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500 US$ = 442 euro. Does that include the higher doses? Than it is actually cheaper than in Europe.

15mg Zepbound is 489 euro in Germany for a month (4 shots).

$499 per month "[f]or the Zepbound 5 mg, 7.5 mg, and 10 mg vial" [1]. So, I don't know how much they charge for 15 mg.