Head-to-head
LillyDirect (Zepbound) vs Lavender Sky Health
Compared on tirzepatide across the eight dimensions this database records. They differ on 6 of those eight. Lavender Sky Health is cheaper on all-in tirzepatide at 10 mg/week, though on a flat-versus-tiered matchup the cheaper program can change further up the dose ladder.
The short answer
LillyDirect (Zepbound) is $449 a month all-in for tirzepatide; Lavender Sky Health is $377. Over twelve months that is $5,388 against $4,524. Value Scores are 46.3 and 44.1 out of 100.
Tirzepatide
Plan pages: LillyDirect (Zepbound) plans · Lavender Sky Health plans
At 10 mg/week, LillyDirect (Zepbound) is $449 a month all-in and Lavender Sky Health is $377 — $72 apart, or $864 across a year. Over twelve months the totals are $5,388 (billed monthly) and $4,524 (billed monthly).
LillyDirect (Zepbound) prices tirzepatide by dose: $299 per month at 2.5 mg rising to $449 at 7.5 mg, a difference of $150 a month between the bottom and top of the ladder.
Lavender Sky Health prices tirzepatide by dose: $225 per month at 2.5 mg rising to $352 at 10 mg, a difference of $127 a month between the bottom and top of the ladder. The company publishes no price at 5, 7.5, 12.5, 15 mg, so those doses are left blank rather than estimated.
| Dose | LillyDirect (Zepbound) | Rank | Lavender Sky Health | Rank | Cheaper |
|---|---|---|---|---|---|
| 2.5 mg | $299 | 18/31 | $225 | 12/31 | Lavender Sky Health by $74 |
| 5 mg | $399 | 14/17 | — | — | only LillyDirect (Zepbound) publishes |
| 7.5 mg | $449 | 16/17 | — | — | only LillyDirect (Zepbound) publishes |
| 10 mg | $449 | 24/27 | $352 | 18/27 | Lavender Sky Health by $97 |
| 12.5 mg | $449 | 16/17 | — | — | only LillyDirect (Zepbound) publishes |
| 15 mg | $449 | 16/17 | — | — | only LillyDirect (Zepbound) publishes |
Lavender Sky Health is cheaper at every dose where both publish a price, so the lead does not change as you titrate.
Across the 27 programs this database can rank on tirzepatide, LillyDirect (Zepbound) sits 23 of 27 on all-in monthly cost and Lavender Sky Health sits 19. There are 3 other programs priced between them. The field median is $339 and the floor is $169, so both sit above the median. LillyDirect (Zepbound) is $280 above the cheapest tirzepatide program on record. Lavender Sky Health is $208 above the cheapest tirzepatide program on record.
LillyDirect (Zepbound), the lowest FDA-approved tirzepatide channel here, is $449 a month — LillyDirect (Zepbound) undercuts it by $0, Lavender Sky Health by $72. Compounded products are not FDA approved; insurance can reverse that comparison.
| Plan term | LillyDirect (Zepbound) | Lavender Sky Health | Cheaper |
|---|---|---|---|
| Month to month | $449 | $352 | Lavender Sky Health by $97 |
| Settled dose | LillyDirect (Zepbound) | Lavender Sky Health | Difference |
|---|---|---|---|
| 2.5 mg | $3,588 | $3,000 | $588 apart |
| 5 mg | $4,788 | — | one side unpriced |
| 7.5 mg | $5,388 | — | one side unpriced |
| 10 mg | $5,388 | $4,524 | $864 apart |
| 12.5 mg | $5,388 | — | one side unpriced |
| 15 mg | $5,388 | — | one side unpriced |
LillyDirect (Zepbound) publishes no rate for 3-month term, 6-month term, 12-month term; Lavender Sky Health publishes none for 3-month term, 6-month term, 12-month term. An unpublished term is not necessarily unavailable — it is unpriced in public, which you can only resolve by asking.
A titration year is not twelve months at the maintenance price. Stepping up roughly four weeks per dose before settling at 10 mg/week, the first twelve months work out to $5,188 on LillyDirect (Zepbound) and $4,397 on Lavender Sky Health — $791 apart, and a different gap from the $864 you would get by multiplying the monthly difference by twelve. The ramp is cheaper than the settled rate on whichever program prices by dose, which is why a first-year quote and a steady-state quote are not the same number.
That calculation is partial: Lavender Sky Health publishes no price at 2 of them, so the maintenance rate stands in for the missing steps rather than a number the company has stated.
Value Scores are 46.3 for LillyDirect (Zepbound) and 44.1 for Lavender Sky Health, against a tirzepatide category floor of $169. LillyDirect (Zepbound) leads by 2.2 points, driven mostly by price.
| Program | Price /70 | Evidence /15 | Dose /10 | Membership /5 | Total /100 |
|---|---|---|---|---|---|
| LillyDirect (Zepbound) | 26.4 | 15.0 | 0 | 5 | 46.3 |
| Lavender Sky Health | 31.4 | 12.8 | 0 | 0 | 44.1 |
Where the two programs differ
All-in monthly
Lavender Sky Health is cheaper month to month — $377 against $449, a gap of $72 every month, or $864 across a year if both rates hold.
Cancellation terms
Cancellation differs: LillyDirect (Zepbound) states No subscription lock, while Lavender Sky Health states Cancel before renewal. Read this next to the twelve-month figures — a prepaid discount and a restrictive refund policy are the same decision.
Commitment
LillyDirect (Zepbound) asks for None; Journey Program pricing requires refill within 45 days on 7.5 mg+; Lavender Sky Health asks for Month-to-month. This is the dimension most likely to change which program is actually cheaper for you, because the lowest rates on both sides are usually attached to the longest terms.
Evidence status
The two prices are not equally well evidenced. LillyDirect (Zepbound)'s figure is verified and Lavender Sky Health's is provider-stated. LillyDirect (Zepbound) rests on the stronger of the two, and the Value Score below reflects that — evidence quality is worth fifteen points and is not a tiebreaker we apply after the fact.
Membership fee
Lavender Sky Health charges a membership of $25 a month on top of the medication. That is already folded into the all-in figures above — it is broken out here because a membership is a recurring charge that continues even in a month you skip a shipment.
Twelve-month cost
Over twelve months the totals are $5,388 for LillyDirect (Zepbound) and $4,524 for Lavender Sky Health. Lavender Sky Health is lower by $864 — a figure worth checking against the cancellation terms below, because a prepaid year is only cheaper if you stay on it.
Dose policy
Both price by dose, so both advertised figures understate the cost of a titration year. Compare the ladders above rather than the headline rates.
Shipping
Shipping is handled the same way by both — included in the quoted price.
What each record says
LillyDirect (Zepbound) Official site
The manufacturer's own cash channel for FDA-approved Zepbound single-dose vials: $299/month at 2.5 mg, $399 at 5 mg, and $449 for every dose from 7.5 to 15 mg through the Self Pay Journey Program — provided each refill lands within 45 days of the last, otherwise that refill reverts to $599–$1,049 by dose. This is the cheapest FDA-approved tirzepatide in the country and the benchmark every compounded price should be judged against.
It names its compounding pharmacy — Eli Lilly self-pay pharmacy (GiftHealth), recorded as Manufacturer direct — which can be checked against state board licensing and FDA inspection records before you order; commitment terms are None; Journey Program pricing requires refill within 45 days on 7.5 mg+; cancellation is No subscription lock; availability is stated as 50 states.
Evidence: verified — captured at checkout by our desk on the stated date, captured . Source — Lilly investor announcement Dec 1, 2025 + LillyDirect program pages; corroborated by drugs.com pricing review updated Jun 12, 2026
Watch: The 45-day refill window is the whole game: one late refill at 10 mg costs $699 instead of $449.
Lavender Sky Health Official site
A small program with a modest $25/month membership; all-in maintenance figures are $174 semaglutide and $352 tirzepatide.
It does not publicly name its compounding pharmacy; the record shows Partner pharmacies, so who actually makes the medication cannot be independently verified; commitment terms are Month-to-month; cancellation is Cancel before renewal; availability is stated as Availability at intake.
Evidence: provider-stated — taken from the provider's own published pages; checkout capture pending, captured . Source — lavenderskyhealth.com pricing capture 2026-08-05
Watch: Tirzepatide tiering widens the gap between the $200 start and the $352 maintenance figure.
Which molecules each one carries
LillyDirect (Zepbound) carries tirzepatide at $449 a month; does not offer semaglutide.
Lavender Sky Health carries tirzepatide at $377 a month and semaglutide at $199 a month.
Comparable only on tirzepatide: they do not both publish a rankable semaglutide price. Switching molecule mid-treatment would mean changing provider.
What neither record tells you
LillyDirect (Zepbound) does not publish
- no published twelve-month tirzepatide rate
Lavender Sky Health does not publish
- no tirzepatide price at 5, 7.5, 12.5, 15 mg per week
- no published twelve-month tirzepatide rate
- no named compounding pharmacy
Ask LillyDirect (Zepbound) and Lavender Sky Health for each of those in writing before enrolling. A gap is not evidence of a problem; it does mean nothing can be checked against it.
What would change this answer
Neither program publishes a promotional rate with an end date, a prepaid term, or a price we have flagged for re-verification, so the comparison above is as stable as this dataset gets.
Which one suits which reader
On the lowest standing monthly rate for tirzepatide, Lavender Sky Health Official site wins this matchup. If you want to be able to pause without still paying, lillydirect (zepbound) carries no membership; and if you would rather trust a better-evidenced number, lillydirect (zepbound)'s price rests on stronger provenance.
Both figures should be checked at the provider's own checkout before you pay. LillyDirect (Zepbound)'s tirzepatide price is verified as of 2026-08-11; Lavender Sky Health's is provider-stated as of 2026-08-05.
Questions
Is LillyDirect (Zepbound) or Lavender Sky Health cheaper for tirzepatide?
Lavender Sky Health is cheaper on all-in monthly cost at 10 mg/week: $377 against $449, a difference of $72 a month. All-in means the medication plus every mandatory recurring fee.
What is the twelve-month cost of LillyDirect (Zepbound) versus Lavender Sky Health?
LillyDirect (Zepbound) works out to $5,388 across twelve months and Lavender Sky Health to $4,524, on the plan terms each publishes.
Does LillyDirect (Zepbound) or Lavender Sky Health raise the price as the dose goes up?
LillyDirect (Zepbound): yes, it prices by dose. Lavender Sky Health: yes, it prices by dose. Where one program is flat and the other is tiered, the cheaper of the two can change as you titrate upward.
How many ways do LillyDirect (Zepbound) and Lavender Sky Health differ?
6 of the eight dimensions this site records: all-in monthly, twelve-month cost, dose policy, membership, shipping, commitment, cancellation terms and evidence status.
Which of LillyDirect (Zepbound) and Lavender Sky Health names its pharmacy?
LillyDirect (Zepbound) does — Eli Lilly self-pay pharmacy (GiftHealth). Lavender Sky Health does not, recording only Partner pharmacies, so who makes its medication cannot be independently verified.
How well evidenced are the LillyDirect (Zepbound) and Lavender Sky Health prices?
LillyDirect (Zepbound)'s tirzepatide figure is verified — captured at checkout by our desk on the stated date — captured 2026-08-11. Lavender Sky Health's is provider-stated, captured 2026-08-05. Evidence status is worth fifteen points in the Value Score, so it is priced in rather than mentioned as an aside.
Official sources: LillyDirect (Zepbound) official site · Lavender Sky Health official site. Compounded tirzepatide and semaglutide are not FDA-approved products.