Eli Lilly

Mounjaro Single-Dose Pen Savings Card

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
Get card now

Card variants

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.

Covered medications

  • Mounjaro single-dose pen (tirzepatide) 2.5 mg pen·5 mg pen·7.5 mg pen·10 mg pen·12.5 mg pen·15 mg pen

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Commercial insurance only. Medicare, Medicaid, TRICARE, and VA are not eligible.
State restrictions?
Available nationwide.
Income limits?
No income test.

Accepted

  • Prescribed Mounjaro single-dose pen for FDA-approved use
  • Enrolled in a commercial drug insurance plan
  • US resident (or Puerto Rico), age 18+

Not accepted

  • Enrolled in Medicare, Medicaid, Medicare Advantage, Medigap
  • Enrolled in TRICARE, VA, DoD, or any state prescription drug assistance program
  • No commercial drug insurance (Cash patients use LillyDirect Self Pay Pharmacy instead — separate pricing)
  • Mounjaro vials and other non-pen administration methods (savings card is single-dose pen only)
  • Plan participating in an AFP that requires you to apply to this card
  • Massachusetts residents with AB-rated generic available
  • California residents with FDA-approved therapeutic equivalent available

How to apply

  1. Visit mounjaro.lilly.com/savings-resources and click "Get Savings Card"
  2. Answer the eligibility attestation questions
  3. Activate the card and present it at the pharmacy with your Rx

Using it at the pharmacy

Show the savings card before checkout. The pharmacist runs the BIN, PCN, and Group as a secondary claim after your commercial insurance.

Terms & limits

Max savings per fill
Up to $150 per 30-day fill
Max savings per year
Up to $1,950 per year
Fills per year
13 fills per year, per covered drug
Renewal
Renew every year
Card expires
Dec 31, 2026

Per-card-type caps may vary — see the variants above for details.

Get card now

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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