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Forumsβ€ΊTirzepatide (Mounjaro / Zepbound)β€ΊMounjaro pen vs compounded vial - pros and cons?

Mounjaro pen vs compounded vial - pros and cons?

MounjBrad Thu, Jan 8, 2026 at 9:57 AM 4 replies 617 viewsPage 1 of 1
MounjBrad
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278
890
Oct 2024
Kentucky
Jan 8, 2026 at 11:22 AM#1

Hey all β€” wanted to start a consolidated thread on the Mounjaro savings card situation as of March 2026 since things keep changing and there's a lot of outdated info floating around.

Current situation as I understand it:

  • The manufacturer savings card is still active for commercially insured patients
  • Copay as low as $25/month with eligible commercial insurance
  • Max savings per fill varies β€” I've seen $150 and $300 caps discussed
  • NOT available for government insurance (Medicare, Medicaid, Tricare)
  • Separate from the Zepbound savings card (different program)

Can anyone confirm the current terms? My pharmacy keeps giving me conflicting info. Also β€” does the savings card work for ALL dose levels or just the starting doses?

6 6patPC_UT, Dr.DermMIA, fiona_VT and 3 others
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SurmountFan_IN
Member
789
3,456
May 2024
Indianapolis, IN
Jan 8, 2026 at 11:39 AM#2

Pharmacist here. Let me clarify the current state as of March 2026:

Mounjaro Savings Card (for T2D indication with commercial insurance):

  • Eligible patients pay as low as $25 per 1-month or 3-month fill
  • Maximum savings of $150 per 1-month fill or $450 per 3-month fill
  • Valid for all dose levels (2.5mg through 15mg)
  • Requires commercial insurance with coverage for Mounjaro
  • Card is registered per-patient, one card per person

Zepbound Savings Card (for obesity indication with commercial insurance):

  • Similar structure but separate enrollment
  • $25 copay for eligible patients
  • Lilly has been adjusting the terms periodically so check the website

Important: If your insurance doesn't cover the drug at ALL (prior auth denied, not on formulary), the savings card typically won't apply. You need at least partial insurance coverage in most cases.

All doses cost the same at the manufacturer level, so the savings card value doesn't change with dose.

Last edited: Jan 8, 2026 at 12:39 PM
29 0AttorneyGrant, DebRD_ATL, KristenIndy and 26 others
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bbq_ray_KC
Member
378
1,678
Jul 2024
Kansas City, KS
Jan 8, 2026 at 11:56 AM#3

My experience with the savings card has been... inconsistent. Last month my pharmacy charged me $25, this month they're saying $175 because of "benefit coordination issues." I'm calling Lilly's support line tomorrow.

Has anyone else had their pharmacy mess up the card processing? I'm at CVS and they seem confused every single time.

Last edited: Jan 8, 2026 at 1:56 PM
46 2InsuranceTom, WendyG_ATL, SaraMom3 and 43 others
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gary_naperville
Member
245
1,123
Oct 2024
Naperville, IL
Jan 8, 2026 at 12:13 PM#4

Bryan β€” switch to a dedicated specialty pharmacy if you can. I had the same issue at Walgreens and when I moved to Alto Pharmacy, they processed the card correctly every time. CVS and Walgreens seem to have the most issues with manufacturer copay cards in my experience.

19 9PharmHunterJen, TomTeleRx, DoseLogDan and 16 others
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pat_auckland
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Jun 2024
Auckland, NZ
Jan 8, 2026 at 12:30 PM#5

What about those of us whose insurance covers Mounjaro but at Tier 4 non-preferred? My copay before the savings card is $475/month. The savings card knocks it down to $325. That's still a LOT of money.

Anyone had luck getting a tier exception? My endo submitted one twice and got denied both times.

14 14dan_philly, MeganSA_TX, LarryQC_SD and 11 others
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