Tirzepatide in South Dakota: Prices & Providers (2026)
139 tirzepatide sellers list South Dakota as a shipping state. The lowest regular price among them is $104/mo, and South Dakota Medicaid does not cover weight loss.
139 of the 176 tirzepatide sellers that publish a state list include South Dakota, the 39th-most of the 50 states and DC. 99 of them ship to all 50 states, and 1 serves 15 states or fewer. Across the 126 with a regular monthly price, the middle figure is $249/mo.
South Dakota Medicaid does not pay for GLP-1 drugs prescribed only for weight loss. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.
Featured Partners · South Dakota
Featured Tirzepatide providers serving South Dakota
No insurance needed
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- Top pick8.7Get started →Save $937/mo vs Zepbound
Tirzepatide from
$149/mo
- 9.0Get started →Save $937/mo vs Zepbound
Tirzepatide from
$149/mo
- 9.4Get started →Save $961/mo vs Zepbound
Tirzepatide from
$125/mo
- 9.0Get started →Save $947/mo vs Zepbound
Tirzepatide from
$139/mo
- 6.7Get started →Save $817/mo vs Zepbound
Tirzepatide from
$269/mo
- 8.4Get started →Save $887/mo vs Zepbound
Tirzepatide from
$199/mo
| Provider | Tirzepatide from | Save vs Zepbound | |
|---|---|---|---|
8.7GalaTop pick | $149/mo | Save $937/mo | Get started → |
9.0CoreAge Rx | $149/mo | Save $937/mo | Get started → |
9.4Trimi Health | $125/mo | Save $961/mo | Get started → |
9.0bmiMD | $139/mo | Save $947/mo | Get started → |
6.7RxSpan MD | $269/mo | Save $817/mo | Get started → |
8.4Strut Health | $199/mo | Save $887/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 South Dakota
- Lavender Sky Health $104/mo
- Lean Meds $109/mo
- NextMeds $109/mo
Lowest regular tirzepatide prices for South Dakota: Lavender Sky Health at $104/mo, Lean Meds at $109/mo and NextMeds at $109/mo. Brand-name Zepbound lists at $1,086/mo without insurance, $982 more than the lowest.
Smaller-footprint sellers that include South Dakota: ZYP Medical (6 states).
7 sellers that list 30 or more states leave South Dakota off, among them Harmony Wellness Clinic, Mint Med, PreventiveMD, Willow and Zealthy.
Seller counts next door: Iowa 148, Minnesota 143, Montana 143, North Dakota 138, Nebraska 143 and Wyoming 142.
For semaglutide, 155 sellers list South Dakota, starting at $79/mo with Embody.
Every Tirzepatide Provider Serving South Dakota
Embody
Best for: knowing which pharmacy fills the vial: it names RedRock Pharmacy
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Enhance MD
Best for: knowing which pharmacy fills the vial: it names Tru Meds Rx
Editorial score · methodology
Editorial score · methodology
Open the full A–Z list of 139 Tirzepatide providers in South Dakota
- Alan Meds
- altRX
- AmberHealth
- Amble
- Apex MD
- AskRx
- Aspen
- Aspire Health
- Auren Rx
- AVARA Rx
- Belle Health
- BetterMe Rx
- Big Easy Weight Loss
- BioGlow Health
- Bionomy Health
- bmiMD
- Bon Health
- Breeze Meds
- Brightmeds
- Care Bare Rx
- Coby Health
- Cora Health
- CoreAge Rx
- Curex
- Curve
- DoctorAdam
- DreamHug Medical
- Eden
- EdgeRx
- Effecty
- Elara Health and Wellness
- Embody
- Enhance MD
- EOS Health
- EverSlim
- Fierce Health
- Fitish
- FMmeds
- Form Health
- Found
- Fresh Day Meds
- Gala
- Get Thin MD
- Gimme Care
- GOAL.MD
- GoodRx
- He & She MD
- Heally
- HealthSource
- Hers
- Hims
- Independent Wellness
- InstaRX
- Invyncible
- Ivy Rx
- Joey Med
- Jyra Health
- KERNX Health
- Knownwell
- Kongo
- Lavender Sky Health
- Lean Meds
- Levity
- LifeRx.md
- LifespanningRx
- Live Vital
- Longevixx
- Luma Health Co
- Maximus
- Medro
- Medsol RX
- MEDVi
- Mochi Health
- Mondae
- MyFastRx
- Nalena
- Navio MD
- NewSelf
- NextMeds
- NiceRx
- Nouri
- NP2GO
- NuBloom
- Ondra Health
- Pallas Health
- Peak Wellness
- PepHaūs
- Pepti
- PeterMD
- Piper
- PlexusDx
- PlushCare
- Precision Telemed
- ReadyRx
- Rebody Health
- Remedy Meds
- REMEVi
- Renlo Health
- RestorLife Med
- Revel Health
- Revive Meds
- Rewinding RX
- Rex MD
- Rivo Health
- Rixa Health
- Rx.com
- RxSpan MD
- Rylo Health
- Semaglutide Online
- Sprout Health
- StackMD
- Strut Health
- SurpassMD
- Synergy Rx
- TeleCareSpot
- TeleClinic
- The Edit
- TMates
- Trava Health
- Trellis Vitality
- Trillium Meds
- Trimi Health
- Trinity Meds
- Tryozi
- Tyde Wellness
- Vaylen
- VirtualCare2Go
- Vita Bella
- Vitara RX
- Vytora Health
- WeightWatchers Clinic
- Welling Health
- Wellorithm
- Wisp
- YourHealthRx
- Yucca Health
- Zappy Health
- Zera Health
- ZYP Medical
What Tirzepatide Costs in South Dakota
Brand-name Zepbound lists at $1,086/mo without insurance.
| Provider | Price | Below Zepbound list |
|---|---|---|
| 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 |
| Aspire Health | $149/mo | $937/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 |
| 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 |
| Luma Health Co | $180/mo | $906/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 |
| Curve | $225/mo | $861/mo less |
| Nouri | $225/mo | $861/mo less |
| Kongo | $229/mo | $857/mo less |
| ZYP Medical | $233/mo | $853/mo less |
| DreamHug Medical | $238/mo | $848/mo less |
| Coby Health | $239/mo | $847/mo less |
| Vaylen | $239/mo | $847/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 |
| Revel Health | $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 |
| Medsol RX | $250/mo | $836/mo less |
| NP2GO | $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 |
| 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 |
| 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 |
| 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 |
| Revive Meds | $459/mo | $627/mo less |
| VirtualCare2Go | $629/mo | $457/mo less |
| Levity | $1,299/mo | |
| Form Health | $1,350/mo | |
| Auren Rx | See review | |
| Belle Health | $199/mo prepaid | |
| Cora Health | $135/mo prepaid | |
| Elara Health and Wellness | $196/mo prepaid | |
| MEDVi | See review | |
| Mochi Health | See review | |
| MyFastRx | $149/mo prepaid | |
| Ondra Health | $166/mo prepaid | |
| PeterMD | $249/mo prepaid | |
| Trillium Meds | $199/mo prepaid | |
| Vita Bella | See review | |
| WeightWatchers Clinic | See review | |
| Wisp | See review |
South Dakota Medicaid and Zepbound
South Dakota Medicaid does not pay for GLP-1 drugs prescribed only for weight loss. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.
| Prior authorization form | SD-specific GLP-1 Agonists Prior Authorization Request Form (footer GLP1Agonists_SouthDakotaMedicaid_2026May) |
|---|---|
| Prior authorization phone | 1-855-401-4262 |
| Prior authorization fax | 1-844-403-1029 |
| Urgent decision | within 72 hours |
| Pharmacy benefit manager | OptumRx |
| Enrollment | about 136,919 people (October 2025) |
| Time to file an appeal | 30 days |
|---|---|
| Appeals office | SD DSS Office of Administrative Hearings |
| Appeals phone | 605.773.6851 |
| Rule that governs it | SD Medicaid Reconsideration Reviews Manual (Feb 2025) |
| Fast-track appeal | available when waiting would put your health at risk |
“Most PA requests are adjudicated within 72 hours. A 'clean' request is often adjudicated in less than 24 hours.”
In 2025, South Dakota Medicaid paid for at least 7,486 tirzepatide prescriptions, including at least 7,486 for Mounjaro, about $7.8 million before manufacturer rebates.
Medicaid rules checked May 2026. Prescription counts: CMS State Drug Utilization Data. Check your eligibility
Largest Cities in South Dakota
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