Zepbound Prices — US Pharmacy Cost vs Canada

At the US pharmacies in our data, the lowest listed discount-card price for Zepbound is around $490.02. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Canadian pharmacy listings in our data show Zepbound priced from about $1.15 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. Check the comparison table above for the specific numbers on Zepbound.

Generic and brand-name pricing for Zepbound is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.

Obtaining insurance coverage for Zepbound for weight loss can be difficult. Most plans require prior authorization, which often involves documenting a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher with a weight-related condition like hypertension or dyslipidemia. You may also need to show you've tried other weight-management strategies. Coverage policies differ by plan. For obstructive sleep apnea, insurers may be more likely to cover Zepbound if you have a BMI of 30 or higher and/or if continuous positive airway pressure (CPAP) therapy has not been effective.

Medicaid coverage for Zepbound differs from state to state. To determine if it is covered under your plan, you should review your state's Medicaid preferred drug list or contact your benefits administrator.

If insurance does not cover Zepbound, several options may help reduce your expense. The manufacturer, Eli Lilly and Company, may offer a coupon, and nonprofit patient assistance programs exist, though they often have strict eligibility requirements or savings limits. While there is no generic, other GLP-1 medications might be more affordable or covered by your insurance. You can also use funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for your prescription. Additionally, a pharmacy savings card can be used with a valid prescription; these cards are generally free and can be applied to refills.