119/mo prepaid | |
| Zappy Health | $299/mo prepaid | |
| Zealthy | $351/mo prepaid | |
| Zera Health | $215/mo prepaid | |
| Zoya | $108/mo prepaid |
California Medicaid and Zepbound
California Medicaid stopped paying for GLP-1 drugs prescribed only for weight loss in January 2026. GLP-1s prescribed for type 2 diabetes are covered without a prior authorization.
- Zepbound for obstructive sleep apnea: covered with prior authorization.
| Prior authorization form | Medi-Cal Rx case-by-case PA (Wegovy MASH adjudicated at pharmacy via ICD-10 K76.0/K75.8 diagnosis-restriction edit; no PA required) |
|---|---|
| Prior authorization phone | 1-800-977-2273 |
| Prior authorization fax | 1-833-281-0905 |
| Pharmacy benefit manager | Medi-Cal Rx, the state's own pharmacy benefit (its outreach email is a Prime Therapeutics address; contractor not named in the GLP-1 documents) |
| Time to file an appeal | 90 days |
|---|---|
| Appeals office | California Department of Social Services (CDSS) State Hearings |
| Appeals phone | 1-800-743-8525 / 1-855-795-0634 |
| Fast-track appeal | available when waiting would put your health at risk |
“Effective January 1, 2026, claims for these drugs will deny with Reject Code 70, Product/Service Not Covered regardless of indication. All previously approved PAs expired on December 31, 2025. PA requests for Zepbound will be considered when used for obstructive sleep apnea (OSA).”
In 2025, California Medicaid paid for at least 935,362 tirzepatide prescriptions, including at least 701,827 for Zepbound and 233,535 for Mounjaro, about $991.7 million before manufacturer rebates.
Medicaid rules checked November 2026. Prescription counts: CMS State Drug Utilization Data. Check your eligibility
Largest Cities in California
Frequently Asked Questions
Glossary
The words sellers use, defined. Tap any term.
- Zepbound · Drugs and brands
- Mounjaro · Drugs and brands
- GLP-1 receptor · Mechanism
- GIP receptor · Mechanism
- Dual agonist · Mechanism
- SURMOUNT-1 · Major trials
- SURMOUNT-OSA · Major trials
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms