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Mounjaro Savings Card 2026: Who Pays $25, Who Pays $499, and What to Do If It’s Not Working

By The RX Index Editorial Team·

Published:

·Last verified: May 19, 2026.

The short version:

Commercial insurance + plan covers Mounjaro + T2D Rx

As little as $25/month

Commercial insurance + plan does NOT cover Mounjaro + T2D Rx

As low as $499/month

Medicare, Medicaid, TRICARE, VA, DoD

Card not eligible

Uninsured or off-label weight loss only

Card not eligible

Card savings end 12/31/2026. Lilly’s list price is $1,112.16/month. Source: Lilly official Savings Card terms, verified May 19, 2026.

Disclosure: Some links on this page are affiliate links. If you use them, we may earn a commission at no extra cost to you. We do not let affiliate relationships change savings card rules, medical facts, or what we tell you about official sources. The official Lilly Mounjaro Savings Card link is not an affiliate link. Read the full disclosure.

Your situation → Your likely outcome

Your situationYour likely Mounjaro cost
Commercial insurance + plan covers Mounjaro + Type 2 Diabetes RxAs little as $25/month
Commercial insurance + plan does not cover Mounjaro + T2D RxAs low as $499/month
Medicare, Medicare Part D, or Medicare AdvantageCard not eligible — check Part D formulary, Extra Help, and M3P
MedicaidCard not eligible — check state Medicaid formulary
TRICARE, VA, or DoDCard not eligible — use your military pharmacy benefit
No insuranceCard not eligible — compare cash/discount-card prices and ask about FDA-approved alternatives
Off-label weight loss only (no Type 2 Diabetes)Card terms don't fit — Zepbound is the FDA-approved tirzepatide for weight loss

Free. Takes about 60 seconds. Not an affiliate link — this goes directly to Lilly.

What the Mounjaro Savings Card actually is (and what it isn’t)

Quick answer: The Mounjaro Savings Card is a manufacturer copay program from Eli Lilly that lowers your out-of-pocket cost for Mounjaro at the pharmacy. It’s free to enroll. It’s not insurance. It’s not a coupon for just anyone. It works only for commercially insured patients with a prescription that matches Mounjaro’s FDA-approved use (Type 2 Diabetes) — and even then, your real price depends on whether your plan covers the drug.

Mounjaro (the brand name for tirzepatide) was approved by the FDA in May 2022 to help adults with Type 2 Diabetes lower their blood sugar. Its list price is currently $1,112.16 per month for a box of four pens (a 28-day supply). Most patients never pay that full number, but a lot of people see it on their first pharmacy quote — and that’s the moment they end up searching for this page.

The Savings Card is Lilly’s official answer to that sticker shock. Here’s the part most other articles gloss over: the card has two completely different price tiers, plus a list of patient situations where it doesn’t apply at all. If you don’t know which tier you’re in, you’ll either walk out of the pharmacy thrilled at $25 or stunned at over $1,000 — and there’s no warning in between.

We pulled the current 2026 terms directly from Lilly’s official Savings Card page, cross-checked the FDA prescribing information for Mounjaro, and verified the Medicare and Medicaid rules against Medicare.gov and CMS. Here’s the playbook.

Do you qualify for the Mounjaro Savings Card?

Quick answer: You qualify if you have commercial (private or employer) health insurance, are 18 or older, live in the U.S. or Puerto Rico, and have a valid Mounjaro prescription for Type 2 Diabetes. You do not qualify if you’re on Medicare, Medicaid, TRICARE, VA, or any other government plan — even if you also have private insurance on top.

The 2026 eligibility list

You qualify when all of these are true:

You have commercial drug insurance (employer plan or one you bought yourself)

You're 18 or older

You live in the U.S. or Puerto Rico

Your Mounjaro prescription is for an FDA-approved use (Type 2 Diabetes)

You're not enrolled in Medicare, Medicare Part D, Medicare Advantage, Medigap, Medicaid, DoD, VA, TRICARE/CHAMPUS, or any state prescription assistance program

You're not enrolled in an Alternate Funding Program (AFP) — a third-party setup some employers use that forces you to apply to manufacturer copay programs. Lilly's terms specifically exclude these scenarios

Source: Lilly’s official Mounjaro Savings Card terms at mounjaro.lilly.com/savings-resources, verified May 19, 2026.

One honest thing we have to tell you

Many people searching for the Mounjaro Savings Card are on Medicare — and the card excludes Medicare and other government-funded plans regardless of how strong the medical need is. The exclusion is rooted in federal anti-kickback rules and Lilly’s program terms, not a Lilly choice.

That’s the hard part. The good news: if you’re on Medicare with Type 2 Diabetes, your Part D plan may cover Mounjaro, and 2026 brought a new $2,100 annual out-of-pocket cap on covered Part D drugs. If that’s you, skip down to the Medicare section — we walk through the real options.

$25 or $499? What you’ll really pay with the Mounjaro Savings Card

Quick answer: The Mounjaro Savings Card has two tiers based on whether your commercial insurance covers Mounjaro. If your plan covers it, you can pay as little as $25 for a 1-, 2-, or 3-month fill, capped at $150/$300/$450 per fill and $1,950 a year. If your plan does not cover Mounjaro, the card lowers your 1-month fill to as low as $499, capped at $647 in monthly savings and $8,411 a year. Both tiers max out at 13 fills per calendar year.

Tier 1: Your commercial plan covers Mounjaro

The “$25 Mounjaro” you keep hearing about

What you getThe number
Best-case costAs little as $25 per 1-, 2-, or 3-month fill
Maximum savings per 1-month fill$150
Maximum savings per 2-month fill$300
Maximum savings per 3-month fill$450
Maximum annual savings$1,950 per calendar year
Maximum fillsUp to 13 per calendar year
Card expiration12/31/2026

Quick math on the cap: $150 × 13 fills = $1,950. If your monthly insurance copay before the card is around $175, the card brings you to $25. If your copay is much higher than $175, the card chips off $150 and you pay the rest.

Tier 2: Your commercial plan does NOT cover Mounjaro

The tier that surprises people — $499, not $25

What you getThe number
Best-case costAs low as $499 per 1-month fill
Maximum savings per 1-month fill$647
Maximum annual savings$8,411 per calendar year
Maximum fillsUp to 13 per calendar year
Card expiration12/31/2026
3-month $25 fillNot available in this tier

The $499 tier means eligible commercially insured patients whose plan does not cover Mounjaro may pay as low as $499 for a 1-month fill. After the fill limit or savings cap is reached, the card no longer applies.

Source: Lilly’s official Savings Card terms, verified May 19, 2026.

Why people online report wildly different Mounjaro prices

·

They have coverage; you don't (or vice versa): Different tier applies.

·

Plan design and deductible status: Lilly's terms say the card may reduce, eliminate, or modify savings if your commercial plan doesn't apply card payments to your copay, deductible, or coinsurance.

·

Prescription is for off-label weight loss: Card terms require an FDA-approved use (Type 2 Diabetes).

·

You're on Medicare: Card doesn't process with government insurance.

·

Pharmacy ran the claim wrong: The card has to process as a secondary after insurance.

·

Your card expired: Old cards from 2024 may not work. Re-activate the 2026 card.

Find your exact scenario in 60 seconds

Match yourself to one of the six scenarios below. Each one shows what you’ll likely pay, what to enroll in, and exactly what to do next.

1

Commercial insurance + plan covers Mounjaro + Type 2 Diabetes

Likely cost: As little as $25 per 1-, 2-, or 3-month fill (up to $1,950 in savings per year, 13 fills max)

What to do:

  • ·Activate the Savings Card at mounjaro.lilly.com/savings-resources
  • ·Ask your prescriber if a 3-month script makes sense (same $25 — saves trips)
  • ·Call your insurance to confirm 3-month fills are allowed
Activate the Mounjaro Savings Card →
2

Commercial insurance + plan does NOT cover Mounjaro + T2D

Likely cost: As low as $499 per 1-month fill (up to $8,411 in savings per year, 13 fills max). The $25 3-month tier does not apply.

What to do:

  • ·Activate the card — you may fall into the $499 tier automatically when the pharmacy processes the claim
  • ·Ask your prescriber about a formulary exception or prior authorization to move into the $25 tier
Activate the card at Lilly →
3

Medicare, Medicare Part D, or Medicare Advantage

Likely cost: Plan-specific. Some Part D and Medicare Advantage plans may cover Mounjaro for T2D. In 2026, covered Part D drugs are capped at $2,100 OOP.

What to do:

  • ·Check your Part D plan's formulary at Medicare.gov/plan-compare
  • ·If covered for T2D, ask about prior authorization requirements
  • ·Note: CMS GLP-1 Bridge lists Foundayo, Wegovy, Zepbound KwikPen — not Mounjaro
See the Medicare section below →
4

Medicaid (state-funded)

Likely cost: Plan- and state-specific. Many state Medicaid programs require prior authorization.

What to do:

  • ·Check your state Medicaid formulary or call your plan
  • ·Ask whether Mounjaro is covered for Type 2 Diabetes and what PA documentation is required
  • ·Do not use the Mounjaro Savings Card with Medicaid — it's excluded
See the Medicaid section below →
5

Uninsured

Likely cost: Close to the $1,112.16 list price unless a pharmacy discount card lowers it. GoodRx typically shows Mounjaro prices in the $1,051–$1,120 range.

What to do:

  • ·The Savings Card requires commercial drug insurance — it doesn't work without it
  • ·Compare cash and discount-card prices at your pharmacy
  • ·Call Lilly Support Services at 1-800-LillyRx (1-800-545-5979) for current affordability resources
6

Off-label use for weight loss (no Type 2 Diabetes)

Likely cost: The Mounjaro Savings Card terms require a prescription for an FDA-approved use (Type 2 Diabetes). Treat the card as a no for weight-loss-only prescriptions.

What to do:

  • ·Use the Zepbound path instead — Zepbound is the FDA-approved tirzepatide for weight management
  • ·Zepbound has its own $25 Savings Card for covered commercial insurance
See the weight-loss section below →

How to get and use the Mounjaro Savings Card (3 steps + exact 3-month scripts)

Quick answer: Getting the card takes about 60 seconds. The trick is using it at the pharmacy without surprises — that means making two short phone calls before you show up to pick up your prescription, especially if you’re trying for a 3-month fill at $25.
1

Activate your card at the official Lilly site (60 seconds, free)

Go to mounjaro.lilly.com/savings-resources and select "Get Your Card." Follow Lilly's current eligibility and activation flow, then choose how to receive your card: download, email, text, or save to Apple/Google Wallet. No doctor signature needed. No application fee.

Get your Mounjaro Savings Card at Lilly →
2

Call your insurer BEFORE you go to the pharmacy

Use these exact questions:

  • "Is Mounjaro covered under my pharmacy benefit for Type 2 Diabetes?"
  • "Does it require prior authorization?"
  • "Is a 3-month fill allowed?"
  • "Which pharmacies are in network?"
  • "Do I have a deductible to meet before copay assistance applies?"
  • "Is my plan using an Alternate Funding Program?"

If your plan does not cover Mounjaro, ask: "Can I request a formulary exception?"

3

Call the pharmacy BEFORE pickup

Lilly's own savings page tells patients to ask the pharmacy two specific questions (quoted word-for-word because they actually work):

  • "Will you fill my 3-month prescription of Mounjaro?"
  • "I was prescribed a 3-month prescription of Mounjaro. Are there any restrictions I should know about?"

If the pharmacy auto-fills only 1 month, tell them your script was for 3 months and ask to transfer to another in-network pharmacy that can fill the full quantity. Some pharmacies don't have a full 3-month supply on hand but can restock within 1–2 business days.

Why your Mounjaro Savings Card isn’t working at the pharmacy

Quick answer: Almost every Mounjaro Savings Card failure traces to one of seven causes: your plan doesn’t cover Mounjaro, prior authorization hasn’t been approved, you have government insurance, the prescription is off-label, the pharmacy is trying a 3-month fill the plan won’t allow, the card is expired, or the claim wasn’t processed in the right order.

The 7-issue pharmacy rejection decoder

What the pharmacy saidMost likely causeWhat to say back
"It's still over $1,000"Insurance didn't cover or claim didn't run with card"Did my commercial insurance cover Mounjaro, or is the claim running as non-covered? Did the savings card process as secondary?"
"It only took off part of the price"You're likely in the $499 (non-covered) tier OR you hit the savings cap"Is the claim showing covered or non-covered? What rejection code came back?"
"The 3-month fill won't process"Plan or pharmacy doesn't allow 84-day fills"Can you run a 28-day fill instead? Can I still use the savings card?"
"You need prior authorization"Plan requires PA before paying for Mounjaro"Can you send the PA request to my prescriber? How long does it usually take?"
"I'm on Medicare and it won't run"Manufacturer card legally can't process with government insurance"Can you tell me my plan copay and whether the Medicare Prescription Payment Plan or Extra Help applies?"
"Your card is expired"Old card or terms updated"Can we run the current 2026 Lilly card?" — then re-activate at mounjaro.lilly.com/savings-resources
"Your plan uses an Alternate Funding Program"Some employer plans force you to apply to manufacturer cards — Lilly's terms exclude this"Can my plan explain my non-AFP coverage path?"

The call that fixes most denials

Call Lilly Support Services directly: 1-800-LillyRx (1-800-545-5979). Have your card ID, the pharmacy’s NPI number, and your prescription number ready. Lilly Support is the official line for Mounjaro savings-card questions.

The 5-step pharmacy fix

  1. 1Confirm the pharmacy ran your commercial insurance first, then the savings card as a secondary
  2. 2Ask for the specific rejection code
  3. 3If "invalid diagnosis," have your prescriber confirm the ICD-10 code for Type 2 Diabetes is on the prescription
  4. 4Ask whether the prescription can be transferred to another in-network pharmacy
  5. 5If still stuck, call Lilly: 1-800-LillyRx (1-800-545-5979)

Can you use the Mounjaro Savings Card without insurance?

Quick answer: No. The current Mounjaro Savings Card requires commercial drug insurance to process — even the $499 lower tier. If you’re truly uninsured, your two main paths are pharmacy discount cards (GoodRx, SingleCare, WellRx) and asking your prescriber about FDA-approved alternatives.

When someone searches “Mounjaro Savings Card without insurance,” they usually mean one of five things:

1

No insurance at allCard doesn't apply — see options below

2

Insurance that doesn't cover MounjaroActually the $499 tier — see Scenario 2 above

3

High deductible plan with nothing paid yetCovered, but you'll pay until you meet your deductible (depending on how your plan treats card payments)

4

Insurance with high copayCovered — the $25 or $150-off applies

5

Pharmacy didn't run insurance correctlyFixable — see rejection decoder above

If you’re truly uninsured (option 1):

Path A — Pharmacy discount cards

GoodRx, SingleCare, WellRx. As of GoodRx's 05/19/26 update, Mounjaro shows as low as ~$1,096.59 for the most common version (typically $1,051–$1,120 depending on dose, pharmacy, and ZIP). Cannot be combined with insurance or the Lilly Savings Card.

Path B — Lilly Support Services

Call 1-800-LillyRx (1-800-545-5979). They can tell you what current Lilly resources may apply to your specific situation.

Path C — FDA-approved alternatives

Your prescriber may recommend an FDA-approved alternative on your plan's formulary or with a cheaper cash-pay program. This is a clinical decision — not a savings hack.

Medicare, Medicaid, VA, and TRICARE — what to do when the card doesn’t work

Quick answer: No, you cannot use the Mounjaro Savings Card with Medicare, Medicaid, TRICARE, VA, DoD, or any state prescription assistance program. The exclusion is rooted in federal anti-kickback rules and Lilly’s program terms, and there’s no workaround. But there are legitimate alternative paths.

Government-plan decision table

QuestionAnswer
Can I use the Mounjaro Savings Card on Medicare/Medicaid/VA/TRICARE?No
Can my Part D plan cover Mounjaro?Plan-specific. Some Part D and Medicare Advantage plans cover Mounjaro for Type 2 Diabetes
What's the 2026 Part D out-of-pocket cap?$2,100 for covered Part D drugs
Does the Medicare Prescription Payment Plan (M3P) lower my Mounjaro cost?No. M3P spreads covered-drug costs across the year but does not lower the total cost
Does the new CMS GLP-1 Bridge cover Mounjaro?No. The CMS GLP-1 Bridge starts July 1, 2026 for eligible weight-management drugs, and currently lists Foundayo, Wegovy, and Zepbound KwikPen — not Mounjaro
Will Medicare cover Mounjaro for weight loss alone?No. Medicare excludes weight-loss-only drug coverage by federal statute

Path 1 — Medicare Part D (if you have Type 2 Diabetes)

Some Medicare Part D and Medicare Advantage drug plans may cover Mounjaro when prescribed for Type 2 Diabetes. In 2026, Part D out-of-pocket costs for covered drugs are capped at $2,100 for the calendar year.

  1. 1.Go to medicare.gov/plan-compare
  2. 2.Search "Mounjaro" by name and strength
  3. 3.Filter to plans that include Mounjaro on the formulary
  4. 4.Note the prior authorization requirements (most require documentation of T2D, prior medications, and A1C levels)
  5. 5.If you're in open enrollment, this is the time to switch plans
Important Medicare detail: The Medicare Prescription Payment Plan (M3P) lets you spread your covered drug costs evenly across the year. Medicare.gov is clear that M3P doesn’t save you money or lower your drug costs — it only smooths the monthly payments. It’s a budgeting tool, not a discount.

Path 2 — Extra Help (Low-Income Subsidy)

If you’re on Medicare with limited income and resources, you may qualify for Extra Help — a Medicare program that helps pay Part D premiums, deductibles, and copays. Apply at SSA.gov or your local Social Security office.

Path 3 — State Medicaid (for Type 2 Diabetes)

Medicaid coverage is state- and plan-specific. Check your state Medicaid formulary or call your Medicaid plan and ask: “Is Mounjaro covered for Type 2 Diabetes? What’s the prior authorization requirement?” Your prescriber’s office usually handles the PA paperwork.

What about VA, TRICARE, and DoD?

If you’re a veteran on VA Benefits, active military on TRICARE, or have DoD health coverage, Mounjaro coverage runs through your specific pharmacy benefit. The manufacturer Savings Card is excluded for all government plans. Your pharmacy benefits coordinator is the right starting point.

Can you use the Mounjaro Savings Card for weight loss?

Quick answer: For this savings card, treat weight-loss-only Mounjaro as a no. Lilly’s terms require a prescription for an approved use consistent with FDA-approved product labeling, and Mounjaro’s labeling is for Type 2 Diabetes. If your goal is weight management without Type 2 Diabetes, use the Zepbound path instead.

Mounjaro

FDA-approved for Type 2 Diabetes in adults and children 10 and older. Has its own Savings Card for T2D prescriptions.

Zepbound

FDA-approved for chronic weight management in adults with BMI ≥ 30, or ≥ 27 with a weight-related condition. Has its own $25 Savings Card.

If you have T2D AND weight loss is also a goal:

Mounjaro may be clinically appropriate, and the Savings Card applies. Have this conversation with your prescriber.

If you do NOT have T2D and want tirzepatide for weight loss:

Switching to Zepbound is the right path. Same manufacturer (Lilly), FDA-approved for your actual goal, with its own dedicated $25 Savings Card.

The Zepbound path

For uninsured or non-covered patients, Lilly offers the Zepbound Self Pay Journey through LillyDirect:

2.5 mg starter

$299/mo

5 mg dose

$399/mo

7.5–15 mg doses

$449/mo

Rates apply under the Zepbound Self Pay Journey purchase offer when eligibility and refill-timing terms are met. Regular prices are higher for some doses.

Ro is one of the larger telehealth platforms that prescribes FDA-approved Zepbound. Their free GLP-1 Insurance Coverage Checker covers Zepbound, Wegovy, and Ozempic — useful for seeing whether your plan covers Zepbound before committing to a visit. Ro Body starts at $39 for the first month, then as low as $74/month with annual prepay (medication cost is separate).

Affiliate link, disclosed. Ro’s checker covers GLP-1s including Zepbound; it does not write prescriptions, just reports your coverage.

How to get a 3-month Mounjaro fill for $25

Quick answer: Eligible commercially insured patients in Tier 1 can pay as little as $25 for a 3-month fill of Mounjaro — the same $25 as the 1-month fill. That’s 12 pens for the price of 4. But the 3-month fill isn’t automatic. It depends on your prescription quantity, your plan’s fill rules, and whether your pharmacy stocks the full 3 months.

For your prescriber

"Can you write my Mounjaro prescription as a 3-month supply (84 days, 12 pens)?"

For your insurance

"I was prescribed a 3-month prescription of Mounjaro. Are there any restrictions I should know about?"

For your pharmacy

"Will you fill my 3-month prescription of Mounjaro?"

What to do when the 3-month fill won’t process

“If your pharmacy automatically fills a 1-month script, let them know that your script was for 3 months and if they cannot fill this quantity, you want to transfer the script to another in-network pharmacy.”

“Some pharmacies may not have a full 3-month supply on hand. They typically restock daily and can fulfill your prescription within 1–2 business days.”

“If you can’t access a 3-month fill, you can still use your savings card for a 1-month prescription at $25 (if eligible).”

Source: Lilly’s official Savings Card page at mounjaro.lilly.com/savings-resources, quoted verbatim. The fallback is always 1-month at $25 — you don’t lose the deal, you just refill more often.

Mounjaro Savings Card vs GoodRx, SingleCare, and other discount cards

Quick answer: For eligible commercially insured Type 2 Diabetes patients, the Lilly Mounjaro Savings Card beats every other discount option by a wide margin — often $1,000+ cheaper than the best GoodRx coupon. For uninsured patients, Medicare patients, and patients whose Savings Card has hit its annual cap, GoodRx, SingleCare, and WellRx each serve a different fallback role.
OptionBest-case monthly costWho it’s forCan combine with insurance?
Mounjaro Savings Card (Tier 1)$25Commercial insurance + plan covers Mounjaro + T2D RxYes — runs as secondary after insurance
Mounjaro Savings Card (Tier 2)$499Commercial insurance + plan does NOT cover Mounjaro + T2D RxYes — runs as secondary
Medicare Part DPlan-specific (capped at $2,100/year OOP for 2026)Medicare + T2D + Mounjaro on plan formularyThis is your insurance
GoodRx~$1,051–$1,120/mo (verify by ZIP)Uninsured or anyone whose Savings Card doesn't applyNo — cash price only
SingleCareVaries by pharmacyUninsured cash-pay shoppersNo — cash price only
WellRxVaries by pharmacyUninsured cash-pay shoppersNo — cash price only
Uninsured retail (no help)~$1,112/mo list priceNot recommended — use one of the paths aboven/a
You cannot combine the Lilly Savings Card with GoodRx or any other discount card on the same fill. It’s one path per fill.

Need a Mounjaro prescription? Here’s where to get one online

Quick answer: The Savings Card doesn’t help you if you don’t have a Mounjaro prescription yet. For Type 2 Diabetes, your primary care doctor or endocrinologist is usually the first step — but if you want a faster online consultation, Sesame Care has a dedicated Mounjaro consultation page with licensed providers offering same-day visits in many states.

Sesame Care — Mounjaro consult

Best if you need a Type 2 Diabetes prescription specifically

Sesame’s model is per-visit pricing — you pay for the consult, then fill at a local pharmacy using your insurance + the Mounjaro Savings Card. Works well if you don’t have an in-person provider, want a same-day or next-day consult, and want to use your local pharmacy with the Lilly Savings Card.

Book a Mounjaro consult with Sesame →

Affiliate link, disclosed.

Ro — free GLP-1 coverage check

Best if you want to check what’s covered before scheduling

Ro’s free GLP-1 Insurance Coverage Checker covers Zepbound, Wegovy, and Ozempic — not Mounjaro specifically — but useful if you’re weighing Mounjaro vs Zepbound or Wegovy. Ro does not write a Mounjaro prescription through the checker itself.

Check GLP-1 coverage with Ro (free) →

Affiliate link, disclosed.

Sesame is the cleaner fit if you need a Mounjaro prescription specifically. Ro is the cleaner fit if you’re earlier in the journey and want to know what’s covered before scheduling. The Savings Card works at almost any U.S. pharmacy regardless of who wrote the prescription.

Mounjaro safety notes you should know before saving on it

Boxed warning

Mounjaro carries a boxed warning for the risk of thyroid C-cell tumors, including medullary thyroid carcinoma (MTC). Do not use Mounjaro if you or any family member has ever had MTC or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

FDA-approved use

Mounjaro (tirzepatide) is approved by the FDA to improve blood sugar control in adults and children 10 years and older with Type 2 Diabetes, used along with diet and exercise. It is not FDA-approved for weight loss — that’s Zepbound.

Other warnings to discuss with your provider

!Pancreatitis
!Low blood sugar (with insulin or sulfonylureas)
!Severe allergic reactions
!Kidney problems from dehydration
!Severe GI side effects
!Diabetic retinopathy complications
!Gallbladder disease
!Pulmonary aspiration during anesthesia or deep sedation
!Possible reduced effectiveness of oral medications (including oral contraceptives — consider backup contraception for 4 weeks after starting and after each dose increase)

This is not complete safety information. Read the full Mounjaro prescribing information at FDA’s DailyMed database or at mounjaro.com, and talk to your healthcare provider before starting.

Is Mounjaro still in shortage in 2026?

Quick answer: No. The FDA officially declared the tirzepatide injection shortage resolved in December 2024. National supply is meeting demand, but local pharmacies still occasionally run out of specific doses. National shortage status doesn’t guarantee your specific pharmacy has your dose today.

Why your pharmacy may still be out occasionally

  • ·Their distributor missed a delivery
  • ·A nearby pharmacy ran out and patients shifted demand
  • ·They didn't reorder enough in their last cycle
  • ·A specific dose strength is in higher demand locally

What to do if your pharmacy is out

  • Ask when restock arrives (usually 1–3 business days)
  • Ask if a nearby in-network pharmacy has your dose
  • Ask about transferring the script (most can do this in minutes)
  • Don't switch to a different dose without your prescriber's okay
The shortage resolution and the Savings Card: The FDA’s resolution of the shortage also ended the legal pathway for many compounding pharmacies to make compounded tirzepatide. Compounded tirzepatide is not FDA-approved Mounjaro, doesn’t qualify for the Mounjaro Savings Card, and is now subject to FDA enforcement action in many cases. The FDA-approved options (Mounjaro for diabetes, Zepbound for weight loss) are the legitimate paths — each with their own Savings Card.

What we verified for this guide

Last verified: May 19, 2026. We don’t expect you to take any of this on faith — here’s what we cross-checked against primary sources.

Claim on pageSource checkedVerified
Mounjaro Savings Card terms ($25 covered, $499 non-covered, caps, expiration 12/31/2026)mounjaro.lilly.com/savings-resourcesMay 19, 2026
Mounjaro list price ($1,112.16 per fill)pricinginfo.lilly.com/mounjaroMay 19, 2026
Mounjaro FDA-approved use (Type 2 Diabetes, adults and children 10+)Mounjaro prescribing informationMay 19, 2026
Boxed warning for thyroid C-cell tumors / MTC / MEN 2 contraindicationMounjaro prescribing informationMay 19, 2026
Government-plan exclusion (Medicare, Medicaid, TRICARE, VA, DoD)Lilly Savings Card termsMay 19, 2026
Medicare Part D 2026 out-of-pocket cap ($2,100 for covered drugs)Medicare.gov / Medicare & You 2026May 19, 2026
M3P spreads costs but does not lower themMedicare.govMay 19, 2026
CMS Medicare GLP-1 Bridge (Foundayo, Wegovy, Zepbound KwikPen — not Mounjaro)CMS.govMay 19, 2026
FDA tirzepatide shortage resolution (December 2024)FDA.govMay 19, 2026
Sesame Care Mounjaro consultation availabilitysesamecare.com/medication/mounjaroMay 19, 2026
Ro GLP-1 Insurance Coverage Checker scope (Zepbound, Wegovy, Ozempic) and Ro Body pricing ($39 first month / as low as $74/mo annual)ro.coMay 19, 2026
Zepbound Self Pay Journey pricing ($299 / $399 / $449 by dose)zepbound.lilly.comMay 19, 2026
HSA/FSA medical-expense rulesIRS Publication 502May 19, 2026

What we cannot verify for you (check before pickup):

  • ·Your specific insurance plan's Mounjaro formulary status
  • ·Your pharmacy's live price today, in your ZIP, for your dose
  • ·Your deductible status and how your plan treats card payments
  • ·Whether your prescriber will write a 3-month Mounjaro script
  • ·Whether prior authorization will be approved for your specific medical history
  • ·Whether your local pharmacy has your dose in stock today

Compliance note on HSA/FSA use:

You may generally use HSA or FSA funds for the portion you actually pay for a prescribed medication. However, Lilly’s Savings Card terms say you may not seek reimbursement from an HSA, FSA, HRA, insurer, or third party for the amount of savings received through the card itself.

Next scheduled re-verification: August 2026 (or sooner if Lilly issues amended Savings Card terms, FDA updates Mounjaro’s label, or Medicare changes its 2026 program details).

Frequently Asked Questions

Is the Mounjaro Savings Card real?

Yes. The Mounjaro Savings Card is an official Eli Lilly manufacturer copay program. Eligible commercially insured patients can pay as little as $25 for a 1-, 2-, or 3-month fill if their plan covers Mounjaro. The "as little as $25" headline is real but depends on coverage and other terms.

How do I get Mounjaro for $25?

You need commercial drug insurance that covers Mounjaro, a prescription for Type 2 Diabetes, and the current 2026 Lilly Savings Card processed correctly at the pharmacy. Activate the card at mounjaro.lilly.com/savings-resources.

Can I use the Mounjaro Savings Card without insurance?

No. Current Lilly Savings Card terms require commercial drug insurance for both the $25 tier and the $499 tier. If you are uninsured, your main options are pharmacy discount cards like GoodRx (~$1,051–$1,120/month) or asking your prescriber about FDA-approved alternatives.

Can I use the card if my insurance does not cover Mounjaro?

Yes, in the lower tier — as long as you have commercial drug insurance and meet the other terms. The non-covered commercial-insurance tier is as low as $499 for a 1-month fill, capped at $647 in monthly savings and $8,411 per calendar year. The $25 3-month tier does not apply.

Can Medicare patients use the Mounjaro Savings Card?

No. The manufacturer card excludes Medicare, Medicare Part D, Medicare Advantage, and Medigap. Alternatives include checking whether your Part D plan covers Mounjaro for Type 2 Diabetes, applying for Extra Help if you have limited income, and using the 2026 Part D $2,100 out-of-pocket cap.

Can I use the card for weight loss?

The card terms require a prescription consistent with FDA-approved labeling, which means Type 2 Diabetes. For weight loss, Zepbound (the FDA-approved tirzepatide for weight management from the same manufacturer) has its own $25 Savings Card and is the right path.

Does the Mounjaro Savings Card work for a 3-month supply?

Yes, for eligible covered patients in Tier 1 — same $25 as a 1-month fill. The outcome depends on whether your prescription is written for 84 days, whether your plan allows 3-month fills, and whether your pharmacy stocks the full supply.

Why is my Mounjaro Savings Card not working?

Common causes: your plan does not cover Mounjaro, prior authorization is not approved, you have government insurance, the prescription is off-label, the plan will not allow a 3-month fill, the card is expired, or the claim was processed in the wrong order. Call Lilly Support at 1-800-LillyRx (1-800-545-5979).

Can I combine GoodRx with the Mounjaro Savings Card?

No. Pharmacy discount coupons like GoodRx, SingleCare, and WellRx cannot be combined with the Lilly Savings Card or with insurance on the same fill. You are choosing one path per fill.

When does the Mounjaro Savings Card expire?

The current card expires and savings end on 12/31/2026. Lilly has not announced 2027 Mounjaro Savings Card terms. Check Lilly's official page for any new or amended terms.

How many times can I use the Mounjaro Savings Card?

Up to 13 prescription fills per calendar year in either tier, subject to the maximum monthly and annual savings caps ($1,950/year in Tier 1, $8,411/year in Tier 2).

What's the difference between the Mounjaro Savings Card and a Mounjaro coupon?

They're the same thing. Lilly markets the program as both a 'Savings Card' and a 'coupon,' but it's the same official manufacturer copay program. It is not insurance and is not the same as third-party discount coupons from GoodRx, SingleCare, or WellRx.

Does the Mounjaro Savings Card work outside the United States?

No. The card is valid only for residents of the United States and Puerto Rico.

Can I use HSA or FSA dollars to pay the rest of my Mounjaro cost?

Generally yes for the portion you actually pay. However, Lilly's Savings Card terms say you may not seek reimbursement from an HSA, FSA, HRA, insurer, or third party for the amount of savings received through the card itself.

Will the Mounjaro Savings Card be available in 2027?

Lilly has not announced 2027 Mounjaro Savings Card terms. The current card expires and savings end on 12/31/2026. Check Lilly's official page for any new or amended terms.

Still not sure which path is right for you?

You’re not alone. The Savings Card has several different outcomes and alternative paths, and the right move depends on your specific insurance, prescription, and goal. No email required to see your result.

The Sesame and Ro links are affiliate links, disclosed above. The Lilly link is not an affiliate link.

The RX Index is a pricing intelligence and comparison resource for GLP-1 telehealth providers. We verify pricing, eligibility, and program details against primary sources before publishing and re-verify quarterly. This page is for general information and is not medical advice. Talk to your healthcare provider about whether Mounjaro is right for you.

Published:

· Last verified: May 19, 2026.

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