A month-to-month plan is the right way to start a drug that one patient in twenty stops for side effects in the first months, and the right way to leave a provider that raises prices. The providers below sell a single month at a time. They are ranked by the recurring all-in cost of that month at maintenance doses, not by the first-month rate, and each line states the cancellation terms we have recorded, because 'cancel anytime' and 'cancel before the next cycle' are different sentences.
Tirzepatide, month-to-month, ranked by recurring all-in cost at maintenance doses
- Sunlight — 12-month total $1,884 on the month-to-month plan ($157 per month averaged); month-to-month $157 at maintenance doses; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, maintenance-dose price not published; assumes the starting-dose price holds.
- NexLife — 12-month total $1,668 on the 12-month plan ($139 per month averaged); month-to-month $169 at maintenance doses; first month $139; no membership; same price at every dose; pharmacy named: Absolute (AbsoluteRx), Hallandale Pharmacy, Red Rock Pharmacy; verified, checked August 25, 2026.
- Amble — 12-month total $1,620 on the 6-month plan ($135 per month averaged); month-to-month $179 at maintenance doses; first month $135; no membership; same price at every dose; reported, checked August 25, 2026; flags: consultation terms unknown, assumes renewal at the same 6-month rate.
- BMI MD — 12-month total $1,668 on the 12-month plan ($139 per month averaged); month-to-month $179 at maintenance doses; first month $139; no membership; same price at every dose; reported, checked August 19, 2026.
- Curex — 12-month total $2,388 on the month-to-month plan ($199 per month averaged); month-to-month $199 at maintenance doses; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: maintenance-dose price not published; assumes the starting-dose price holds.
- Ozari Health — 12-month total $2,166 on the 3-month plan ($180.50 per month averaged); month-to-month $235 at maintenance doses; first month $125; no membership; higher-dose price not published; pharmacy named: Hallandale Pharmacy, VialsRx; verified, checked August 25, 2026; flags: consultation terms unknown, introductory price for the first 3 months, assumes renewal at the same 3-month rate.
- TelePep — 12-month total $2,988 on the month-to-month plan ($249 per month averaged); month-to-month $249 at maintenance doses; membership terms unconfirmed; higher-dose price not published; verified, checked August 25, 2026; flags: membership fee amount unknown, shipping terms unknown, consultation terms unknown.
- Oak (oaklovesyou.com) — 12-month total $3,000 on the month-to-month plan ($250 per month averaged); month-to-month $250 at maintenance doses; no membership; higher-dose price not published; reported, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown.
- Mochi Health — 12-month total $3,187 on the month-to-month plan ($265.58 per month averaged); month-to-month $278 at maintenance doses; first month $129; membership $79/mo; same price at every dose; verified, checked August 25, 2026; flags: introductory price for the first 1 month.
- Fifty 410 — 12-month total $2,046 on the 3-month plan ($170.50 per month averaged); month-to-month $299 at maintenance doses; first month $133; no membership; price rises with dose; pharmacy named: ProRx, BPI / The Pharmacy Hub; reported, checked August 25, 2026; flags: introductory price for the first 3 months, 3 + 9 titration model, assumes renewal at the same 3-month rate.
- GobyMeds — 12-month total $3,090 on the month-to-month plan ($257.50 per month averaged); month-to-month $299 at maintenance doses; first month $133; no membership; price rises with dose; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, introductory price for the first 3 months, maintenance-dose price not published; assumes the starting-dose price holds.
- Orderly Meds — 12-month total $3,288 on the month-to-month plan ($274 per month averaged); month-to-month $299 at maintenance doses; first month $149; no membership; same price at every dose; pharmacy named: PerfectRx / PerfectionRx, ProRx, Casa; verified, checked August 25, 2026; flags: introductory price for the first 2 months.
- MyStartHealth — 12-month total $3,588 on the month-to-month plan ($299 per month averaged); month-to-month $299 at maintenance doses; no membership; same price at every dose; reported, checked August 19, 2026.
- Eden — 12-month total $3,868 on the month-to-month plan ($322.33 per month averaged); month-to-month $329 at maintenance doses; first month $249; membership $99/mo; same price at every dose; pharmacy named: Contigo Compounding (Eden-owned); reported, checked June 16, 2026; flags: introductory price for the first 1 month.
- Peak Wellness — 12-month total $2,784 on the 6-month plan ($232 per month averaged); month-to-month $349 at maintenance doses; first month $232; no membership; same price at every dose; pharmacy named: Emerald Compounding, Epiq Scripts, Southend; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, assumes renewal at the same 6-month rate.
- Raeliva (formerly onlinesemaglutide.org) — 12-month total $2,904 on the 6-month plan ($242 per month averaged); month-to-month $349 at maintenance doses; first month $242; no membership; same price at every dose; reported, checked August 19, 2026; flags: assumes renewal at the same 6-month rate.
- Sprout Health — 12-month total $4,088 on the month-to-month plan ($340.67 per month averaged); month-to-month $349 at maintenance doses; first month $249; no membership; higher-dose price not published; pharmacy named: Foothills Pharmacy, Promise Pharmacy; reported, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, introductory price for the first 1 month.
- Zappy Health — 12-month total $4,188 on the month-to-month plan ($349 per month averaged); month-to-month $349 at maintenance doses; no membership; same price at every dose; pharmacy named: The Pharmacy Hub; verified, checked August 25, 2026.
- MadeMed — 12-month total $4,428 on the month-to-month plan ($369 per month averaged); month-to-month $369 at maintenance doses; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, maintenance-dose price not published; assumes the starting-dose price holds.
- TrimRx — 12-month total $3,396 on the 12-month plan ($283 per month averaged); month-to-month $399 at maintenance doses; first month $279; no membership; same price at every dose; reported, checked August 19, 2026.
- Remedy Meds — 12-month total $4,668 on the month-to-month plan ($389 per month averaged); month-to-month $399 at maintenance doses; first month $279; no membership; same price at every dose; verified, checked August 25, 2026; flags: introductory price for the first 1 month.
- Willow — 12-month total $4,788 on the month-to-month plan ($399 per month averaged); month-to-month $399 at maintenance doses; no membership; same price at every dose; verified, checked August 25, 2026.
- Found — 12-month total $4,686 on the month-to-month plan ($390.50 per month averaged); month-to-month $408 at maintenance doses; first month $198; membership $49/mo; same price at every dose; reported, checked August 2, 2026; flags: shipping billed separately (amount not modeled), introductory price for the first 1 month.
Semaglutide, month-to-month, ranked the same way
- Sunlight — 12-month total $1,056 on the month-to-month plan ($88 per month averaged); month-to-month $88 at maintenance doses; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, maintenance-dose price not published; assumes the starting-dose price holds.
- NexLife — 12-month total $1,428 on the 12-month plan ($119 per month averaged); month-to-month $139 at maintenance doses; first month $119; no membership; same price at every dose; pharmacy named: Absolute (AbsoluteRx), Hallandale Pharmacy, Red Rock Pharmacy; verified, checked August 25, 2026.
- Orderly Meds — 12-month total $1,788 on the month-to-month plan ($149 per month averaged); month-to-month $149 at maintenance doses; no membership; same price at every dose; pharmacy named: PerfectRx / PerfectionRx, ProRx, Casa; verified, checked August 25, 2026.
- Ozari Health — 12-month total $1,563 on the 3-month plan ($130.25 per month averaged); month-to-month $175 at maintenance doses; first month $86; no membership; higher-dose price not published; pharmacy named: Hallandale Pharmacy, VialsRx; verified, checked August 25, 2026; flags: consultation terms unknown, introductory price for the first 3 months, assumes renewal at the same 3-month rate.
- Mochi Health — 12-month total $2,057 on the month-to-month plan ($171.42 per month averaged); month-to-month $178 at maintenance doses; first month $99; membership $79/mo; same price at every dose; verified, checked August 25, 2026; flags: introductory price for the first 1 month.
- Fifty 410 — 12-month total $2,388 on the month-to-month plan ($199 per month averaged); month-to-month $199 at maintenance doses; no membership; price rises with dose; pharmacy named: ProRx, BPI / The Pharmacy Hub; verified, checked August 25, 2026.
- Zappy Health — 12-month total $2,988 on the month-to-month plan ($249 per month averaged); month-to-month $249 at maintenance doses; no membership; same price at every dose; pharmacy named: The Pharmacy Hub; verified, checked August 25, 2026.
- Henry Meds — 12-month total $2,364 on the 12-month plan ($197 per month averaged); month-to-month $297 at maintenance doses; first month $197; no membership; same price at every dose; verified, checked August 25, 2026.
- Remedy Meds — 12-month total $3,468 on the month-to-month plan ($289 per month averaged); month-to-month $299 at maintenance doses; first month $179; no membership; same price at every dose; verified, checked August 25, 2026; flags: introductory price for the first 1 month.
- Sprout Health — 12-month total $3,488 on the month-to-month plan ($290.67 per month averaged); month-to-month $299 at maintenance doses; first month $199; no membership; higher-dose price not published; pharmacy named: Foothills Pharmacy, Promise Pharmacy; reported, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, introductory price for the first 1 month.
Prepaid or bundle-only providers (no single-month plan published)
- Trimi — 12-month total $1,500 on the 12-month plan ($125 per month averaged); first month $125; no membership; same price at every dose; pharmacy named: VialsRx, GreenwichRx; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown.
- Telos RX — 12-month total $1,668 on the 12-month plan ($139 per month averaged); first month $139; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, maintenance-dose price not published; assumes the starting-dose price holds.
- CoreAge Rx — 12-month total $1,788 on the 12-month plan ($149 per month averaged); first month $149; membership terms unconfirmed; same price at every dose; verified, checked August 25, 2026; flags: membership fee amount unknown, shipping terms unknown, consultation terms unknown.
- HealthRX — 12-month total $2,148 on the 12-month plan ($179 per month averaged); first month $179; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown.
- Fella Health — 12-month total $2,388 on the 12-month plan ($199 per month averaged); first month $199; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: maintenance-dose price not published; assumes the starting-dose price holds.
- Ivím Health — 12-month total $3,099.96 on the 6-month plan ($258.33 per month averaged); first month $258.33; membership $75/mo; higher-dose price not published; verified, checked August 25, 2026; flags: assumes renewal at the same 6-month rate.
- Noom Med — 12-month total $3,438 on the 3-month plan ($286.50 per month averaged); first month $149; no membership; same price at every dose; pharmacy named: Tailor Made Compounding; verified, checked August 25, 2026; flags: introductory price for the first 1 month, assumes renewal at the same 3-month rate.
- Ro — 12-month total $4,977 on the month-to-month plan ($414.75 per month averaged); month-to-month $449 at maintenance doses; first month $338; membership terms unconfirmed; price rises with dose; pharmacy named: LillyDirect (Zepbound vials), NovoCare Pharmacy (Wegovy); verified, checked August 25, 2026; flags: membership fee amount unknown, 3 + 9 titration model, offer conditions: Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed.
How this page is built
Every line is generated from the pricing database at build time, so it changes when a price does. Statuses and dates come from the provider's own pages (verified) or a dated third-party source (reported); flags name every assumption. The methodology explains the totals and the price history logs every change.
Frequently asked questions
What is the cheapest month-to-month tirzepatide?
On recurring all-in cost at maintenance doses with every fee included and no assumption about unpublished higher-dose prices, NexLife at $169 per month; Sunlight advertises from $157 without stating whether it holds at higher doses. Lines on this page show the figure for every provider.
Do month-to-month plans cost more?
Usually $20 to $100 per month more than the same provider's 6- or 12-month plan. The premium buys the right to stop; for a first-time patient it is usually worth paying for at least the first three months.
Which providers let you cancel anytime?
Each line states the cancellation terms we have recorded, including notice periods such as NexLife's 30 days. Where the terms were not captured, the line says so, and the answer should be obtained in writing before paying.