Zepbound self-pay pricing set at $299 to $449 by dose
The starter dose drops to $299 and higher doses to $449, on a 45-day refill condition most coverage omits.
Self-pay vial pricing runs $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5 mg and above, conditional on refilling within 45 days of the previous delivery.
Miss that window and the standard self-pay price applies for that refill, which turns a predictable brand price into an unpredictable one if a delivery slips.
At the starter dose this is competitive with several compounded programmes. At maintenance it remains roughly double the cheapest verified compounded route.
What this changes for what you pay
Most developments in this category move one of three things: the price of the branded product, which programmes are operating, or what may lawfully be compounded. Very few change the prescription requirement or the clinical review behind a prescription.
Where a development moves a figure we publish, the change is recorded with its date on our methodology page rather than edited in silently.
How to verify this yourself
Regulatory claims should be checked against the agency rather than coverage of the agency. FDA publishes warning letters searchable by company name and a drug shortage database, both free and both more current than any summary.