Zepbound cost without insurance: price by dose
Short answer: on LillyDirect, self-pay Zepbound costs $299 a month at 2.5 mg, $399 at 5 mg and $449 at 7.5 mg to 15 mg. The $449 price only holds if you refill within 45 days of your last delivery. Miss that window and the price goes to $499 (7.5 mg) or $699 (10 to 15 mg).
Checked October 17, 2026 on the official page: LillyDirect Zepbound. Prices change. Confirm before you order.
| Dose | Form | Price per month | Condition |
|---|---|---|---|
| 2.5 mg (starting dose) | Vial or KwikPen | $299 | |
| 5 mg | Vial or KwikPen | $399 | |
| 7.5 mg | Vial or KwikPen | $449 | Refill within 45 days of delivery. Otherwise $499. |
| 10 mg, 12.5 mg, 15 mg | Vial or KwikPen | $449 | Refill within 45 days of delivery. Otherwise $699. |
What a "month" means
Lilly counts a month as 28 days: four single-dose vials or one KwikPen. Because of that, a year is about 13 fills, not 12. At $449, that is about $5,837 a year. Needles and syringes are bought separately.
Vial or KwikPen: same price
Self-pay prices are the same for the single-dose vial and the KwikPen. The single-dose pen (the autoinjector most people picture) is listed at insurance prices, not self-pay prices. Which form fits you is a choice with your prescriber.
The 45-day rule, in one line
For 7.5 mg and up, Lilly's terms say you must complete your refill purchase within 45 days of the date your previous order was delivered. If you don't, regular prices apply. That is $50 more per fill at 7.5 mg and $250 more per fill at 10 mg and above. How the window works, with a free date calculator.
Does TrumpRx have a lower price?
No. On the TrumpRx Zepbound page, you pick a strength to see the price. The prices match LillyDirect: $299 to $449 a month, with the same 45-day refill rule. TrumpRx sends you to LillyDirect to order.
If you have insurance
Check your plan's coverage first. Self-pay prices are for people paying without insurance. Lilly says savings offers have eligibility rules and monthly and yearly limits.
Get a reminder before your window closes
Wayby, our GLP-1 companion app, reminds you before the 45-day window closes and tells you when a price changes. Join the waitlist.
Related
Sources
- LillyDirect: Zepbound self-pay prices and terms
- Zepbound coverage and savings terms (Lilly)
- TrumpRx: Zepbound vial
Price information only, not medical advice. Which medication and dose is right for you is a decision with your prescriber. Wayby is independent: we sell no medication and earn nothing from these links.