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TIER 0 (20mg total) $205 total for 10 week supply Monthly cost breakdown: $82 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $240 total for 8-10 week supply Monthly cost breakdown: $96-$120 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $270 total for 8-10 week supply Monthly cost breakdown: $108-$135 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (80mg total) $300 total for 8-10 week supply Monthly cost breakdown: $120-$150 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $325 total for 8-10 week supply Monthly cost breakdown: $130-$162 based on weekly dose Recommended for those on 11mg/week and up MONTHLY PLANS Monthly Starter Dose $149 total for one month supply Recommended if new to treatment or for those on doses of 2.5mg/week or less Monthly Mid Dose $169 total for one month supply Recommended for doses up to 7.5mg/week Monthly Advanced Dose $189 total for one month supply Recommended for doses of 7.5-10mg/week Monthly Advanced Plus Dose $199 total for one month supply Recommended for doses of 11mg/week and up Vios Pharmacy - Tirzepatide/Levocarnitine Injection (NEW) Up to 90 days BUD

The implications of this in people with Down syndrome need additional study

doi:10.14740/jem.v4i3.213 Misra M

Hammarstedt A et al

Know your starting point

Diabetologia 59 , 560570 (2016)