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Zepbound (tirzepatide) is an FDA-approved medication for weight management. People will need a prescription to buy this medication, and several telemedicine companies offer doctor-led prescription and lifestyle support.

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A note on safety

The Food and Drug Administration (FDA states that there is currently a shortage of Zepbound, which may mean it will be difficult to find a pharmacy that can dispense the medication. Healthcare professionals may recommend other FDA-approved weight management medication, such as Wegovy, or prescribe similar drugs off-label, such as Ozempic or Mounjaro.

Some pharmacies may offer compounded versions of GLP-1 medication. These compounded medications do not have FDA approval and may cause unintentional side effects.

Read more about the different types of GLP-1 drugs available for weight management here.

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The following table compares the telehealth services in this article on medications, cost of the program, and any extras they offer.

MedicationsCostExtras
Plushcare• Zepbound
• Wegovy
• Saxenda
• Ozempic
• Mounjaro
$129 initial consultation
$16.99 per month
• unlimited messaging
• discounts on lab tests
Calibrate• Zepbound
• Wegovy
• Ozempic
• Mounjaro
$1,749 for the full programpersonalized video coaching
Noom Med• Zepbound
• Wegovy
• Saxenda
• Ozempic
• Mounjaro
$91 per month• health coaching
• weight loss program
• food tracking app
Everlywell• Zepbound
• Wegovy
• Saxenda
• Mounjaro
$99 per month for 12 months
$139 per month for 3 months
• app access
• at-home test kits
• educational articles and prompts

Medical News Today carefully vets all the telemedicine companies that appear in our articles. When looking for the best and safest places to buy Zepbound online, we considered:

  • Licensed healthcare professionals: All the services provide access to healthcare professionals who are licensed to practice in most states and are able to issue valid prescriptions.
  • Ongoing support and care: It is important to have regular check-ins with healthcare professionals when starting a new medication, and all the services in this article provide near-instant access to the clinicians on their platform.
  • Insurance coverage: While insurance companies are unlikely to cover weight management programs, we chose telehealth services that will help people navigate their insurance policy to provide as much coverage for medication as possible.
  • Medications available: Zepbound may not always be available, especially as there is currently a shortage of tirzepatide, the drug’s main ingredient. We chose telehealth companies that also offer safe and effective alternatives.
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It is safe to buy Zepbound online if people use reputable telehealth companies or pharmacies. The FDA states that a safe online pharmacy will:

  • always require a doctor’s prescription
  • provide a physical address and telephone number in the United States
  • have a licensed pharmacist on staff to answer questions
  • have a license with a state board of pharmacy

The FDA also provides additional warning signs for unsafe online pharmacies:

  • medication that looks different, has broken or damaged packaging, and has no expiration date or is expired
  • medication in a foreign language
  • offers discounts or prices that seem too good to be true
  • charges for products people never received or ordered
  • does not have a clear and accessible privacy and data collection policy
  • sells people’s information to other websites or companies

Pros

  • It may be easier for people in more rural locations to access care online.
  • Online healthcare may be more accessible for people with chronic health conditions.
  • People with busy schedules may find it easier to access online healthcare services.
  • Many telehealth companies provide ongoing support and other weight management and lifestyle strategies.
  • It is easy to compare prices across different websites, allowing people to find the program that best suits their needs and budget.

Cons

  • Many services do not accept insurance and may be more expensive than in-person healthcare.
  • People without reliable access to the internet may find it difficult to access online healthcare.
  • Some people may find it more difficult to communicate with healthcare professionals online.
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According to Zepbound’s manufacturer, people with commercial insurance that covers the medication may be able to pay as little as $25 for a 1-month or 3-month prescription with a savings card.

People without insurance can also benefit from a Zepbound savings card, paying $550 for a 1-month supply of medication.

People with other types of insurance, such as through government or federal aid, will need to check their insurance policy to determine how much Zepbound will cost.

According to Optum Perks, a free online search engine that provides coupons, one package of four pens in Zepbound’s lowest dose will cost between $1,000 and $1,100, depending on which pharmacy a person uses.

Zepbound is an FDA-approved medication for weight loss, which means that commercial insurance companies that provide coverage for weight management may also cover part of the cost of medication. Many telehealth companies will assist with insurance coverage at no extra cost if a person enrolls in their weight management program.

Most insurance plans will require prior authorization before agreeing to cover this medication. Healthcare professionals will need to submit this authorization request along with specific codes that depend on each person’s circumstances and why they require the medication. Zepbound’s manufacturer provides detailed information that can help people navigate this process.

Government and federal aid and coverage

If a person is on government or federal aid, such as Medicare or Medicaid, it may be harder to gain insurance coverage for the cost of medication.

The Centers for Medicare and Medicaid Services (CMS) recently released a memo stating that Medicare Part D will cover some anti-obesity drugs if they also have FDA approval to treat diabetes or reduce the risk of major cardiovascular events. This means that while Medicare will most likely not cover Zepbound, it may cover Mounjaro, which contains the same active ingredient, tirzepatide.

Medicaid coverage will differ depending on which state a person lives in. If Zepbound is on that state’s Preferred Drug List (PDL), people can use Medicaid for the drug without prior authorization. Otherwise, they will need to go through the prior authorization process to see if their state’s Medicaid program will help cover the cost.

Some Medigap and Medicare Advantage plans may cover the cost of Zepbound for people who are retired or registered for the medication.

Yes, a person can order Zepbound online through telehealth services.

Many telehealth companies offer weight management programs that provide access to medication, alongside other tools for sustainable weight loss. As Zepbound is a prescription medication, all reputable companies will require people to attend a virtual consultation with a healthcare professional.

No, Zepbound is a prescription medication, so it is not possible to buy Zepbound over the counter.

People should avoid companies and pharmacies claiming to sell Zepbound over the counter, as it is very likely that they are selling counterfeit and potentially dangerous medication.

Zepbound and Ozempic both belong to a class of drugs called GLP-1, which can help manage diabetes symptoms and can reduce a person’s appetite.

The FDA has approved Zepbound for weight management, whereas Ozempic only has FDA approval for diabetes management.

Zepbound is a “dual-agonist drug,” whereas Ozempic is a “single-agonist drug.” Recent evidence suggests that dual-agonist drugs may have greater benefits for weight reduction.

It is unlikely that Medicare will pay for Zepbound.

While CMS has recently released a memo encouraging Medicare Part D to cover anti-obesity medication, it will only do so if the medication can also help manage diabetes symptoms and reduce the risk of cardiovascular events. Zepbound only has FDA approval for weight management, not diabetes treatment.

It is possible to buy Zepbound online. Many telehealth companies provide access to healthcare professionals who can prescribe Zepbound.

Many insurance companies do not cover healthcare with telemedicine companies, but the services may be able to work with a person’s insurance to provide coverage for medications. Many programs will also provide additional resources, such as coaching and tracking tools.