A tier plan is one up-front payment for a supply sized to your weekly dose. Here is each tirzepatide tier at each pharmacy, with the price per mg.
Prices re-checked daily · last check November 9, 2026| Pharmacy | Tier | For weekly doses | Total in the plan | Plan price | Price per mg |
|---|---|---|---|---|---|
| Southend | Tier 0 | up to 2 mg a week | 18 mg | $195 | $10.83 |
| Tier 1 | over 2, up to 5 mg a week | 44 mg | $229 | $5.20 | |
| Tier 2 | over 5, up to 8 mg a week | 66 mg | $259 | $3.92 | |
| Tier 3 | over 8, up to 11 mg a week | 88 mg | $299 | $3.40 | |
| Tier 4 | over 11 mg a week | 132 mg | $349 | $2.64 | |
| Nova (via AbsoluteRx) | Tier 1 | up to 4 mg a week | 34 mg | $199 | $5.85 |
| Tier 2 | over 4, up to 8 mg a week | 68 mg | $275 | $4.04 | |
| Tier 3 | over 8, up to 12 mg a week | 102 mg | $299 | $2.93 | |
| Tier 4 | over 12 mg a week | 136 mg | $335 | $2.46 | |
| ReviveRx | Tier 0 | up to 2 mg a week | 20 mg | $205 | $10.25 |
| Tier 1 | over 2, up to 5 mg a week | 40 mg | $240 | $6.00 | |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $270 | $4.50 | |
| Tier 3 | over 7, up to 10 mg a week | 80 mg | $300 | $3.75 | |
| Tier 4 | over 10 mg a week | 120 mg | $325 | $2.71 | |
| Hallandale | Tier 0 | up to 2 mg a week | 20 mg | $219 | $10.95 |
| Tier 1 | over 2, up to 5 mg a week | 40 mg | $249 | $6.22 | |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $289 | $4.82 | |
| Tier 3 | over 7, up to 10 mg a week | 80 mg | $319 | $3.99 | |
| Tier 4 | over 10 mg a week | 120 mg | $349 | $2.91 | |
| Vios | Tier 0 | up to 2 mg a week | 20 mg | $235 | $11.75 |
| Tier 1 | over 2, up to 5 mg a week | 60 mg | $340 | $5.67 | |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $340 | $5.67 | |
| Tier 3 | over 7, up to 10 mg a week | 90 mg | $380 | $4.22 | |
| Tier 4 | over 10 mg a week | 120 mg | $395 | $3.29 | |
| OptioRX | Tier 0 | up to 2 mg a week | 25 mg | $249 | $9.96 |
| Tier 1 | over 2, up to 5 mg a week | 50 mg | $345 | $6.90 | |
| Tier 2 | over 5, up to 9 mg a week | 75 mg | $399 | $5.32 | |
| Tier 3 | over 9, up to 12 mg a week | 100 mg | $475 | $4.75 | |
| Tier 4 | over 12 mg a week | 141 mg | $599 | $4.25 | |
| Strive | Tier 0 | up to 2 mg a week | 20 mg | $279 | $13.95 |
| Tier 1 | over 2, up to 5 mg a week | 40 mg | $319 | $7.97 | |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $339 | $5.65 | |
| Tier 3 | over 7, up to 10 mg a week | 80 mg | $429 | $5.36 | |
| Tier 4 | over 10 mg a week | 120 mg | $579 | $4.83 | |
| Red Rock | Tier 0 | up to 2 mg a week | 17 mg | $279 | $16.41 |
| Tier 1 | over 2, up to 4 mg a week | 34 mg | $329 | $9.68 | |
| Tier 2 | over 4, up to 6 mg a week | 51 mg | $389 | $7.63 | |
| Tier 3 | over 6, up to 12 mg a week | 102 mg | $459 | $4.50 | |
| Tier 4 | over 12 mg a week | 136 mg | $519 | $3.82 | |
| Empower | Tier 1 | up to 5 mg a week | 40 mg | $300 | $7.50 |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $375 | $6.25 | |
| Tier 3 | over 7, up to 12 mg a week | 102 mg | $475 | $4.66 | |
| Tier 4 | over 12 mg a week | 136 mg | $595 | $4.38 | |
| Alchemist | Tier 1 | up to 5 mg a week | 40 mg | $370 | $9.25 |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $445 | $7.42 | |
| Tier 3 | over 7, up to 10 mg a week | 80 mg | $575 | $7.19 | |
| Tier 4 | over 10 mg a week | 120 mg | $725 | $6.04 | |
| South Lake | Tier 1 | up to 5 mg a week | 40 mg | $370 | $9.25 |
| Tier 2 | over 5, up to 7 mg a week | 60 mg | $445 | $7.42 | |
| Tier 3 | over 7, up to 10 mg a week | 80 mg | $575 | $7.19 | |
| Tier 4 | over 10 mg a week | 120 mg | $725 | $6.04 |
Price per mg is the plan price divided by the total milligrams in the plan. It ignores consult fees.
| Dose | Cheapest pharmacy | Plan | Plan lasts | Medication / yr | First 12 months with consults |
|---|---|---|---|---|---|
| 2.5 mg a week | Nova (via AbsoluteRx) | Tier 1 · $199 | 10 weeks | $1,035 | $1,140 |
| 5 mg a week | Southend | Tier 1 · $229 | 8.8 weeks | $1,353 | $1,458 |
| 7.5 mg a week | Southend | Tier 2 · $259 | 8.8 weeks | $1,530 | $1,635 |
| 10 mg a week | Nova (via AbsoluteRx) | Tier 3 · $299 | 10 weeks | $1,555 | $1,660 |
| 12.5 mg a week | Nova (via AbsoluteRx) | Tier 4 · $335 | 10 weeks | $1,742 | $1,847 |
| 15 mg a week | Nova (via AbsoluteRx) | Tier 4 · $335 | 9.1 weeks | $1,921 | $2,026 |
"First 12 months" assumes you stay on that dose for a year and counts every consult or membership fee, including first-month offers. Most people step up through doses, so your real year will differ.
The price calculator shows the full yearly cost at any dose, brand name or compounded, with every fee counted.