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And then cost is a big one

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Access Pathways Explained: Brand-Name vs Telehealth vs Compounded Patients researching tirzepatide have multiple access pathways to evaluate with their healthcare providers: FDA-Approved Brand-Name (Zepbound via LillyDirect or Pharmacy): According to publicly available manufacturer and pharmacy-channel disclosures, standard autoinjector pens may exceed $1,000 per month without insurance, while LillyDirect single-dose vials have been listed starting around $349 per month for the 2.5 mg dose