{
  "about": "Every figure on https://evo.med/product-reviews/tirzepatide-suppliers/, with the source it came from. Nothing here is inferred; anything we could not establish is null.",
  "page": "https://evo.med/product-reviews/tirzepatide-suppliers/",
  "capturedAt": "2026-08-18",
  "rating": {
    "name": "Evo Rating",
    "maxScore": 5,
    "components": [
      {
        "component": "Real monthly cost",
        "max": 2.5,
        "describe": "What a month at a 10 mg maintenance dose actually costs, including any mandatory membership and counting how many times a year you are really billed — not the advertised starting price."
      },
      {
        "component": "What is in the syringe",
        "max": 1.5,
        "describe": "The FDA-approved drug scores full marks. A compounded product scores by what it is mixed with and whether that is disclosed at all."
      },
      {
        "component": "Easy to leave",
        "max": 0.75,
        "describe": "Four things you only find out later: cancel without a phone call, refunds on prepaid months you did not use, a price that survives dose escalation, and the advertised rate without prepaying a block."
      },
      {
        "component": "Price published up front",
        "max": 0.25,
        "describe": "Is the dose-by-dose price readable before you hand over your medical history?"
      }
    ],
    "cap": {
      "value": 2.5,
      "appliesWhen": "The provider does not disclose what is in its compounded product.",
      "why": "Cheapness may move a provider within its tier. It must never move it between tiers."
    },
    "note": "This is NOT the Evo Trust Score used on the retatrutide and BPC-157 tables, which measures whether a seller's claims can be verified at all. Tirzepatide is an approved drug, so this rating measures cost, contents and friction instead. The two are not comparable."
  },
  "licence": "Free to reuse with attribution to Evo (https://evo.med).",
  "excluded": [
    {
      "name": "Fifty 410",
      "domain": "fifty410.com",
      "letterUrl": "https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/aspen-aesthetics-dba-fifty-410-721481-02202026",
      "reason": "FDA warning letter, 20 February 2026, over claims for its compounded semaglutide and tirzepatide. The letter names fifty410.com."
    },
    {
      "name": "Ivim Health",
      "domain": "ivimhealth.com",
      "letterUrl": "https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/ivim-services-llc-dba-ivim-721816-02202026",
      "reason": "FDA warning letter, 20 February 2026, over claims for its compounded semaglutide and tirzepatide. The letter names ivimhealth.com."
    },
    {
      "name": "Remedy Meds",
      "domain": "remedymeds.com",
      "letterUrl": "https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/remedy-meds-716830-09092025",
      "reason": "FDA warning letter, 9 September 2025, over claims concerning its compounded semaglutide and tirzepatide. The letter names remedymeds.com."
    },
    {
      "name": "Eden",
      "domain": "tryeden.com",
      "letterUrl": "https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/eden-health-international-inc-dba-eden-728279-06082026",
      "reason": "FDA warning letter, 8 June 2026, over its website's claims for compounded semaglutide and tirzepatide. The letter names tryeden.com."
    },
    {
      "name": "MEDVi",
      "domain": "medvi.com",
      "letterUrl": null,
      "reason": "FDA warning letter, 20 February 2026. Considered as a replacement and rejected for the same reason."
    },
    {
      "name": "IsraelPharm",
      "domain": "israelpharm.com",
      "reason": "Ships from outside the United States, so a different regulatory regime applies."
    },
    {
      "name": "Henry Meds",
      "domain": "henrymeds.com",
      "reason": "Advertises GLP-1 treatment from $179/month but no tirzepatide product could be found on the site."
    },
    {
      "name": "Mochi Health",
      "domain": "mochihealth.com",
      "reason": "Site could not be reached from here at capture."
    },
    {
      "name": "Zealthy",
      "domain": "zealthy.com",
      "reason": "Site could not be reached from here at capture."
    },
    {
      "name": "Adipogen",
      "domain": "adipogen.com",
      "reason": "Sells tirzepatide as a laboratory reagent, not for human use."
    }
  ],
  "providers": [
    {
      "name": "LillyDirect",
      "domain": "lilly.com",
      "visibilityRank": 1,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.lilly.com/lillydirect/zepbound"
      },
      "tier": "brand",
      "pharmacy": "Eli Lilly (manufacturer)",
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 299,
          "fillsPerYear": 13.04,
          "membership": null,
          "note": "2.5 mg is a starting dose and is not approved as a maintenance dose.",
          "effectiveMonthly": 324.9133333333333
        },
        "maintenance": {
          "perFill": 449,
          "fillsPerYear": 13.04,
          "membership": null,
          "note": "$449 only if the prescription is refilled within 45 days. Miss that window and 10 mg is $699. A month is defined as 28 days, so this bills about 13 times a year, not 12.",
          "effectiveMonthly": 487.91333333333336
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": null,
        "priceHeldAtEscalation": false,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "The benchmark: the approved drug from the manufacturer, no membership and no prepay. The 45-day refill cliff is the only trap, and it is a $250 one.",
      "evoRating": {
        "total": 2.92,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.8,
            "max": 2.5,
            "reason": "About $488 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.375,
            "max": 0.75,
            "reason": "Offers cancel without a phone call, advertised rate without prepaying a block. Does not: price held as the dose escalates. Not stated: refunds unused prepaid months."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Walgreens",
      "domain": "walgreens.com",
      "visibilityRank": 2,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.walgreens.com/topic/virtual-healthcare/weight-loss/zepbound.jsp"
      },
      "tier": "brand",
      "pharmacy": "Walgreens",
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 299,
          "fillsPerYear": 13.04,
          "membership": null,
          "note": null,
          "effectiveMonthly": 324.9133333333333
        },
        "maintenance": {
          "perFill": 449,
          "fillsPerYear": 13.04,
          "membership": null,
          "note": "The Lilly self-pay programme filled at Walgreens, and that programme defines a month as 28 days. Walgreens' own page does not say so.",
          "effectiveMonthly": 487.91333333333336
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": null,
        "priceHeldAtEscalation": false,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Visits are billed separately at $49 for the first and $49 for each follow-up. No subscription.",
      "evoRating": {
        "total": 2.92,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.8,
            "max": 2.5,
            "reason": "About $488 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.375,
            "max": 0.75,
            "reason": "Offers cancel without a phone call, advertised rate without prepaying a block. Does not: price held as the dose escalates. Not stated: refunds unused prepaid months."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "TrumpRx",
      "domain": "trumprx.gov",
      "visibilityRank": 3,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://trumprx.gov/p/zepbound"
      },
      "tier": "brand",
      "pharmacy": "Routes to LillyDirect",
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": null,
          "membership": null,
          "note": "The federal site advertises 'up to 72% off' and does not publish a price for any dose. Its own page states that Eli Lilly manages all Zepbound vial orders through LillyDirect.",
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": null,
          "membership": null,
          "note": "No price is published here. You are handed to LillyDirect, so the figure you actually pay is the LillyDirect one in the row above — including the 45-day refill condition.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 1,
        "publishedBeforeIntake": false,
        "gap": "referral"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Included because a lot of people now start here, and the useful thing to know is that it is a front door rather than a pharmacy. It sets no price of its own, and eligibility is deferred to Lilly's terms — reporting through 2026 has consistently described the GLP-1 discounts as unavailable to anyone on government or federally funded drug coverage, so check before assuming it applies to you.",
      "evoRating": {
        "total": 1.69,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Alloy",
      "domain": "myalloy.com",
      "visibilityRank": 4,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.myalloy.com/solutions/compounded-tirzepatide"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": null,
        "disclosed": false
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 100,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 99,
            "label": "Alloy Weight Care"
          },
          "note": "The $100 headline is medication only. Alloy Weight Care is $99/month on top and is not optional, so the real starting cost is $199.",
          "effectiveMonthly": 199
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 99,
            "label": "Alloy Weight Care"
          },
          "note": "No price published for 10 mg — the page says only 'starting at $100'.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 1,
        "publishedBeforeIntake": false,
        "gap": "behind-intake"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": [
        "AL",
        "AR",
        "CA",
        "NV",
        "LA",
        "MS",
        "DC"
      ],
      "notes": "Ranked top three on five of the six buying queries we measured, on a $100 price that is really $199.",
      "evoRating": {
        "total": 0.19,
        "outOf": 5,
        "capped": false,
        "cappedBecause": "the provider does not disclose what is in its compounded product",
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose medication price is published. The Alloy Weight Care is $99 a month on top of whatever the drug costs."
          },
          {
            "component": "What is in the syringe",
            "points": 0,
            "max": 1.5,
            "reason": "The provider does not say what its compounded product contains."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Ro",
      "domain": "ro.co",
      "visibilityRank": 5,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://ro.co/weight-loss/zepbound/"
      },
      "tier": "brand",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 299,
          "fillsPerYear": 13.04,
          "membership": {
            "perMonth": 74,
            "label": "Ro Body membership"
          },
          "note": "The $74 membership is the prepaid rate; it is higher month to month.",
          "effectiveMonthly": 398.9133333333333
        },
        "maintenance": {
          "perFill": 449,
          "fillsPerYear": 13.04,
          "membership": {
            "perMonth": 74,
            "label": "Ro Body membership"
          },
          "note": "Publishes the whole Lilly ladder, including what happens if you miss the 45-day window: $499 for a 7.5 mg refill and $699 for 10, 12.5 and 15 mg. The membership is charged on top.",
          "effectiveMonthly": 561.9133333333334
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": null,
        "priceHeldAtEscalation": false,
        "noForcedPrepay": false
      },
      "statesExcluded": null,
      "notes": "The most honest pricing page of any reseller here: it publishes the penalty prices its own supplier buries in a footnote.",
      "evoRating": {
        "total": 2.34,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.4,
            "max": 2.5,
            "reason": "About $562 a month all in at 10 mg, including the Ro Body membership."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers cancel without a phone call. Does not: price held as the dose escalates, advertised rate without prepaying a block. Not stated: refunds unused prepaid months."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Sesame",
      "domain": "sesamecare.com",
      "visibilityRank": 6,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://sesamecare.com/medication/tirzepatide"
      },
      "tier": "brand",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 399,
          "fillsPerYear": 12,
          "membership": null,
          "note": null,
          "effectiveMonthly": 399
        },
        "maintenance": {
          "perFill": 449,
          "fillsPerYear": 12,
          "membership": null,
          "note": "$399/mo for 5 mg, $449/mo for all other doses.",
          "effectiveMonthly": 449
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Publishes LillyDirect's cash prices openly on its own page, which is more transparency about someone else than most compounders manage about themselves.",
      "evoRating": {
        "total": 2.74,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.8,
            "max": 2.5,
            "reason": "About $449 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Pomegranate Health",
      "domain": "joinpomegranate.com",
      "visibilityRank": 7,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://joinpomegranate.com/pricing"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": "B6",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 149,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Listed as 'Tirzepatide + Pyridoxine (B6)' at $149/month on the Starter tier.",
          "effectiveMonthly": 149
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "The $149 rate is the Starter tier; no price is published for a maintenance dose.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": true,
        "gap": "starting-at-only"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "One of the few that names its additive in the product title rather than in the small print.",
      "evoRating": {
        "total": 1.19,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0.75,
            "max": 1.5,
            "reason": "Compounded with B6, disclosed on the product page."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Brello",
      "domain": "brellohealth.com",
      "visibilityRank": 8,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.brellohealth.com/product/tirzepatide-b6"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": "B6",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 499,
          "fillsPerYear": 4.73,
          "membership": null,
          "note": "Advertised as $166/month. It is $499 billed today, then $499 every 11 weeks — not every 12 — so it renews about 4.7 times a year rather than 4.",
          "effectiveMonthly": 196.6891666666667
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 4.73,
          "membership": null,
          "note": "No dose-specific pricing published.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 3,
        "publishedBeforeIntake": false,
        "gap": "behind-intake"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": false,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": false
      },
      "statesExcluded": null,
      "notes": "If the health review declines you, the refund is your payment minus a $50 professional fee.",
      "evoRating": {
        "total": 0.75,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0.75,
            "max": 1.5,
            "reason": "Compounded with B6, disclosed on the product page."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Does not: refunds unused prepaid months, advertised rate without prepaying a block. Not stated: cancel without a phone call, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Hims & Hers",
      "domain": "forhers.com",
      "visibilityRank": 9,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.forhers.com/drugs/info/tirzepatide"
      },
      "tier": "brand",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": null,
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Every request from here answers HTTP 403, including from a real browser session, so nothing could be established either way.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": false,
        "gap": "blocked"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": null
      },
      "statesExcluded": null,
      "notes": "The row is deliberately blank rather than guessed.",
      "evoRating": {
        "total": 1.5,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates, advertised rate without prepaying a block."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "WeightWatchers",
      "domain": "weightwatchers.com",
      "visibilityRank": 10,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.weightwatchers.com/us/weight-loss-medication/tirzepatide"
      },
      "tier": "brand",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 349,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 74,
            "label": "Med+ membership"
          },
          "note": "Self-pay Zepbound single-dose vial from $349/month, plus membership: $25 for the first month, then $74/month on the 12-month plan or $84 on the 6-month.",
          "effectiveMonthly": 423
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 74,
            "label": "Med+ membership"
          },
          "note": "The $349 figure is 'starting at'; no maintenance-dose price is published.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 6,
        "publishedBeforeIntake": false,
        "gap": "starting-at-only"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": false
      },
      "statesExcluded": null,
      "notes": "The $25 first month requires a 6- or 12-month plan and renews at full rate unless cancelled.",
      "evoRating": {
        "total": 1.5,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose medication price is published. The Med+ membership is $74 a month on top of whatever the drug costs."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Does not: advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "ShedRx",
      "domain": "shedrx.com",
      "visibilityRank": 11,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://shedrx.com/pricing"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": "B12",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 349,
          "fillsPerYear": 12,
          "membership": null,
          "note": "The pricing page says compounded tirzepatide starts at $349/month. The home page advertises 'as low as $239/mo', which is a promotional rate we could not reproduce at the pricing page.",
          "effectiveMonthly": 349
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "No dose-specific pricing published.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": true,
        "gap": "starting-at-only"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Two different starting prices on two pages of the same site: $239 on the home page, $349 on the pricing page. A third figure, $229, appears in the page data at /tirzepatide but belongs to its GLP-1 liquid drops rather than to tirzepatide, which is the kind of thing that turns into a wrong number if you scrape without reading.",
      "evoRating": {
        "total": 0.84,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0.4,
            "max": 1.5,
            "reason": "Compounded with B12. B12 analogs are the combination shown to react with tirzepatide and form a novel impurity."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "PlexusDx",
      "domain": "plexusdx.com",
      "visibilityRank": 12,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://plexusdx.com/products/tirzepatide-injection"
      },
      "tier": "compounded",
      "pharmacy": "503A",
      "product": {
        "additive": "B12",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 289,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Month-to-month rate; lower on longer commitment tiers.",
          "effectiveMonthly": 289
        },
        "maintenance": {
          "perFill": 289,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Flat across every dose from 2.5 mg to 15 mg — the site's own line is 'Doses go up. Your price won't.'",
          "effectiveMonthly": 289
        },
        "flatDose": true,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": null,
        "priceHeldAtEscalation": true,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Also publishes affiliate-style 'best provider' roundups that rank its own product, which is worth knowing if you meet one in search results.",
      "evoRating": {
        "total": 2.81,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 1.6,
            "max": 2.5,
            "reason": "About $289 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 0.4,
            "max": 1.5,
            "reason": "Compounded with B12. B12 analogs are the combination shown to react with tirzepatide and form a novel impurity."
          },
          {
            "component": "Easy to leave",
            "points": 0.5625,
            "max": 0.75,
            "reason": "Offers cancel without a phone call, price held as the dose escalates, advertised rate without prepaying a block. Not stated: refunds unused prepaid months."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Vitastir",
      "domain": "vitastir.com",
      "visibilityRank": 13,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.vitastir.com/product/tirzepatide/"
      },
      "tier": "compounded",
      "pharmacy": "503A",
      "product": {
        "additive": "B12 + glycine",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 145,
          "fillsPerYear": 12,
          "membership": null,
          "note": "$145 for four 2.5 mg injections.",
          "effectiveMonthly": 145
        },
        "maintenance": {
          "perFill": 449,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Publishes the whole ladder, which almost nobody here does: 2.5 mg $145, 5 mg $299, 7.5 mg $399, 10 mg $449, 12.5 mg $499, 15 mg $599. Shipping is charged separately at about $22.",
          "effectiveMonthly": 449
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": false,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "The only compounder here that publishes a price for every dose, and it shows the usual pattern: cheap to start, level with the brand by maintenance.",
      "evoRating": {
        "total": 1.64,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.8,
            "max": 2.5,
            "reason": "About $449 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 0.4,
            "max": 1.5,
            "reason": "Compounded with B12 + glycine. B12 analogs are the combination shown to react with tirzepatide and form a novel impurity."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Does not: price held as the dose escalates. Not stated: cancel without a phone call, refunds unused prepaid months."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Shapely",
      "domain": "getshapely.com",
      "visibilityRank": 14,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.getshapely.com/weightloss/medications/tirzepatide"
      },
      "tier": "rx-only",
      "pharmacy": null,
      "product": {
        "additive": null,
        "disclosed": false
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 99,
            "label": "Shapely membership"
          },
          "note": "$99/month membership, $49 for the first. Medication is explicitly not included.",
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": {
            "perMonth": 99,
            "label": "Shapely membership"
          },
          "note": "Medication billed separately by whichever pharmacy fills it.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 1,
        "publishedBeforeIntake": false,
        "gap": "not-sold"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "The membership buys telehealth access, not medicine. Labs are a further $75 without insurance.",
      "evoRating": {
        "total": 0.19,
        "outOf": 5,
        "capped": false,
        "cappedBecause": "the provider does not disclose what is in its compounded product",
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose medication price is published. The Shapely membership is $99 a month on top of whatever the drug costs."
          },
          {
            "component": "What is in the syringe",
            "points": 0,
            "max": 1.5,
            "reason": "The provider does not say what its compounded product contains."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Fridays",
      "domain": "joinfridays.com",
      "visibilityRank": 15,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.joinfridays.com/products/compounded-glp-1-gip-contains-tirzepatide-6-month-supply"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": null,
        "disclosed": false
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 275,
          "fillsPerYear": 12,
          "membership": null,
          "note": "$1,650 for a six-month supply, which is $275 a month, payable up front.",
          "effectiveMonthly": 275
        },
        "maintenance": {
          "perFill": 275,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Sold as a six-month block rather than by dose.",
          "effectiveMonthly": 275
        },
        "flatDose": null,
        "commitmentMonths": 6,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": false,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": false
      },
      "statesExcluded": null,
      "notes": "The six-month block is the headline offer and the page states it is non-refundable.",
      "evoRating": {
        "total": 1.85,
        "outOf": 5,
        "capped": false,
        "cappedBecause": "the provider does not disclose what is in its compounded product",
        "components": [
          {
            "component": "Real monthly cost",
            "points": 1.6,
            "max": 2.5,
            "reason": "About $275 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 0,
            "max": 1.5,
            "reason": "The provider does not say what its compounded product contains."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Does not: refunds unused prepaid months, advertised rate without prepaying a block. Not stated: cancel without a phone call, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Lavender Sky Health",
      "domain": "lavenderskyhealth.com",
      "visibilityRank": 16,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://lavenderskyhealth.com/tirzepatide"
      },
      "tier": "compounded",
      "pharmacy": "Empower and Strive, named on the site",
      "product": {
        "additive": null,
        "disclosed": false
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Prices are published as tiers of total milligrams over an 8-to-10-week supply rather than per dose, and the published tiers correspond to semaglutide dosing, so no tirzepatide figure could be read off them with confidence.",
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Same: the tier structure does not map cleanly onto a tirzepatide maintenance dose.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 2,
        "publishedBeforeIntake": true,
        "gap": "starting-at-only"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": false
      },
      "statesExcluded": null,
      "notes": "Unusually, it names the compounding pharmacies it uses — Empower and Strive — which almost nobody else does. Its pricing is detailed but structured in a way we could not translate into a per-dose figure, so those cells are blank rather than guessed.",
      "evoRating": {
        "total": 0.25,
        "outOf": 5,
        "capped": false,
        "cappedBecause": "the provider does not disclose what is in its compounded product",
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0,
            "max": 1.5,
            "reason": "The provider does not say what its compounded product contains."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Does not: advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "TrimRx",
      "domain": "trimrx.com",
      "visibilityRank": 17,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.trimrx.com/"
      },
      "tier": "compounded",
      "pharmacy": null,
      "product": {
        "additive": null,
        "disclosed": false
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 179,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Advertised as 'plans from $179/mo'; the conditions attached are not stated before intake.",
          "effectiveMonthly": 179
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "No dose-specific pricing published.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": false,
        "gap": "behind-intake"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": null
      },
      "statesExcluded": null,
      "notes": null,
      "evoRating": {
        "total": 0,
        "outOf": 5,
        "capped": false,
        "cappedBecause": "the provider does not disclose what is in its compounded product",
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0,
            "max": 1.5,
            "reason": "The provider does not say what its compounded product contains."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates, advertised rate without prepaying a block."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "CallOnDoc",
      "domain": "callondoc.com",
      "visibilityRank": 18,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.callondoc.com/en/medications/mounjaro"
      },
      "tier": "rx-only",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "$75 for the visit. The prescription is filled at a pharmacy of your choice and the drug billed there.",
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Medication is not supplied, so no maintenance price exists here.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": "not-sold"
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": false,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "A prescription service rather than a supplier: one flat $75 visit fee, stated non-refundable, no subscription.",
      "evoRating": {
        "total": 2.13,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.375,
            "max": 0.75,
            "reason": "Offers cancel without a phone call, advertised rate without prepaying a block. Does not: refunds unused prepaid months. Not stated: price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Empower Pharmacy",
      "domain": "empowerpharmacy.com",
      "visibilityRank": 19,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.empowerpharmacy.com/compounding-pharmacy/tirzepatide-niacinamide-injection/"
      },
      "tier": "compounded",
      "pharmacy": "503A",
      "product": {
        "additive": "niacinamide",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": null,
          "effectiveMonthly": null
        },
        "maintenance": {
          "perFill": null,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Dispensed only against a patient-specific prescription; no consumer price is published.",
          "effectiveMonthly": null
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": false,
        "gap": "not-sold"
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": null
      },
      "statesExcluded": null,
      "notes": "The compounding pharmacy behind other people's brands rather than a direct seller. Included because it names its additive plainly, which most of its customers' front ends do not.",
      "evoRating": {
        "total": 0.75,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0,
            "max": 2.5,
            "reason": "No maintenance-dose price is published, so the real cost could not be established."
          },
          {
            "component": "What is in the syringe",
            "points": 0.75,
            "max": 1.5,
            "reason": "Compounded with niacinamide, disclosed on the product page."
          },
          {
            "component": "Easy to leave",
            "points": 0,
            "max": 0.75,
            "reason": "Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates, advertised rate without prepaying a block."
          },
          {
            "component": "Price published up front",
            "points": 0,
            "max": 0.25,
            "reason": "Pricing is not shown until you begin an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Found",
      "domain": "joinfound.com",
      "visibilityRank": 20,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://www.joinfound.com/"
      },
      "tier": "brand",
      "pharmacy": null,
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 650,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Zepbound listed 'from $650/mo+', with the plus doing real work — Mounjaro is listed at $1,100/mo.",
          "effectiveMonthly": 650
        },
        "maintenance": {
          "perFill": 650,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Quoted as a floor rather than a dose-specific price.",
          "effectiveMonthly": 650
        },
        "flatDose": null,
        "commitmentMonths": null,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": null,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "Publishes brand prices well above what the manufacturer charges direct, which is the clearest argument on this page for checking LillyDirect first.",
      "evoRating": {
        "total": 2.34,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.4,
            "max": 2.5,
            "reason": "About $650 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.1875,
            "max": 0.75,
            "reason": "Offers advertised rate without prepaying a block. Not stated: cancel without a phone call, refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    },
    {
      "name": "Amazon Pharmacy",
      "domain": "pharmacy.amazon.com",
      "visibilityRank": 21,
      "capturedAt": "2026-08-18",
      "listing": {
        "url": "https://pharmacy.amazon.com/Eli-Lilly-ZEPBOUND-2-5-MG-0-5-ML-PEN-INJECTOR-Box-2-Milliliter/dp/B0CP9S81HY"
      },
      "tier": "brand",
      "pharmacy": "Amazon Pharmacy",
      "product": {
        "additive": "none",
        "disclosed": true
      },
      "pricing": {
        "currency": "USD",
        "start": {
          "perFill": 1113,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Retail price without insurance. Listed at $25 with insurance, which depends entirely on your plan.",
          "effectiveMonthly": 1113
        },
        "maintenance": {
          "perFill": 1113,
          "fillsPerYear": 12,
          "membership": null,
          "note": "Retail list price, not a self-pay programme rate.",
          "effectiveMonthly": 1113
        },
        "flatDose": false,
        "commitmentMonths": 1,
        "publishedBeforeIntake": true,
        "gap": null
      },
      "hassle": {
        "cancelOnline": true,
        "refundUnused": null,
        "priceHeldAtEscalation": null,
        "noForcedPrepay": true
      },
      "statesExcluded": null,
      "notes": "The retail reference point: the same approved drug at more than double LillyDirect's self-pay price if you have no insurance.",
      "evoRating": {
        "total": 2.33,
        "outOf": 5,
        "capped": false,
        "cappedBecause": null,
        "components": [
          {
            "component": "Real monthly cost",
            "points": 0.2,
            "max": 2.5,
            "reason": "About $1,113 a month all in at 10 mg."
          },
          {
            "component": "What is in the syringe",
            "points": 1.5,
            "max": 1.5,
            "reason": "The FDA-approved drug, with nothing added."
          },
          {
            "component": "Easy to leave",
            "points": 0.375,
            "max": 0.75,
            "reason": "Offers cancel without a phone call, advertised rate without prepaying a block. Not stated: refunds unused prepaid months, price held as the dose escalates."
          },
          {
            "component": "Price published up front",
            "points": 0.25,
            "max": 0.25,
            "reason": "Prices are readable without starting an intake questionnaire."
          }
        ]
      }
    }
  ]
}