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Choose Costco Zepbound if: Your insurance copay with the Lilly savings card is $25 to $75 per month You qualify for Lilly's patient assistance program (free medication for income under 400% FPL) You strongly prefer FDA-approved medications and pre-filled pens Your employer's HSA or FSA covers the copay, making effective cost near zero Choose compounded tirzepatide if: Your insurance doesn't cover Zepbound Your copay is over $200 per month You're on Medicare or Medicaid and can't use the Lilly savings card You're paying Costco cash price ($1,000+ per month) You want predictable monthly pricing without insurance paperwork The break-even calculation

How Peak Wellness and Ro Differ at a Glance Peak is a flat-fee all-inclusive model built around cash-pay access