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US brand comparison

Saxenda vs Zepbound

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Saxenda contains liraglutide. Zepbound contains tirzepatide. Compare approved uses, formulations, and self-pay prices.

OverviewEvidencePricesApproved uses
Saxenda vs Zepbound: active ingredients, formulations, and manufacturers
CompareSaxendaZepbound
Active ingredient

Saxenda

LiraglutideGLP-1

Zepbound

TirzepatideGIP/GLP-1
How it is taken

Saxenda

Injection

Once daily

Zepbound

Injection

Once weekly

Manufacturer

Saxenda

Novo Nordisk

Zepbound

Eli Lilly
Direct evidence

What was actually compared

No direct trial comparing these exact brands is included in our reviewed catalog. Results from separate trials are not a direct comparison of these products.

Weight-loss results by formulation

Each result belongs to its named trial and dose. Separate trials have different participants and methods; these figures are not a direct comparison.

Saxenda vs Zepbound: sourced weight-loss results by formulation
CompareSaxendaZepbound
Injection evidence

Saxenda

−8% (-8.0% at 56 wks · SCALE Obesity · 3.0 mg daily (Saxenda))

SCALE Obesity · -8.0% at 56 wks

3.0 mg daily (Saxenda)

Analysis not classified; see trial methods

Zepbound

−20.9% (-20.9% at 72 wks · SURMOUNT-1 · 15 mg weekly (Zepbound))

SURMOUNT-1 · -20.9% at 72 wks

15 mg weekly (Zepbound)

Accounts for treatment discontinuation

Product-specific costs

Entry price and maintenance price

Self-pay quotes, not insurance estimates. Each figure identifies the product, provider, and dose where published.

Saxenda vs Zepbound: published self-pay prices by formulation
CompareSaxendaZepbound
Injection prices

Saxenda

Advertised entry price

No product-specific quote tracked.

Published maintenance dose

No dose-specific quote tracked.

Zepbound

Advertised entry price

$299-$449/28 days

28-day supply

≈ $320.36 per 30 days at this quoted rate

Checked Sep 30, 2026

Zepbound KwikPen (multi-dose pen)

LillyDirect (Eli Lilly) · Manufacturer direct

self-pay cash, by dose ($299 / $399 / $449)

Price conditions

self-pay cash, by dose ($299 / $399 / $449)

Four weekly doses per pen; pen needles must be purchased separately. $299 at 2.5 mg, $399 at 5 mg, and $449 at higher doses under the Self Pay Journey offer with a refill within 45 days.

28-day supply

Published maintenance dose

$449/28 days

28-day supply

≈ $481.07 per 30 days at this quoted rate

Checked Sep 30, 2026

At 15 mg

Zepbound KwikPen (multi-dose pen)

LillyDirect (Eli Lilly) · Manufacturer direct

Published price at 15 mg

Price conditions

Published price at 15 mg

Four weekly doses per pen; pen needles must be purchased separately. $299 at 2.5 mg, $399 at 5 mg, and $449 at higher doses under the Self Pay Journey offer with a refill within 45 days.

Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg). Pen needles cost extra.

28-day supply

All Zepbound offers
How these quotes are selected

For each price basis, we prefer a recently checked manufacturer-direct quote, then a recently checked provider quote for that brand and formulation. Within each group, documented 30-day costs come first, lowest to highest. Quotes without a documented supply period have no cost rank. Older quotes appear as dated references only when no current quote is tracked. Providers may differ between entry and maintenance prices. Missing maintenance prices are never replaced with entry prices. Compounded products, combined brand quotes, and membership-only fees are excluded. Prices at different doses are not equivalent treatment costs; confirm supply length, eligibility, and added fees.

Every cash quote was checked on or after Sep 26, 2026. Each quote shows its own check date. A quoted maintenance dose is not a dosing recommendation. Our methodology

US prescribing information

Approved uses by formulation

Eligibility, contraindications, and warnings are in each product's full prescribing information.

Saxenda vs Zepbound: reviewed approved uses by formulation
CompareSaxendaZepbound
Injection

Saxenda

Weight management in adults and children 12+ with obesity and body weight over 60 kg; adults with overweight and a weight-related condition.

US prescribing information (Saxenda Injection prescribing information)

Reviewed Sep 22, 2026

Zepbound

Weight management in adults with obesity, or overweight with a weight-related condition; moderate to severe obstructive sleep apnea in adults with obesity.

US prescribing information (Zepbound Injection prescribing information)

Reviewed Sep 6, 2026

Full evidence and safety information

Liraglutide: evidence & safetyTirzepatide: evidence & safety
Compare the active ingredients

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