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Updated April 2026

Zepbound vs Mounjaro

Same active ingredient (tirzepatide), different FDA approvals — Zepbound for chronic weight management, Mounjaro for type 2 diabetes. But the results look remarkably similar.

21%

Avg weight loss Zepbound

20%

Avg weight loss Mounjaro

$1,059/mo

Zepbound retail (no insurance)

$149

Zepbound via telehealth

Overview

What are they?

Zepbound and Mounjaro both contain tirzepatide at the same doses. The key differences are the FDA indication, insurance coverage, and how they’re marketed.

Zepbound

Weight Management

FDA-approved for chronic weight management in adults with obesity (BMI 30+) or overweight (BMI 27+) with at least one weight-related condition. Uses the same dual GIP/GLP-1 mechanism as Mounjaro at equivalent doses.

Maker

Eli Lilly

Approved

2024

Format

Weekly injection

Max dose

15 mg

Mounjaro

Type 2 Diabetes

FDA-approved to improve blood sugar control in adults with type 2 diabetes. Uses a dual GIP/GLP-1 receptor mechanism, activating both simultaneously. It’s not a weight loss drug but does regulate blood sugar and decrease how much food you consume.

Maker

Eli Lilly

Approved

2022

Format

Weekly injection

Max dose

15 mg

Side by side

Quick comparison

How they stack up on the metrics that matter most.

Active ingredient

Zepbound

Tirzepatide

Mounjaro

Tirzepatide

FDA approved for

Zepbound

Weight Management

Mounjaro

Type 2 Diabetes

Max dose

Zepbound

15 mg

Mounjaro

15 mg

Avg weight loss

Zepbound

~21%

Mounjaro

~20%

Administration

Zepbound

Weekly injection

Mounjaro

Weekly injection

Insurance

Zepbound

Limited

Mounjaro

Moderate

Retail price/mo

Zepbound

$1,059/mo

Mounjaro

$1,112/mo

Telehealth price

Zepbound

From $149/mo

Mounjaro

From $149/mo

More energy,

less weight

Dosing schedule

How you ramp up

Both medications use a gradual dose escalation to minimize side effects.

Zepbound

  1. 1

    2.5 mg

    Weeks 1–4

  2. 2

    5 mg

    Weeks 5–8

  3. 3

    7.5 mg

    Weeks 9–12

  4. 4

    10 mg

    Weeks 13–16

  5. 5

    12.5 mg

    Weeks 17–20

  6. 6

    15 mg

    Weeks 21+

    (Maintenance)

Mounjaro

  1. 1

    2.5 mg

    Weeks 1–4

  2. 2

    5 mg

    Weeks 5–8

  3. 3

    7.5 mg

    Weeks 9–12

  4. 4

    10 mg

    Weeks 13–16

  5. 5

    12.5 mg

    Weeks 17–20

  6. 6

    15 mg

    Weeks 21+

    (Maintenance)

Cost breakdown

What you’ll pay

Real pricing — no misleading teaser rates or hidden fees.

Best value
Zepbound

Zepbound

Retail (no insurance)
$1,059/mo
With insurance
$25–$200/mo
Telehealth (compounded)
From $149/mo
Manufacturer savings
Available

Special offer

Save up to 30% EVERY month!

Mounjaro

Mounjaro

Retail (no insurance)
$1,112/mo
With insurance
$25–$200/mo
Telehealth (compounded)
From $149/mo
Manufacturer savings
Available

Special offer

Save up to 30% EVERY month!

Some providers pay BestGLP1 a referral fee when you sign up. We disclose this because the FTC requires it. Our rankings are editorial.

Start your weight‑loss journey today

Start your weight‑loss

journey today

Real-world results

Weight loss compared

Clinical trial data showing average body weight reduction over 68 weeks.

Zepbound (15 mg)

21%

Mounjaro (15 mg)

20%

Placebo

2.4%
Side effects

What to expect

How they stack up on the metrics that matter most.

Nausea

Zepbound

25%

Mounjaro

18%

Diarrhea

Zepbound

19%

Mounjaro

17%

Vomiting

Zepbound

8%

Mounjaro

9%

Constipation

Zepbound

17%

Mounjaro

7%

Headache

Zepbound

4%

Mounjaro

4%

Fatigue

Zepbound

5%

Mounjaro

4%

Side effects are generally most pronounced during the first 4–8 weeks and tend to subside. Always consult your healthcare provider.

Our take

The bottom line

Same molecule, different approvals. Here’s how to think about it.

Choose based on your goal

  • Choose Zepbound if weight management is your primary goal. The obesity indication makes it easier to access through weight-focused programs and telehealth providers.
  • Choose Mounjaro if you have type 2 diabetes. The diabetes indication typically means better insurance coverage, and blood sugar outcomes are well-documented across trials.

Some providers pay BestGLP1 a referral fee when you sign up. We disclose this because the FTC requires it. Our rankings are editorial.

Common questions

What you
need to know

Yes — both contain tirzepatide as the active ingredient and use the same dosing schedule. Eli Lilly markets them under different brand names because they’re FDA-approved for different conditions: Zepbound for chronic weight management and Mounjaro for type 2 diabetes.

Mounjaro typically has broader coverage because diabetes medications are more commonly included in insurance formularies than weight-management drugs. Zepbound coverage is improving but still varies by plan — check your formulary before starting.

The active ingredient and doses are identical, so the underlying side-effect profile is the same. Reported rates can look slightly different across trials due to patient population differences, but day-to-day experience on either medication is essentially equivalent.

Yes. Both Zepbound and Mounjaro require a prescription from a licensed healthcare provider. A consultation is required to assess whether treatment is appropriate for you.

BestGLP1 publishes these guides for informational and comparison purposes only. The information on this site is not medical advice, diagnosis, or treatment, and is not a substitute for guidance from a licensed healthcare professional. GLP-1 medications must be prescribed and monitored by a qualified provider; consult your provider to determine whether treatment is appropriate for your individual circumstances. Prices, side-effect rates, and clinical figures shown here are general references drawn from manufacturer labelling and published trials, and may not reflect your specific situation.

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Some providers pay BestGLP1 a referral fee when you sign up. We disclose this because the FTC requires it. Our rankings are editorial.