Compounded tirzepatide vs Wegovy: what is the cost difference?

As of November 10, 2026, compounded tirzepatide in our index costs $129 to $399 a month all-in at 10 mg, while Wegovy pens bought self-pay through NovoCare cost $349 a month at every dose, with $199 for the first two fills of the 0.25 and 0.5 mg doses for new patients through December 31, 2026. Wegovy HD 7.2 mg is $399 and the Wegovy pill $149 to $299 a month by dose. Wegovy is FDA-approved; compounded tirzepatide is not, and the two are different drugs, so price is only one part of the choice.