Without coverage, a monthly Zepbound pen often runs near list price (~$1,086) unless you use coupons or switch to vials.

Zepbound through Amazon Pharmacy varies by insurance and coupons; many insured pay $25 with Lilly’s savings card, while self-pay vials run $349–$499.

On Ro, Zepbound is sold via LillyDirect vials, with monthly cash prices from $349 to $499 depending on dose and timing.

At Walmart Pharmacy, cash prices for Zepbound often run around $995 per box before insurance or savings.

At Walgreens without insurance, Zepbound runs about $1,000–$1,300 for a 28-day pen pack, while LillyDirect vials can be $349–$499.

With Anthem plans, Zepbound often runs $25–$499 with coverage/savings; without coverage expect ~$995–$1,300 per month, plan rules apply.

With a Cigna plan, Zepbound costs can range from $25 with savings to a specialty-tier copay or coinsurance after deductibles.

Monthly costs with Aetna range from a plan copay when covered to $349–$1,086 self-pay when excluded, depending on dose and deductible.

Zepbound with insurance often runs $25–$200 per month after savings; without coverage, cash prices run $349–$1,300 by dose and program.

Zepbound self-pay runs $349–$1,086 for 28 days, depending on vial or pen, dose, and where you buy.