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ForumsTirzepatide (Mounjaro / Zepbound)Zepbound vs Mounjaro — anyone have experience?

Zepbound vs Mounjaro — anyone have experience?

rachel_ABQ Sat, Nov 16, 2024 at 8:29 PM 12 replies 1,622 viewsPage 1 of 3
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rachel_ABQ
Member
178
890
Dec 2024
Albuquerque, NM
Nov 16, 2024 at 9:54 PM#1

Hey all — 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thread on the Mounjaro savings card situation as of March 2026 since things keep changing and there's a lot of outdated info floating around.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 — 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 — does the savings card work for ALL dose levels or just the starting doses?

48 0nick_newbie, DadBodDave, AmyNC_wife and 45 others
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Dr.BariatricHTX
Senior Member
1,456
7,234
Feb 2024
Houston, TX
Nov 16, 2024 at 10:11 PM#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.

30 22pete_RVA, CarlaRPh_TPA, steph_laguna and 27 others
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roxy_nash
Member
178
890
Dec 2024
Nashville, TN
Nov 16, 2024 at 10:28 PM#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.

40 3tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 37 others
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LindaRN_retired
Member
189
890
Dec 2024
Sarasota, FL
Nov 16, 2024 at 10:45 PM#4

Bryan — 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.

24 20LondonLisa, mike_nyc, VendorMark and 21 others
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denise_HTX
Member
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678
Jan 2025
Houston, TX
Nov 16, 2024 at 11:02 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.

Last edited: Nov 17, 2024 at 1:02 AM
19 0TirzTom, TrialTracker_MD, JennaRN and 16 others
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