Zepbound
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Package | Class |
|---|---|---|---|---|
| 2.5 MG/0.5 ML | Pen | $525.95 / mL | $1,051.90 / 2 ML box | Brand |
| 2.5 MG | Pen | $201.45 / mL | $402.90 / 2 ML box | Brand |
| 5 MG/0.5 ML | Pen | $525.89 / mL | $1,051.79 / 2 ML box | Brand |
| 5 MG | Pen | $201.57 / mL | $403.14 / 2 ML box | Brand |
| 7.5 MG/0.5 ML | Pen | $525.81 / mL | $1,051.63 / 2 ML box | Brand |
| 7.5 MG | Pen | $201.50 / mL | $403.00 / 2 ML box | Brand |
| 10 MG/0.5 ML | Pen | $525.83 / mL | $1,051.65 / 2 ML box | Brand |
| 10 MG | Pen | $281.73 / mL | $563.46 / 2 ML box | Brand |
| 12.5 MG/0.5 ML | Pen | $525.74 / mL | $1,051.47 / 2 ML box | Brand |
| 12.5 MG | Pen | $281.87 / mL | $563.75 / 2 ML box | Brand |
| 15 MG/0.5 ML | Pen | $525.72 / mL | $1,051.43 / 2 ML box | Brand |
| 15 MG | Pen | $280.75 / mL | $561.50 / 2 ML box | Brand |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. Box prices are per full package where the size is known.
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $278,299,149 gross for Zepbound across 272,451 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$387,343 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMS