By In Maryland, Gentle Health can evaluate adults for Zepbound online, but our practice does not supply the medicine. A doctor reviews the request and chooses whether to prescribe; video visits and messaging are included in our care. A qualifying prescription is sent to LillyDirect Pharmacy for a separate purchase. The doctor’s fee is $28 each month only after prescribing. Not every evaluation results in a prescription.
What online providers charge for Zepbound care in Maryland
Zepbound’s self-pay price is set by LillyDirect, so the medicine costs the same whichever provider prescribes it. What differs is the provider’s fee for the doctor’s care. These national telehealth providers name Zepbound on their own sites; fees are as published there, opened October 19–23, 2026, showing the ongoing price rather than any first-month offer. Availability can differ by state, so confirm that a provider serves Maryland before you sign up.
| Provider | Care fee | Commitment | Insurance or prior-authorization help |
|---|---|---|---|
| Gentle Health | $28/month, charged once the doctor writes the prescription | none; cancel any time | no |
| Counsel Health | $29 per visit, or $300 a year ($25 a month) for unlimited visits; labs extra | none per visit; the annual plan is prepaid | no |
| General Medicine | $25 typical visit copay with insurance; self-pay visit price not published | no subscription | takes insurance, including Medicare and Medicaid |
| Amazon One Medical | $39 per message visit or $59 per video visit | no membership | no prior-authorization support |
| Mochi Health | $79/month, or $49/month prepaid for a year | month to month, or prepaid | yes |
| Sesame | $99/month, or $59/month on a 12-month commitment | month to month, or 12 months | yes |
| WeightWatchers | $84/month on a 6-month plan, $74/month on a 12-month plan | 6 or 12 months, auto-renews | yes |
| Ro | $149/month; $99, $89 or $74/month prepaid for 3, 6 or 12 months | month to month, or prepaid | yes |
| Hims & Hers | $149/month after a $39 first month | multi-month plans, prices not published | not checked |
| Calibrate | $199/month | 3-month minimum | yes |
| PlushCare | $19.99 membership plus a $129 first visit self-pay | not stated | yes |
| Knownwell | self-pay $299 first visit, $149 follow-up | not stated | yes |
Prices change often, so check each provider’s site before you sign up. Gentle Health publishes this comparison and appears in it; it compares published prices only, not the quality of anyone’s care. The full table, with the maker prices alongside, is in what online providers charge to prescribe Zepbound, Wegovy and Foundayo.
The Maryland evaluation
In Maryland, a licensed physician reviews your medical intake online and decides whether a video visit is needed. You can ask for a video visit. The doctor considers your medical history, other medicines and the Zepbound label before deciding; an online form alone does not establish that the medicine is right for you in Maryland. Gentle Health serves adults 18 and older.
James Simmons, MD, holds Maryland medical license D0107726. Check that number with the Maryland Board of Physicians before you start. Our service covers eligible adults in Baltimore, Columbia, Germantown, Silver Spring and other communities in Maryland; the Maryland Zepbound service page has the local service details.
Zepbound vial and KwikPen prices for Maryland
Start with the four-week supply when comparing Zepbound prices in Maryland. LillyDirect listed 2.5 mg at $299 and 5 mg at $399 on October 19, 2026, for both its vial and KwikPen. The $449 tier for 7.5–15 mg depends on buying the next refill within 45 days; without it, prices rise to $499 at 7.5 mg or $699 at 10–15 mg. LillyDirect explains the 28-day terms.
Gentle Health provides the prescription evaluation and follow-up, not the Zepbound product. Our fee is $28 per month for Maryland patients after prescribing; the pharmacy charges for the medicine separately. Messages and video care are included, without advance payment, an extra visit fee or a minimum term. You can cancel at any time. Needles or syringes are bought separately.
A Zepbound vial supplies one weekly dose, which the Maryland patient draws with a separate needle and syringe. The KwikPen contains four weekly doses but needs a fresh pen needle for each. LillyDirect lists the same self-pay ladder for both devices. Our practice does not prescribe the insurance-route single-dose autoinjector. Compare preparation steps in the vial and KwikPen guide.
Insurance and public-program choices in Maryland
For Maryland patients with commercial coverage, the relevant comparison is the plan’s actual Zepbound copay and rules versus self-pay. Ask whether the prescribed form is covered and which pharmacy must fill it. We provide self-pay doctor care and do not handle the insurance claim or prior authorization.
Maryland Medicaid’s April 2026 fiscal note says Zepbound may be covered for qualifying obstructive sleep apnea, not obesity alone. State program source. Check your own plan’s current criteria; a manufacturer’s cash price does not establish Medicaid coverage or reimbursement.
Medicare eligibility is not the same as paying our cash price. CMS describes a GLP-1 Bridge running from July 1, 2026, to December 31, 2027, for beneficiaries who meet its clinical and plan-approval requirements. For weight management it lists Zepbound KwikPen, not the vial with a $50 copay. Maryland patients should confirm approval with their plan; the CMS provider explanation was updated August 6, 2026.
The prescription and refill path in Maryland
For Zepbound, the pharmacy handoff happens after the doctor prescribes, not when a Maryland patient starts an intake. LillyDirect’s dispensing partner contacts you using your phone or email for checkout. Allow at least 3–5 business days for verification; Lilly says most checked-out orders ship 1–4 days later and delivery is free. Timing varies (LillyDirect FAQ); our online Zepbound guide explains the process.
The price at Zepbound’s higher strengths can change even if the dose does not. To retain $449 at 7.5–15 mg, the next purchase must happen within 45 days after the last delivery. Missing it raises a fill by $50 at 7.5 mg or $250 at 10–15 mg for a Maryland buyer. The doctor must write a fresh order for any dose adjustment; our guide covers the handoff.
Zepbound is FDA-approved for adult weight management under the conditions in its prescribing information. For a Maryland patient, the doctor also checks contraindications, including personal or family history of medullary thyroid carcinoma or MEN2. The 2.5 mg dose is a starting dose, not a maintenance dose. Gentle Health is not affiliated with Eli Lilly.
Other treatment routes in Maryland
Our Maryland GLP-1 guide discusses compounded treatment separately. Compounded tirzepatide is not FDA-approved and is not a generic or equivalent version of Zepbound.
Frequently asked questions
Can I start Zepbound care online in Maryland? In Maryland, a licensed physician reviews your medical intake online and decides whether a video visit is needed. The doctor decides whether to prescribe; approval is not automatic.
Where can I verify the Maryland doctor? Look up James Simmons, MD, license D0107726, through the Maryland Board of Physicians.
What does Zepbound cost before our care fee? As of October 19, 2026, LillyDirect lists $299 for the four-week 2.5 mg starting supply. Gentle Health doctor care is $28 a month on top.
How does the 45-day refill offer work? At 7.5–15 mg, the $449 price requires the next purchase within 45 days after the prior delivery; otherwise the regular dose price applies.
Does Gentle Health bill insurance for Zepbound? No. We provide self-pay doctor care; you purchase Zepbound from LillyDirect. Ask your plan whether another route costs less.
Dr. James Simmons, MD