With Mounjaro coverage: $25 per 1-, 2-, or 3-month fill (max $150/$300/$450 savings, $1,950/yr). Without coverage: $499 / 1-month fill (max $647 savings, $8,411/yr).
Instant cardCommercial insurance only
What you need to enroll
Instant card — no doctor needed to enroll
Sign up on the manufacturer's site in about 2 minutes. You don't need a doctor visit to get the card itself — just bring it to your pharmacy with your prescription at fill time.
Your estimated copay
$25per 30-day fill
Max savings / year: $1,950Card expires: Dec 31, 2026
This program publishes different cards depending on your insurance situation.
Commercial — with coverage
Mounjaro Savings Card — with commercial coverage
$25 / fill
Monthly max
$150
Annual max
$1,950
Fills / year
13
For commercial plans that cover Mounjaro: pay $25; max savings $150 per 1-month fill, $300 per 2-month, $450 per 3-month. $1,950 annual savings cap.
Commercial — without coverage
Mounjaro Savings Card — without commercial coverage
$499 / fill
Monthly max
$647
Annual max
$8,411
Fills / year
13
For commercial plans that do NOT cover Mounjaro: pay as low as $499 per 1-month fill only (no multi-month). Max $647 savings per fill, $8,411 annual cap.
Card expires 12/31/2026. "1 month" = 28 days, up to 4 single-dose pens (NOT 30 days). Multi-month rules: 1-mo = 28 days/4 pens, 2-mo = 56 days/8 pens, 3-mo = 84 days/12 pens. Only single-dose pens are eligible (specific NDCs: 00002-1506-80, 1495-80, 1484-80, 1471-80, 1460-80, 1457-80) — LillyDirect vials are NOT covered by this card and use separate pricing. Phone 1-844-805-5807 to stop participation if you become Medicare/Medicaid. MA/CA generic-equivalent carveouts apply. Without-coverage tier is 1-month fills only.
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