Cost guide · prices checked October 2026
How much does tirzepatide cost without insurance?
Here is how the cost of tirzepatide compares across pharmacies and online care, and what is included in each price.
The short answer
From
$219
/ 4 wks with Leland, all-in
Tirzepatide Injection, compounded. Includes provider review, medication and free shipping. No insurance needed, charged only if prescribed.
See if I qualify →Price comparison
What tirzepatide costs, compared
Leland
From $219
/ 4 wks, all-in
Medication, licensed provider care and shipping.
Leland's current price
Brand-name, self-pay
$299 to $449
per 4 weeks, by dose
Manufacturer self-pay price: $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5 mg and up, with on-time refills. Prescription not included.
Source: LillyDirect pricing, October 2026
Brand-name list price
About $1,086
per 4 weeks
Retail list price without insurance or a self-pay program.
Source: manufacturer list price, 2026
What your $219 covers
Pharmacy prices only cover the medication. Leland's price includes everything you need to start and stay on treatment.
Licensed provider review
Usually within 24 hours.
Your medication
Prepared by a licensed U.S. pharmacy.
Free, discreet shipping
To your door in all 50 states.
Ongoing care
Message your care team any time.
Tirzepatide cost questions
Compounded medications are prepared by a licensed pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Your provider will explain the options.