{
 "meta": {
  "publisher": "GLP-1 Tirzepatide Rx",
  "url": "https://glp1tirzepatiderx.com",
  "license": "Reuse permitted with attribution. Every price carries its verification date.",
  "last_verified": "2026-08-05",
  "disclosure_score_method": [
   {
    "criterion": "Price published at all six dose tiers",
    "weight": 25
   },
   {
    "criterion": "Price does not rise as the dose escalates",
    "weight": 20
   },
   {
    "criterion": "Dispensing pharmacy or prescriber identified by name",
    "weight": 15
   },
   {
    "criterion": "No separate recurring membership fee",
    "weight": 10
   },
   {
    "criterion": "Prepaid term and its rate published",
    "weight": 10
   },
   {
    "criterion": "State availability published",
    "weight": 10
   },
   {
    "criterion": "Delivery formats published",
    "weight": 10
   }
  ],
  "caveat": "Prices are recorded from provider-published material and, where marked, from third-party reviews. Compounded preparations are not FDA-approved and are not reviewed by FDA for safety, effectiveness or quality before marketing."
 },
 "trials": [
  {
   "slug": "surmount-1",
   "name": "SURMOUNT-1",
   "year": 2022,
   "evidence_grade": 70,
   "grade_label": "Moderate",
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    "size": true,
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    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 2539,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04184622",
   "question": "Does tirzepatide cause weight loss in adults with obesity and without diabetes?",
   "citation": "N Engl J Med 2022;387:205-216",
   "url": "https://glp1tirzepatiderx.com/science/surmount-1/"
  },
  {
   "slug": "surmount-5",
   "name": "SURMOUNT-5",
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    "comparator": true,
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    "duration": true,
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    "registered": true,
    "independent": false
   },
   "blinding": "open",
   "comparator": "active",
   "participants": 751,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT05822830",
   "question": "Head-to-head: tirzepatide vs semaglutide for weight loss in adults with obesity and without diabetes.",
   "citation": "N Engl J Med 2025;392:1929-1942",
   "url": "https://glp1tirzepatiderx.com/science/surmount-5/"
  },
  {
   "slug": "surmount-4",
   "name": "SURMOUNT-4",
   "year": 2024,
   "evidence_grade": 60,
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    "blinded": true,
    "comparator": false,
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   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 670,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04660643",
   "question": "What happens if you stop tirzepatide after reaching a maintenance dose?",
   "citation": "JAMA 2024;331:38-48",
   "url": "https://glp1tirzepatiderx.com/science/surmount-4/"
  },
  {
   "slug": "surmount-osa",
   "name": "SURMOUNT-OSA",
   "year": 2024,
   "evidence_grade": 60,
   "grade_label": "Moderate",
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    "randomised": true,
    "blinded": true,
    "comparator": false,
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   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 469,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT05412004",
   "question": "Does tirzepatide treat obstructive sleep apnea in adults with obesity?",
   "citation": "N Engl J Med 2024;391:1193-1205",
   "url": "https://glp1tirzepatiderx.com/science/surmount-osa/"
  },
  {
   "slug": "surpass-2",
   "name": "SURPASS-2",
   "year": 2021,
   "evidence_grade": 50,
   "grade_label": "Limited",
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    "randomised": true,
    "blinded": false,
    "comparator": true,
    "size": true,
    "duration": false,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "open",
   "comparator": "active",
   "participants": 1879,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT03987919",
   "question": "Tirzepatide vs semaglutide 1 mg in type 2 diabetes.",
   "citation": "N Engl J Med 2021;385:503-515",
   "url": "https://glp1tirzepatiderx.com/science/surpass-2/"
  },
  {
   "slug": "surpass-cvot",
   "name": "SURPASS-CVOT",
   "year": 2025,
   "evidence_grade": 95,
   "grade_label": "High",
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    "randomised": true,
    "blinded": true,
    "comparator": true,
    "size": true,
    "duration": true,
    "endpoint": true,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "active",
   "participants": 13299,
   "endpoint_type": "events",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04255433",
   "question": "Cardiovascular outcomes with tirzepatide vs dulaglutide in type 2 diabetes with established ASCVD.",
   "citation": "N Engl J Med 2025 (presented ADA 2025)",
   "url": "https://glp1tirzepatiderx.com/science/surpass-cvot/"
  },
  {
   "slug": "summit",
   "name": "SUMMIT",
   "year": 2025,
   "evidence_grade": 75,
   "grade_label": "High",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
    "size": false,
    "duration": true,
    "endpoint": true,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 731,
   "endpoint_type": "events",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04847557",
   "question": "Tirzepatide in heart failure with preserved ejection fraction and obesity.",
   "citation": "N Engl J Med 2025;392:427-437",
   "url": "https://glp1tirzepatiderx.com/science/summit/"
  },
  {
   "slug": "surmount-3",
   "name": "SURMOUNT-3",
   "year": 2023,
   "evidence_grade": 60,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
    "size": false,
    "duration": true,
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    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 806,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04657016",
   "question": "Does tirzepatide add further loss after a successful intensive lifestyle program?",
   "citation": "Nat Med 2023;29:2909-2918",
   "url": "https://glp1tirzepatiderx.com/science/surmount-3/"
  },
  {
   "slug": "surmount-2",
   "name": "SURMOUNT-2",
   "year": 2023,
   "evidence_grade": 60,
   "grade_label": "Moderate",
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    "blinded": true,
    "comparator": false,
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    "duration": true,
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    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 938,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04657003",
   "question": "Tirzepatide for obesity in adults who also have type 2 diabetes.",
   "citation": "Lancet 2023;402:613-626",
   "url": "https://glp1tirzepatiderx.com/science/surmount-2/"
  },
  {
   "slug": "attain-1",
   "name": "ATTAIN-1",
   "year": 2026,
   "evidence_grade": 70,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
    "size": true,
    "duration": true,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 3127,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "orforglipron",
   "registration": "NCT05869903",
   "question": "Oral small-molecule GLP-1 (orforglipron) for weight management.",
   "citation": "N Engl J Med 2025 / FDA approval April 2026",
   "url": "https://glp1tirzepatiderx.com/science/attain-1/"
  },
  {
   "slug": "step-1",
   "name": "STEP-1",
   "year": 2021,
   "evidence_grade": 70,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
    "size": true,
    "duration": true,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 1961,
   "endpoint_type": "surrogate",
   "sponsor": "Novo Nordisk",
   "industry_funded": true,
   "drug": "semaglutide",
   "registration": "NCT03548935",
   "question": "Semaglutide 2.4 mg for weight management without diabetes.",
   "citation": "N Engl J Med 2021;384:989-1002",
   "url": "https://glp1tirzepatiderx.com/science/step-1/"
  },
  {
   "slug": "select",
   "name": "SELECT",
   "year": 2023,
   "evidence_grade": 85,
   "grade_label": "High",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
    "size": true,
    "duration": true,
    "endpoint": true,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 17604,
   "endpoint_type": "events",
   "sponsor": "Novo Nordisk",
   "industry_funded": true,
   "drug": "semaglutide",
   "registration": "NCT03574597",
   "question": "Does semaglutide reduce cardiovascular events in people with obesity but without diabetes?",
   "citation": "N Engl J Med 2023;389:2221-2232",
   "url": "https://glp1tirzepatiderx.com/science/select/"
  },
  {
   "slug": "step-8",
   "name": "STEP-8",
   "year": 2022,
   "evidence_grade": 55,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": false,
    "comparator": true,
    "size": false,
    "duration": true,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "open",
   "comparator": "active",
   "participants": 338,
   "endpoint_type": "surrogate",
   "sponsor": "Novo Nordisk",
   "industry_funded": true,
   "drug": "semaglutide",
   "registration": "NCT03611582",
   "question": "Semaglutide 2.4 mg vs liraglutide 3.0 mg.",
   "citation": "JAMA 2022;327:138-150",
   "url": "https://glp1tirzepatiderx.com/science/step-8/"
  },
  {
   "slug": "gip-mechanism",
   "name": "GIP receptor pharmacology",
   "year": 2025,
   "evidence_grade": 5,
   "grade_label": "Low",
   "grade_inputs": {
    "randomised": false,
    "blinded": false,
    "comparator": false,
    "size": false,
    "duration": false,
    "endpoint": false,
    "registered": false,
    "independent": true
   },
   "blinding": "none",
   "comparator": "none",
   "participants": null,
   "endpoint_type": "surrogate",
   "sponsor": "Various",
   "industry_funded": false,
   "drug": "tirzepatide",
   "registration": "\u2014",
   "question": "Why does adding GIP agonism to GLP-1 agonism produce more weight loss?",
   "citation": "Reviews in Cell Metab / Nat Rev Endocrinol 2023\u20132025",
   "url": "https://glp1tirzepatiderx.com/science/gip-mechanism/"
  },
  {
   "slug": "surpass-1",
   "name": "SURPASS-1",
   "year": "2021",
   "evidence_grade": 45,
   "grade_label": "Limited",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
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    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 478,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT03954834",
   "question": "Does tirzepatide alone control blood glucose in type 2 diabetes not already on medication?",
   "citation": "Lancet 2021;398:143-155",
   "url": "https://glp1tirzepatiderx.com/science/surpass-1/"
  },
  {
   "slug": "surpass-3",
   "name": "SURPASS-3",
   "year": "2021",
   "evidence_grade": 65,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": false,
    "comparator": true,
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    "duration": true,
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    "registered": true,
    "independent": false
   },
   "blinding": "open",
   "comparator": "active",
   "participants": 1444,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT03882970",
   "question": "How does tirzepatide compare with basal insulin added to metformin?",
   "citation": "Lancet 2021;398:583-598",
   "url": "https://glp1tirzepatiderx.com/science/surpass-3/"
  },
  {
   "slug": "surpass-4",
   "name": "SURPASS-4",
   "year": "2021",
   "evidence_grade": 65,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": false,
    "comparator": true,
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    "duration": true,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "open",
   "comparator": "active",
   "participants": 2002,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT03730662",
   "question": "Is tirzepatide safe and effective in people with type 2 diabetes at high cardiovascular risk?",
   "citation": "Lancet 2021;398:1811-1824",
   "url": "https://glp1tirzepatiderx.com/science/surpass-4/"
  },
  {
   "slug": "surpass-j-mono",
   "name": "SURPASS J-mono",
   "year": "2022",
   "evidence_grade": 70,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": true,
    "size": false,
    "duration": true,
    "endpoint": false,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "active",
   "participants": 636,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT03861052",
   "question": "Does tirzepatide work the same way in a Japanese population?",
   "citation": "Lancet Diabetes Endocrinol 2022;10:623-633",
   "url": "https://glp1tirzepatiderx.com/science/surpass-j-mono/"
  },
  {
   "slug": "tirzepatide-cv-meta",
   "name": "Tirzepatide cardiovascular meta-analysis",
   "year": "2022",
   "evidence_grade": 95,
   "grade_label": "High",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": true,
    "size": true,
    "duration": true,
    "endpoint": true,
    "registered": true,
    "independent": false
   },
   "blinding": "double",
   "comparator": "active",
   "participants": 13000,
   "endpoint_type": "events",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "Not applicable \u2014 pre-specified meta-analysis of registered trials",
   "question": "Does tirzepatide increase cardiovascular risk across the trial programme?",
   "citation": "Nat Med 2022;28:591-598",
   "url": "https://glp1tirzepatiderx.com/science/tirzepatide-cv-meta/"
  },
  {
   "slug": "time-to-plateau",
   "name": "Time to weight plateau (SURMOUNT-1 and -4 analysis)",
   "year": "2025",
   "evidence_grade": 70,
   "grade_label": "Moderate",
   "grade_inputs": {
    "randomised": true,
    "blinded": true,
    "comparator": false,
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   },
   "blinding": "double",
   "comparator": "placebo",
   "participants": 2539,
   "endpoint_type": "surrogate",
   "sponsor": "Eli Lilly and Company",
   "industry_funded": true,
   "drug": "tirzepatide",
   "registration": "NCT04184622 and NCT04660643",
   "question": "When does weight loss on tirzepatide actually stop?",
   "citation": "Clin Obes 2025",
   "url": "https://glp1tirzepatiderx.com/science/time-to-plateau/"
  }
 ]
}