OpenBilldrug price receipt

NADAC week of 2026-10-14

ZEPBOUND 15 MG/DOSE (60 MG/2.4 ML) KWIKPEN

FDA nonproprietary name: tirzepatide

For 2.4 mL

Pharmacies pay

$675.43 filed

2.4 × $281.42838 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$1,221.91 filed

2.4 × $509.1301 per ML, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.8× estimated

Medicare paid 1.8× what pharmacies pay.

Part D averages every strength and form sold under “Zepbound” / “Tirzepatide” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$781.74 estimated

$675.43 + $101.31 (15%) + $5.00 fee per fill = $781.74

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

ZEPBOUND 15 MG/DOSE (60 MG/2.4 ML) KWIKPEN is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tirzepatide, under the trade name “Zepbound KwikPen”.

FDA gives its dosage form as injection, solution and its route as subcutaneous.

The labeler, the company named on the label, is Eli Lilly and Company.

FDA lists it under 2 Established Pharmacologic Classes: GLP-1 Receptor Agonist and Glucose-dependent Insulinotropic Polypeptide Receptor Agonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $675.43 for 2.4 mL (2.4 × $281.42838 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

All 2 NDCs

Other strengths, forms and brands

17 other products in the NADAC file share the FDA nonproprietary name tirzepatide with ZEPBOUND 15 MG/DOSE (60 MG/2.4 ML) KWIKPEN.

ProductPharmacies pay per unitMedicare per unit
MOUNJARO 2.5 MG/0.5 ML PEN
brand · injection, solution
$538.68839 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
MOUNJARO 5 MG/0.5 ML PEN
brand · injection, solution
$538.63384 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
MOUNJARO 7.5 MG/0.5 ML PEN
brand · injection, solution
$538.68042 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
MOUNJARO 10 MG/0.5 ML PEN
brand · injection, solution
$538.68356 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
MOUNJARO 12.5 MG/0.5 ML PEN
brand · injection, solution
$538.52518 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
MOUNJARO 15 MG/0.5 ML PEN
brand · injection, solution
$538.51759 per ML filed
eff. 2026-09-23
$511.63411 per ML filed
Part D 2024 average
ZEPBOUND 2.5 MG/0.5 ML PEN
brand · injection, solution
$526.20422 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 2.5 MG/DOSE (10 MG/2.4 ML) KWIKPEN
brand · injection, solution
$201.2566 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 5 MG/0.5 ML PEN
brand · injection, solution
$526.08276 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 5 MG/DOSE (20 MG/2.4 ML) KWIKPEN
brand · injection, solution
$201.03732 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 7.5 MG/0.5 ML PEN
brand · injection, solution
$526.00415 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 7.5 MG/DOSE (30 MG/2.4 ML) KWIKPEN
brand · injection, solution
$200.9187 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 10 MG/0.5 ML PEN
brand · injection, solution
$526.04607 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 10 MG/DOSE (40 MG/2.4 ML) KWIKPEN
brand · injection, solution
$281.62145 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 12.5 MG/0.5 ML PEN
brand · injection, solution
$525.84865 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 12.5 MG/DOSE (50 MG/2.4 ML) KWIKPEN
brand · injection, solution
$281.98531 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 15 MG/0.5 ML PEN
brand · injection, solution
$525.92209 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average
ZEPBOUND 15 MG/DOSE (60 MG/2.4 ML) KWIKPEN this page
brand · injection, solution
$281.42838 per ML filed
eff. 2026-09-23
$509.1301 per ML filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $281.42838 per ML filed.

Of the 39 other products in FDA’s GLP-1 Receptor Agonist class priced per ML, 28 have a higher middle NADAC price and 11 a lower one. The one in the middle is WEGOVY 1.7 MG/0.75 ML PEN, at $435.55769 per ML filed (eff. 2026-09-23).

Of the 17 other products in FDA’s Glucose-dependent Insulinotropic Polypeptide Receptor Agonist class priced per ML, 14 have a higher middle NADAC price and 3 a lower one. The one in the middle is ZEPBOUND 10 MG/0.5 ML PEN, at $526.04607 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $1,221.91 for 2.4 mL, at an average of $509.1301 per ML in 2024 (2024-01-01 to 2024-12-31) for “Zepbound” and “Tirzepatide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 353 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for ZEPBOUND 15 MG/DOSE (60 MG/2.4 ML) KWIKPEN labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Zepbound / Tirzepatide: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on brand name.
Why does this page start at 2.4 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 2.4 mL in one package for the 1 of this product’s 2 NDCs it lists (“1 SYRINGE in 1 CARTON (0002-3511-11) / 2.4 mL in 1 SYRINGE (0002-3511-01)”), so the card starts at one package: 2.4 ML. Change it to match your prescription.