4 ms·

That works out to something like $30-100 a month for most households. A bit disappointing for those hoping the savings on food would pay for the drug at the cur

by tzs 10mo ago

That works out to something like $30-100 a month for most households. A bit disappointing for those hoping the savings on food would pay for the drug at the current drug prices.

jasongill 10mo ago
The cash-payer (no insurance) price of GLP-1's has fallen by about 70% since I started on them 18 months ago, from around $1100/mo to $350/mo, for brand-name non-compounded (Ozempic, Zepbound, etc). Many people also stretch that 1 month supply to last longer, as well (eg "click counting"). Not to say that it's cheap, but they are no longer the high-priced drugs only for the glitterati that you may be thinking.
- toomuchtodo 10mo ago
  n=1, I pay $300/month for 2.5mg of Zepbound (tirzepatide) for cash pay direct via http://lilly.com/ http://lilly.com/, shipped to my door. (no affiliation, I just like the drug)
  - kube-system 10mo ago
    LillyDirect is $400-450 for standard doses though. 2.5mg is just a starter and most people should be off of that dose pretty soon after they start. FWIW tirzepatide is the more expensive of the GLP1s right now.
    - rootusrootus 10mo ago
      > FWIW tirzepatide is the more expensive of the GLP1s right now. That's not surprising, it is the most effective -- for now. On the gray market, reta is even more expensive than tirz, and also more effective. I expect it will be the most expensive at retail, as well, and I hope that the net effect is to make tirz more affordable.
  - deleted 10mo ago
    [deleted]
- zahlman 10mo ago
  > The cash-payer (no insurance) price of GLP-1's has fallen by about 70% since I started on them 18 months ago, from around $1100/mo to $350/mo My total food bill is still a fraction of that.
  - mrmuagi 10mo ago
    You are spending a fraction of $350/mo on food? I'm actually interested in learning more...
    - zahlman 10mo ago
      About $6/day, Canadian. Only for myself. Not counting energy costs. The core of it is the stuff you'd expect, at least if you remember older stereotypes of the diets of the poor. But it doesn't have to be just the things that would drive you mad. There's room for quite a bit of variety, really. In fact, there's room to eat out sometimes at my current price level. I buy a lot of dry food (naturally dry or dehydrated in processing) in bulk: flour, rice, dried fruit (carefully portioned out), legumes (split peas and kidney beans are what I like; I could get others if I wanted), skim milk powder (many culinary uses). Mostly frozen meat (not pre-made things in boxes), or ground meat that I buy in quantity and freeze. Boring old generic cheese in the full-sized bars, not sliced or shredded and definitely not the plastic crap. (I really should get eggs more often. Even at regular prices, which have nearly doubled since 2020 for the most basic offering, they're still reasonably priced for what you get.) Not a whole lot of fresh vegetables, or rather, just starchy ones like carrots and potatoes when they go on sale. I drink tea that I make myself (I haven't crunched the numbers but I assume homemade drip coffee is comparable). I don't buy pop (er, "soda") and my selection of snack foods is quite limited: generally bottom-shelf generic-brand cookies and biscuits (even then I shop around) and sometimes generic-brand potato chips. I used to get generic-brand ice cream sometimes but those prices have gone way out of control. And I read the flyers.
      - wasabi991011 10mo ago
        Thanks for sharing, this is useful advice for a fellow Canadian. If you don't mind me asking follow-ups: Can I hear more about the frozen meat? I usually go for chicken thighs or pork (almost always one is on sale), it's about 8-9cad/kg. What's your cuts of frozen meat, and price point? Also, no frozen nor canned veggies in your budget? And finally, can you describe your typical breakfasts, lunchs, and suppers? You say it's "what you'd expect", but I grew up affluent and only recently going through a budget crunch so I don't really have any reference for what to expect. Cheers.
buellerbueller 10mo ago
While you might be right in what you have presented, your calculation of the total savings is not including reduced medical spending.
jjk166 10mo ago
I mean considering most drugs don't result in any cost savings on routine household spending, that's still pretty welcome.

by tzs 10mo ago

That works out to something like $30-100 a month for most households. A bit disappointing for those hoping the savings on food would pay for the drug at the current drug prices.

jasongill 10mo ago

The cash-payer (no insurance) price of GLP-1's has fallen by about 70% since I started on them 18 months ago, from around $1100/mo to $350/mo, for brand-name non-compounded (Ozempic, Zepbound, etc). Many people also stretch that 1 month supply to last longer, as well (eg "click counting"). Not to say that it's cheap, but they are no longer the high-priced drugs only for the glitterati that you may be thinking.

toomuchtodo 10mo ago
n=1, I pay $300/month for 2.5mg of Zepbound (tirzepatide) for cash pay direct via http://lilly.com/ http://lilly.com/, shipped to my door. (no affiliation, I just like the drug)
- kube-system 10mo ago
  LillyDirect is $400-450 for standard doses though. 2.5mg is just a starter and most people should be off of that dose pretty soon after they start. FWIW tirzepatide is the more expensive of the GLP1s right now.
  - rootusrootus 10mo ago
    > FWIW tirzepatide is the more expensive of the GLP1s right now. That's not surprising, it is the most effective -- for now. On the gray market, reta is even more expensive than tirz, and also more effective. I expect it will be the most expensive at retail, as well, and I hope that the net effect is to make tirz more affordable.
- deleted 10mo ago
  [deleted]
zahlman 10mo ago
> The cash-payer (no insurance) price of GLP-1's has fallen by about 70% since I started on them 18 months ago, from around $1100/mo to $350/mo My total food bill is still a fraction of that.
- mrmuagi 10mo ago
  You are spending a fraction of $350/mo on food? I'm actually interested in learning more...
  - zahlman 10mo ago
    About $6/day, Canadian. Only for myself. Not counting energy costs. The core of it is the stuff you'd expect, at least if you remember older stereotypes of the diets of the poor. But it doesn't have to be just the things that would drive you mad. There's room for quite a bit of variety, really. In fact, there's room to eat out sometimes at my current price level. I buy a lot of dry food (naturally dry or dehydrated in processing) in bulk: flour, rice, dried fruit (carefully portioned out), legumes (split peas and kidney beans are what I like; I could get others if I wanted), skim milk powder (many culinary uses). Mostly frozen meat (not pre-made things in boxes), or ground meat that I buy in quantity and freeze. Boring old generic cheese in the full-sized bars, not sliced or shredded and definitely not the plastic crap. (I really should get eggs more often. Even at regular prices, which have nearly doubled since 2020 for the most basic offering, they're still reasonably priced for what you get.) Not a whole lot of fresh vegetables, or rather, just starchy ones like carrots and potatoes when they go on sale. I drink tea that I make myself (I haven't crunched the numbers but I assume homemade drip coffee is comparable). I don't buy pop (er, "soda") and my selection of snack foods is quite limited: generally bottom-shelf generic-brand cookies and biscuits (even then I shop around) and sometimes generic-brand potato chips. I used to get generic-brand ice cream sometimes but those prices have gone way out of control. And I read the flyers.
    - wasabi991011 10mo ago
      Thanks for sharing, this is useful advice for a fellow Canadian. If you don't mind me asking follow-ups: Can I hear more about the frozen meat? I usually go for chicken thighs or pork (almost always one is on sale), it's about 8-9cad/kg. What's your cuts of frozen meat, and price point? Also, no frozen nor canned veggies in your budget? And finally, can you describe your typical breakfasts, lunchs, and suppers? You say it's "what you'd expect", but I grew up affluent and only recently going through a budget crunch so I don't really have any reference for what to expect. Cheers.

buellerbueller 10mo ago

While you might be right in what you have presented, your calculation of the total savings is not including reduced medical spending.

jjk166 10mo ago

I mean considering most drugs don't result in any cost savings on routine household spending, that's still pretty welcome.