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If you have Kaiser and want Zepbound, your best self-pay options are: LillyDirect at $299-449/month, TrumpRx.gov at ~$346/month (launched Feb 2026), or Foundayo (oral GLP-1, ~$149/month, approved April 2026)

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The practical choices break down into two distinct routines: The Daily Tablet Routine: Oral semaglutide tablets require a strict morning schedule