Tirzepatide is the active ingredient in Mounjaro (for diabetes) and Zepbound (for weight loss). The same drug, different names, different prices.
What Affects Your Cost
Insurance
- Commercial insurance – May cover tirzepatide with prior authorization
- Medicare – Coverage varies; Part D may cover for diabetes
- Medicaid – Varies by state
- No insurance – Full list price applies
Pharmacy Choice
Different pharmacies charge different amounts. Mail-order pharmacies may offer savings. 90-day supplies sometimes cost less per dose.
Savings Programs
Manufacturer savings cards can significantly reduce costs. Eligibility requirements apply.
Approximate Monthly Costs
| Scenario | Estimated Cost |
|---|---|
| With commercial insurance | $25-$150 (with savings card) |
| With Medicare Part D | $50-$200+ |
| Self-pay (no insurance) | $1,000-$1,350+ |
These are estimates. Always check with your pharmacy.
How to Find the Best Price
- Call multiple pharmacies – Prices vary a lot
- Check manufacturer websites – Eli Lilly offers savings for both Mounjaro and Zepbound
- Ask about 90-day supplies – May reduce per-dose cost
- Compare insurance plans – Different plans cover different tiers
- Look into telehealth – Some offer bundled pricing
Insurance Tips
- Prior authorization is often required – work with your doctor
- Step therapy may apply – you may need to try other meds first
- Quantity limits may affect your prescription
- Formulary tiers determine your copay
Questions for Your Doctor
- Which brand (Mounjaro or Zepbound) is more likely to be covered?
- What prior authorization is needed?
- Are there alternatives on my formulary?
- Can you help me apply for savings programs?
- What if my insurance denies coverage?
The Bottom Line
Tirzepatide pricing is complex and varies by insurance, pharmacy, and savings eligibility. Check with your specific insurance and pharmacy for accurate pricing, and use manufacturer savings programs when available.
Prices change often. Always verify with your pharmacy and insurance. This article is for information only.
