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Tirzepatide in North Carolina: Prices & Providers (2026)

143 tirzepatide sellers list North Carolina as a shipping state. The lowest regular price among them is $97/mo, and North Carolina Medicaid covers weight loss with prior auth.

143 of the 176 tirzepatide sellers that publish a state list include North Carolina, the 21st-most of the 50 states and DC. 99 of them ship to all 50 states, and 3 serve 15 states or fewer. Across the 130 with a regular monthly price, the middle figure is $249/mo.

North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.

Featured Partners · North Carolina

Featured Tirzepatide providers serving North Carolina

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  1. Top pick

    Tirzepatide from

    $149/mo

    Save $937/mo vs Zepbound
    Get started →
  2. Tirzepatide from

    $125/mo

    Save $961/mo vs Zepbound
    Get started →
  3. Tirzepatide from

    $139/mo

    Save $947/mo vs Zepbound
    Get started →
  4. Tirzepatide from

    $269/mo

    Save $817/mo vs Zepbound
    Get started →
  5. Tirzepatide from

    $199/mo

    Save $887/mo vs Zepbound
    Get started →
  6. Tirzepatide from

    $169/mo

    Save $917/mo vs Zepbound
    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 North Carolina

  1. PreventiveMD $97/mo
  2. Lavender Sky Health $104/mo
  3. Lean Meds $109/mo

Lowest regular tirzepatide prices for North Carolina: PreventiveMD at $97/mo, Lavender Sky Health at $104/mo and Lean Meds at $109/mo. Brand-name Zepbound lists at $1,086/mo without insurance, $989 more than the lowest.

Smaller-footprint sellers that include North Carolina: Blue Sky MD (1 state), Gaya Wellness (5 states) and Onyx Weight Loss (8 states).

6 sellers that list 30 or more states leave North Carolina off, among them Revel Health, PeterMD, NP2GO, Levity and Care Clinics.

Seller counts next door: Georgia 145, South Carolina 132, Tennessee 140 and Virginia 151.

For semaglutide, 161 sellers list North Carolina, starting at $79/mo with Embody.

Every Tirzepatide Provider Serving North Carolina

9.3/ 10
Verified partner

Embody

Best for: knowing which pharmacy fills the vial: it names RedRock Pharmacy

★★★★★4.7/5

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →
9.0/ 10
Verified partner

Live Vital

Best for: semaglutide at $99/month, 48% below the typical price

★★★★★4.5/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideRetatrutideBPC-157
Get StartedRead full Live Vital review →
8.7/ 10
Verified partner

Gala

Best for: moving between compounded and brand without changing seller

★★★★☆4.4/5

Editorial score · methodology

$129/mo
CompoundedSemaglutideTirzepatideLegitScript Verified
Get StartedRead full Gala review →
8.6/ 10
Verified partner

Found

Best for: tirzepatide at $169/month, 37% below the typical price

★★★★☆4.3/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Found review →
7.3/ 10
Verified partner

Willow

Best for: seeing what it charges before you answer any medical questions

★★★★☆3.7/5

Editorial score · methodology

$299/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Willow review →
Open the full A–Z list of 143 Tirzepatide providers in North Carolina

What Tirzepatide Costs in North Carolina

Brand-name Zepbound lists at $1,086/mo without insurance.

ProviderPriceBelow Zepbound list
PreventiveMD$97/mo$989/mo less
Lavender Sky Health$104/mo$982/mo less
Lean Meds$109/mo$977/mo less
NextMeds$109/mo$977/mo less
Trimi Health$125/mo$961/mo less
Embody$129/mo$957/mo less
Jyra Health$133/mo$953/mo less
bmiMD$139/mo$947/mo less
Fresh Day Meds$140/mo$946/mo less
NewSelf$144/mo$942/mo less
Alan Meds$145/mo$941/mo less
Mondae$145/mo$941/mo less
CoreAge Rx$149/mo$937/mo less
Gala$149/mo$937/mo less
Nalena$149/mo$937/mo less
Vitara RX$149/mo$937/mo less
Mint Med$159/mo$927/mo less
Gimme Care$163/mo$923/mo less
Big Easy Weight Loss$166/mo$920/mo less
BioGlow Health$169/mo$917/mo less
Enhance MD$169/mo$917/mo less
Found$169/mo$917/mo less
Bon Health$170/mo$916/mo less
AmberHealth$175/mo$911/mo less
EverSlim$183/mo$903/mo less
Live Vital$183/mo$903/mo less
SurpassMD$184/mo$902/mo less
Navio MD$189/mo$897/mo less
Rewinding RX$191.76/mo$894.24/mo less
Trava Health$198/mo$888/mo less
Care Bare Rx$199/mo$887/mo less
Curex$199/mo$887/mo less
DoctorAdam$199/mo$887/mo less
He & She MD$199/mo$887/mo less
InstaRX$199/mo$887/mo less
Pepti$199/mo$887/mo less
Piper$199/mo$887/mo less
Precision Telemed$199/mo$887/mo less
Rivo Health$199/mo$887/mo less
Sprout Health$199/mo$887/mo less
StackMD$199/mo$887/mo less
Strut Health$199/mo$887/mo less
Trellis Vitality$199/mo$887/mo less
Trinity Meds$199/mo$887/mo less
Zera Health$199/mo$887/mo less
Vytora Health$200/mo$886/mo less
Invyncible$210/mo$876/mo less
YourHealthRx$210/mo$876/mo less
LifespanningRx$212.50/mo$873.50/mo less
Open Water Rx$219/mo$867/mo less
Recovery Delivered$219/mo$867/mo less
Curve$225/mo$861/mo less
Nouri$225/mo$861/mo less
Kongo$229/mo$857/mo less
DreamHug Medical$238/mo$848/mo less
Coby Health$239/mo$847/mo less
Vaylen$239/mo$847/mo less
Blue Sky MD$240/mo$846/mo less
Effecty$240/mo$846/mo less
PepHaūs$246/mo$840/mo less
altRX$249/mo$837/mo less
Bionomy Health$249/mo$837/mo less
GOAL.MD$249/mo$837/mo less
NuBloom$249/mo$837/mo less
PlexusDx$249/mo$837/mo less
Rylo Health$249/mo$837/mo less
Tyde Wellness$249/mo$837/mo less
Rebody Health$249.99/mo$836.01/mo less
Harmony Wellness Clinic$250/mo$836/mo less
Medsol RX$250/mo$836/mo less
ReadyRx$255/mo$831/mo less
Yucca Health$258/mo$828/mo less
FMmeds$265/mo$821/mo less
REMEVi$269/mo$817/mo less
Renlo Health$269/mo$817/mo less
LifeRx.md$275/mo$811/mo less
Welling Health$275/mo$811/mo less
AVARA Rx$279/mo$807/mo less
Onyx Weight Loss$280/mo$806/mo less
Rx.com$285/mo$801/mo less
Amble$289/mo$797/mo less
Brightmeds$289/mo$797/mo less
EOS Health$289/mo$797/mo less
Fierce Health$297/mo$789/mo less
Ivy Rx$297/mo$789/mo less
TMates$297/mo$789/mo less
AskRx$299/mo$787/mo less
BetterMe Rx$299/mo$787/mo less
EdgeRx$299/mo$787/mo less
Get Thin MD$299/mo$787/mo less
GoodRx$299/mo$787/mo less
Heally$299/mo$787/mo less
HealthSource$299/mo$787/mo less
Hers$299/mo$787/mo less
Hims$299/mo$787/mo less
KERNX Health$299/mo$787/mo less
Longevixx$299/mo$787/mo less
Medro$299/mo$787/mo less
NiceRx$299/mo$787/mo less
Pallas Health$299/mo$787/mo less
Semaglutide Online$299/mo$787/mo less
TeleClinic$299/mo$787/mo less
Zappy Health$299/mo$787/mo less
Rixa Health$304.38/mo$781.62/mo less
The Edit$309/mo$777/mo less
RxSpan MD$329/mo$757/mo less
Fitish$339/mo$747/mo less
Eden$349/mo$737/mo less
Gaya Wellness$349/mo$737/mo less
Knownwell$349/mo$737/mo less
Peak Wellness$349/mo$737/mo less
Rex MD$349/mo$737/mo less
Synergy Rx$349/mo$737/mo less
Wellorithm$349/mo$737/mo less
Zealthy$351/mo$735/mo less
Maximus$359.99/mo$726.01/mo less
Independent Wellness$379/mo$707/mo less
Tryozi$379/mo$707/mo less
Apex MD$399/mo$687/mo less
Aspen$399/mo$687/mo less
Breeze Meds$399/mo$687/mo less
Joey Med$399/mo$687/mo less
PlushCare$399/mo$687/mo less
Remedy Meds$399/mo$687/mo less
RestorLife Med$399/mo$687/mo less
TeleCareSpot$399/mo$687/mo less
Willow$399/mo$687/mo less
Revive Meds$459/mo$627/mo less
VirtualCare2Go$629/mo$457/mo less
Form Health$1,350/mo
Auren RxSee review
Belle Health$199/mo prepaid
Cora Health$135/mo prepaid
Elara Health and Wellness$196/mo prepaid
Fella Health$399/mo prepaid
MEDViSee review
Mochi HealthSee review
MyFastRx$149/mo prepaid
Ondra Health$166/mo prepaid
Trillium Meds$199/mo prepaid
Vita BellaSee review
WeightWatchers ClinicSee review
WispSee review

North Carolina Medicaid and Zepbound

North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.

  • Zepbound for obstructive sleep apnea: covered with prior authorization (a BMI of at least 30; no CPAP trial required).
Prior authorization
Prior authorization formNC Medicaid Outpatient Pharmacy Prior Approval Criteria, GLP1s for Weight Management (PAG 25J7, eff. 8/1/2024)
Pharmacy benefit managerPrime Therapeutics State Government Solutions LLC (FFS, eff. 5/2/2026); plan-specific PBMs (PerformRx, Optum Rx) for Standard/Tailored Plans
Health plans (9)AmeriHealth Caritas NC; Carolina Complete Health; Healthy Blue of NC; UnitedHealthcare Community Plan of NC; WellCare of NC; Alliance Health (Tailored); Partners Health Management (Tailored); Trillium Health Resources (Tailored); Vaya Health (Tailored)
Enrollmentabout 3,100,000 people (May 2026)
If the request is denied
Time to file an appeal120 days
Appeals officeNC Office of Administrative Hearings (OAH)
Rule that governs itNC OAH Medicaid recipient appeals
Fast-track appealavailable when waiting would put your health at risk
“In accordance with the Governor's directive, NC Medicaid coverage for GLP-1s for the treatment of obesity has been reinstated effective Dec. 12, 2025.”
NC Medicaid Bulletin, December 19, 2025

In 2025, North Carolina Medicaid paid for at least 84,091 tirzepatide prescriptions, including at least 25,111 for Zepbound and at least 58,980 for Mounjaro, about $96.4 million before manufacturer rebates.

Medicaid rules checked May 2026. Prescription counts: CMS State Drug Utilization Data. Check your eligibility

Largest Cities in North Carolina

CharlotteRaleighGreensboroDurham

Frequently Asked Questions

The lowest regular prices from sellers that ship to North Carolina are $97/mo at PreventiveMD, $104/mo at Lavender Sky Health and $109/mo at Lean Meds. Half of the 130 priced sellers charge $249/mo or less. Brand-name Zepbound lists at $1,086/mo before insurance.
North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization. Zepbound for obstructive sleep apnea: covered with prior authorization (a BMI of at least 30; no CPAP trial required).
Your prescriber sends the request on this paperwork: NC Medicaid Outpatient Pharmacy Prior Approval Criteria, GLP1s for Weight Management (PAG 25J7, eff. 8/1/2024). Pharmacy claims run through Prime Therapeutics State Government Solutions LLC (FFS, eff. 5/2/2026); plan-specific PBMs (PerformRx, Optum Rx) for Standard/Tailored Plans.
A denial can be appealed within 120 days through the NC Office of Administrative Hearings (OAH). A fast-track appeal is available when waiting would put your health at risk.
143, counting sellers whose published state list includes North Carolina. 99 of those list every state, and Blue Sky MD, Gaya Wellness and Onyx Weight Loss are among the few that serve 15 states or fewer. For comparison, Georgia has 145, South Carolina has 132 and Tennessee has 140.
Revel Health (45 states), PeterMD (42 states), NP2GO (40 states), Levity (36 states), Care Clinics (32 states) and Luma Health Co (30 states) publish long state lists that leave North Carolina out.
In 2025, North Carolina Medicaid paid for at least 84,091 tirzepatide prescriptions, including at least 25,111 for Zepbound and at least 58,980 for Mounjaro, about $96.4 million before manufacturer rebates.
The lowest regular tirzepatide price for North Carolina is $97/mo (PreventiveMD); for semaglutide it is $79/mo (Embody). 143 sellers list North Carolina for tirzepatide and 161 for semaglutide.

Glossary

The words sellers use, defined. Tap any term.

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