Why Advertised Prices Are Misleading
Every telehealth company advertises their lowest possible price. What they don't show you upfront:
Hidden Costs
- • Monthly membership fees ($49-$145)
- • Consultation fees ($50-$99)
- • Price jumps at higher doses
- • Shipping and supplies
What We Show
- • True all-in monthly cost
- • Membership fees included
- • Pricing at each dose level
- • No affiliate bias
Our research found that true monthly costs are typically 20-30% higher than advertised due to membership fees alone. A provider advertising "$199/month" may actually cost $278/month when you add their $79 membership fee.
Complete Price Comparison: January 2025
We calculated the true monthly cost including all fees. Sorted by lowest starter dose price.
| Provider | Advertised | True Monthly | Notes |
|---|---|---|---|
| Brello Health | $499/3mo | ~$166/mo | Best bulk value; 3-month commitment |
| OrderlyMeds | From $166/mo | ~$166/mo | Titration starter packs available |
| SkinnyRx | $179-$300 | $179-$300/mo | No sign-up fee; transparent |
| Recovery Delivered | $219/mo | $219/mo | All-in pricing; no hidden fees |
| Ivim Health | $149-$224 | $224-$299/mo | +$74.99 membership; 4-month commitment |
| Peak Wellness | $229 first mo | $232/mo | 6-month prepay option |
| Henry Meds | $249-$449 | $249-$449/mo | All-inclusive; $100 off first month |
| Mochi Health | $199 (all doses) | $248-$278/mo | +$49-79 membership; best for high doses |
| Shed | $299-$399 | $299-$399/mo | Oral + injectable options; ACHC pharmacy |
| TrimRx | $349/mo | $349/mo | All-inclusive pricing |
| Eden Health | $396/mo | $396/mo | No membership fee |
| GobyMeds | $399-$499 | $399-$499/mo | Uses 503A & 503B pharmacies |
Prices verified January 2025 from provider websites. Actual costs may vary based on dose, location, and promotional offers.
Brand Zepbound Alternative: LillyDirect
With compounding facing legal uncertainty, Eli Lilly's self-pay vial program through LillyDirect offers a legitimate alternative at competitive prices.
Zepbound Self-Pay Vials (LillyDirect)
*Requires 45-day refill schedule for discounted pricing. Higher doses become competitive with compounded versions.
Key insight: At higher doses (10mg+), brand Zepbound through LillyDirect is price-competitive with compounded tirzepatide—and it's FDA-approved with guaranteed potency and sterility.
Cheapest Options by Your Situation
🏆 Lowest Starting Dose Price
Brello Health at ~$166/month (with 3-month bulk purchase) or OrderlyMeds at $166/month
💪 Best for High Doses (10-15mg)
Mochi Health charges flat pricing at any dose—you pay ~$278/month whether on 2.5mg or 15mg. Most providers charge $400-$500+ for maintenance doses.
🚫 No Membership Fee
Recovery Delivered ($219), Henry Meds ($249-$449), and SkinnyRx ($179-$300) have transparent all-in pricing with no additional fees.
🏥 Best Pharmacy Quality
Providers using PCAB-accredited or 503B pharmacies include GobyMeds, Mochi (Hallandale), and Shed (ACHC-accredited partners).
✅ Safest Legal Option
LillyDirect Zepbound starting at $349/month. FDA-approved, verified potency, no legal gray areas.
⚠️ Legal Status Warning
The FDA removed tirzepatide from the drug shortage list on December 19, 2024. Enforcement discretion periods ended:
- • 503A pharmacies: February 18, 2025
- • 503B facilities: March 19, 2025
Compounding "essentially copies" of tirzepatide is no longer permitted under FDA shortage exemptions. Some providers continue compounding with added ingredients (like B6) to differentiate from the brand product. Consult your provider about their current legal approach.
Ways to Pay Less
HSA/FSA Eligible
Most telehealth providers accept HSA/FSA payments, effectively giving you a 20-30% discount through pre-tax dollars.
Verified HSA/FSA acceptance: Mochi, Ivim, Henry Meds, SkinnyRx, AgelessRx
Bulk/Prepay Discounts
Several providers offer significant savings for multi-month commitments.
Best bulk deals: Brello (3-month), Peak Wellness (6-month), Fridays (multi-month plans)
Our Recommendation
There's no single "cheapest" option that works for everyone. Your best choice depends on your dose, how long you plan to use the medication, and your risk tolerance regarding the evolving legal landscape.
If you're starting out: Brello ($166/mo with bulk) or Recovery Delivered ($219/mo transparent) offer the lowest entry points.
If you're on higher doses: Mochi's flat pricing makes it the clear winner—$278/month at any dose versus $400-$500 elsewhere.
If legal certainty matters: LillyDirect's Zepbound vials ($349-$499/month) are FDA-approved with guaranteed quality—and increasingly price-competitive at higher doses.
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