What the first twelve months cost, month by month, when a patient follows the labelled titration schedule on a dose-tiered plan.
Medically reviewed by Dr. S. Shuwart, MD · August 27, 2026
What it measures
Monthly medication cost for months 1–12 under the labelled schedule, and the first-year total, for each verified plan with published dose tiers.
Method
The reference schedule (see methodology, reference doses) is mapped to each plan’s published tiers; months whose dose falls outside every tier are shown as no tier and excluded from the total. Full definitions: methodology.
Current results
13 verified plan(s) with first-year totals; month-by-month curves below for dose-tiered plans.
First-year cost including published required charges, by the dose you settle on (tirzepatide targets 5 / 10 / 15 mg; semaglutide 1 / 1.7 / 2.4 mg)
Lavender Sky Health — Hallandale tirzepatide, Tier 1 (40 mg total, 8–10 week supply) (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Tier 1 (40 mg total)
$108–$135
2
5
Tier 1 (40 mg total)
$108–$135
3
7.5
Tier 3 (80 mg total) (next tier up, assumed)
$138–$173
4
10
Tier 3 (80 mg total)
$138–$173
5
12.5
Tier 4 (120 mg total)
$151–$189
6
15
Tier 4 (120 mg total)
$151–$189
7
15
Tier 4 (120 mg total)
$151–$189
8
15
Tier 4 (120 mg total)
$151–$189
9
15
Tier 4 (120 mg total)
$151–$189
10
15
Tier 4 (120 mg total)
$151–$189
11
15
Tier 4 (120 mg total)
$151–$189
12
15
Tier 4 (120 mg total)
$151–$189
First-year medication total
$1,702–$2,128
Lavender Sky Health — Hallandale tirzepatide, Monthly Starter Dose (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Monthly Starter Dose
$155
2
5
Monthly Mid Dose
$179
3
7.5
Monthly Mid Dose
$179
4
10
Monthly Advanced Dose
$195
5
12.5
Monthly Advanced Plus Dose
$209
6
15
Monthly Advanced Plus Dose
$209
7
15
Monthly Advanced Plus Dose
$209
8
15
Monthly Advanced Plus Dose
$209
9
15
Monthly Advanced Plus Dose
$209
10
15
Monthly Advanced Plus Dose
$209
11
15
Monthly Advanced Plus Dose
$209
12
15
Monthly Advanced Plus Dose
$209
First-year medication total
$2,380
Lavender Sky Health — ReviveRx tirzepatide/B6, Tier 1 (40 mg total, 8–10 week supply) (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Tier 1 (40 mg total)
$104–$130
2
5
Tier 1 (40 mg total)
$104–$130
3
7.5
Tier 3 (80 mg total) (next tier up, assumed)
$130–$163
4
10
Tier 3 (80 mg total)
$130–$163
5
12.5
Tier 4 (120 mg total)
$141–$176
6
15
Tier 4 (120 mg total)
$141–$176
7
15
Tier 4 (120 mg total)
$141–$176
8
15
Tier 4 (120 mg total)
$141–$176
9
15
Tier 4 (120 mg total)
$141–$176
10
15
Tier 4 (120 mg total)
$141–$176
11
15
Tier 4 (120 mg total)
$141–$176
12
15
Tier 4 (120 mg total)
$141–$176
First-year medication total
$1,595–$1,993
Lavender Sky Health — ReviveRx tirzepatide/B6, Monthly Starter Dose (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Monthly Starter Dose
$149
2
5
Monthly Mid Dose
$169
3
7.5
Monthly Mid Dose
$169
4
10
Monthly Advanced Dose
$189
5
12.5
Monthly Advanced Plus Dose
$199
6
15
Monthly Advanced Plus Dose
$199
7
15
Monthly Advanced Plus Dose
$199
8
15
Monthly Advanced Plus Dose
$199
9
15
Monthly Advanced Plus Dose
$199
10
15
Monthly Advanced Plus Dose
$199
11
15
Monthly Advanced Plus Dose
$199
12
15
Monthly Advanced Plus Dose
$199
First-year medication total
$2,268
Lavender Sky Health — Apothecary/Hyalo tirzepatide, Tiers 1–3 (72 mg total, 8–10 week supply) (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Tier 1 (72 mg total)
$152–$190
2
5
Tier 2 (72 mg total)
$152–$190
3
7.5
Tier 3 (72 mg total) (next tier up, assumed)
$152–$190
4
10
Tier 4 (144 mg total, 10-week supply)
$165
5
12.5
Tier 4 (144 mg total, 10-week supply)
$165
6
15
Tier 4 (144 mg total, 10-week supply)
$165
7
15
Tier 4 (144 mg total, 10-week supply)
$165
8
15
Tier 4 (144 mg total, 10-week supply)
$165
9
15
Tier 4 (144 mg total, 10-week supply)
$165
10
15
Tier 4 (144 mg total, 10-week supply)
$165
11
15
Tier 4 (144 mg total, 10-week supply)
$165
12
15
Tier 4 (144 mg total, 10-week supply)
$165
First-year medication total
$1,937–$2,051
Lavender Sky Health — Apothecary/Hyalo tirzepatide, Foundation Plan (108 mg total) (2.5 mg for 4 weeks, then increases of 2.5 mg every 4 weeks to a maintenance dose of 5, 10 or 15 mg (Zepbound label; the reference curve continues to 15 mg))
Month
Dose (mg/week)
Tier
Medication cost
1
2.5
Foundation Plan (108 mg total)
$117–$153
2
5
Foundation Plan (108 mg total)
$117–$153
3
7.5
Momentum Plan (144 mg total)
$124–$162
4
10
Elevate Plan (216 mg total)
$131–$172
5
12.5
Elevate Plan (216 mg total)
$131–$172
6
15
Elevate Plan (216 mg total)
$131–$172
7
15
Elevate Plan (216 mg total)
$131–$172
8
15
Elevate Plan (216 mg total)
$131–$172
9
15
Elevate Plan (216 mg total)
$131–$172
10
15
Elevate Plan (216 mg total)
$131–$172
11
15
Elevate Plan (216 mg total)
$131–$172
12
15
Elevate Plan (216 mg total)
$131–$172
First-year medication total
$1,540–$2,013
Lavender Sky Health — Hallandale semaglutide, Tier 1 (10 mg total, 10-week supply) (0.25 mg for 4 weeks, then 0.5, 1, 1.7 and 2.4 mg at 4-week steps (Wegovy label); the reference curve stops at the 2.4 mg maintenance dose)
Month
Dose (mg/week)
Tier
Medication cost
1
0.25
Tier 1 (10 mg total)
$95
2
0.5
Tier 1 (10 mg total)
$95
3
1
Tier 1 (10 mg total)
$95
4
1.7
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
5
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
6
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
7
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
8
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
9
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
10
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
11
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
12
2.4
Tier 3 (20 mg total, 9–10 week supply)
$108–$120
First-year medication total
$1,256–$1,364
Reference schedules are taken from the branded labels and are not dosing advice; the dose a patient reaches is decided with their clinician.
The summary table includes every published required charge; the month-by-month curves are medication only.
Gap rule: when a scheduled dose falls between a provider's published tiers, the next tier up is used and the month is flagged.