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TIER 1 (72mg total) $350 total for 8-10 week supply Monthly cost breakdown: $140 Recommended if new to treatment or for those on 2-4.5mg/week TIER 2 (72mg total) $350 total for 8-10 week supply Monthly cost breakdown: $140-$175 based on weekly dose Recommended for those on 5-7mg/week TIER 3 (72mg total) $350 total for 8-10 week supply Monthly cost breakdown: $140-$175 based on weekly dose Recommended for those on 8-9mg/week TIER 4 (144mg total) $380 total for 10 week supply Monthly cost breakdown: $152 based on weekly dose Recommended for those on 10mg/week and up EXTENDED PLANS All extended plans are supplied with a minimum of 3 vials to support extended use Foundation Plan (108mg total) $460 total for 3-4+ supply Monthly cost breakdown: $115-$153 based on weekly dose Recommended if new to treatment or for those on doses up to 7mg/week Momentum Plan (144mg total) $485 total for 3-4+ supply Monthly cost breakdown: $121-$161 based on weekly dose Recommended for doses up to 9mg/week Elevate Plan (216mg total) $515 for 3-4+ month supply Monthly cost breakdown: $128-$172 based on weekly dose Recommended for doses of 10mg/week & up ReviveRx Pharmacy - Tirzepatide/B6 Injection Up to 90 days BUD

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