The short version
Zepbound is harder to source through telehealth than Wegovy because Eli Lilly's distribution agreements with telehealth platforms are narrower than Novo Nordisk's. The programs that prescribe Zepbound either run prior auth on commercial insurance, route patients through LillyDirect's cash-pay channel or both. Programs that prescribe compounded tirzepatide instead of brand Zepbound are excluded here, that's a separate category with separate regulatory exposure.
What we considered
- Will actively prescribe brand Zepbound (not just compounded tirzepatide)
- Runs prior authorization if you have commercial insurance
- Speed from intake to first Zepbound prescription
- Total cash-pay cost when insurance falls through
Top pick: PlushCare
PlushCareInsurance-first telehealth. As low as $25/mo for Wegovy if your plan covers it.
Starts From
$19.99/mo+ medication separateLock-In
Month-to-monthScore
7.2
PlushCare uses your real commercial insurance and actively runs prior auth on Zepbound. If your plan covers it, you land on a $25-$50 monthly copay. If it doesn't, the cash-pay path is straightforward.
Read the full PlushCare review →
Other strong picks
Ro BodyRo Body runs a direct Eli Lilly partnership for Zepbound at $299/mo cash-pay, the cleanest non-insurance route for brand Zepbound in 2026.
Starts From
$39/mo+ med separateLock-In
Month-to-monthScore
7.4
Form HealthForm Health employs obesity-medicine specialists who will write a strong prior-auth letter, the highest approval rate we see across the chart for Zepbound PAs.
Starts From
$299/mo+ med separateLock-In
Month-to-monthScore
7.6
KnownwellKnownwell sits closest to a primary-care model on telehealth, full obesity-medicine workup, real labs and Zepbound prescribing integrated with the rest of your care.
Starts From
Insurance-billed+ med separateLock-In
Month-to-monthScore
7.5
Related
Why you can trust GLP ChartSame scoring framework applied to every program. No paid placements. No removal of unfavorable information at advertiser request. Pricing is pulled from each program's public-facing page weekly.