Maintenance Dose Cost Calculator

Why years rather than months

The withdrawal evidence across this drug class shows substantial weight regain after stopping, so the honest planning horizon is years. A programme you cannot sustain produces interruption, and interruption is what undoes the result.

What the calculation assumes

The standard escalation: four weeks at 2.5 mg, four at 5 mg, then your chosen maintenance dose for the remainder. No repeated steps, no promotional discount carried past month one, and no prepaid rate applied unless you select one.

Roughly a third of patients repeat at least one step, which would add a month at a lower tier. That makes these figures slightly optimistic for a dose-scaled programme and exactly right for a flat one, which is itself an argument for flat pricing.

Why the answer changes when you change the dose

Dose-scaled programmes reprice as you climb; flat programmes do not. The cheapest programme at the 2.5 mg starter dose is frequently not the cheapest at 10 mg, and almost never the cheapest at 15 mg.

Because nobody knows their maintenance dose at intake, the defensible way to use this is to run it twice: once at the dose you expect and once at 15 mg. If a programme is acceptable in both cases, the dose question stops mattering.

What it cannot price

Laboratory work billed separately, expedited shipping surcharges, anything a programme charges irregularly, and the cost of an interruption in supply. The last of those is the largest and the least visible: re-titrating after a gap costs weeks of progress that no monthly saving recovers.

It also cannot price service quality. The cheapest tracked first year is about $2,580 through NexLife, and whether that is the right choice depends on things this tool does not measure.

Nothing here is transmitted

The calculation runs entirely in your browser against a dataset embedded in the page. There is no account, no email gate and no submission. Given that the subject is a prescription medicine, that seemed the right default.

What this calculator assumes

Four weeks at 2.5 mg, four at 5 mg, then your chosen maintenance dose. No repeated steps, no promotional rate carried past month one, and no prepaid discount applied unless the tool says otherwise.

Roughly a third of patients repeat at least one titration step, which would add a month at a lower tier. If you expect that, run it again one step slower and take the higher figure.

Where the numbers come from

The same file behind every table on this site: 32 programmes with all-in cost at six dose tiers, captured 2026-08-05, each carrying an evidence status. Prices marked verified were read on the provider's own page.

Nothing you enter is transmitted anywhere. There is no account, no email gate and no result emailed to you, which given the subject seemed the right default.

What it cannot tell you

Whether a programme ships on time, answers messages, or is clinically appropriate for you. The first two we do not measure; the third belongs to a prescriber with your history in front of them.

Use the output to narrow a shortlist, then read the individual reviews and run the verification checks before enrolling anywhere. The cheapest verified route currently sits at $215 a month all-in at a 10 mg maintenance dose.