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$27.62

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7% and 1%, respectively, with placebo (26)

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Cost Comparison: Real 2026 Numbers A patient paying cash for Zepbound will pay roughly $15,000 per year at pharmacy retail, or about $5,400 per year at LillyDirects $449 self-pay maintenance rate

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Pull the plunger back slowly to avoid introducing air bubbles

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Tier 3 (Deficiency correctionlab-based) : These require actual blood work showing a deficiency: extra vitamin D if levels are below 30 ng/mL, iron if ferritin is low, B12 if levels drop

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