Does Express Scripts Have Zepbound in Stock
Zepbound, a popular weight loss medication, has been in high demand since its FDA approval in 2023. Many users rely on Express Scripts, a major pharmacy benefit manager, to fill their prescriptions.
However, ongoing shortages have raised concerns about whether Express Scripts has Zepbound in stock. This article explores Zepbound’s availability, reasons for shortages, and practical solutions for users in 2025.
What Is Zepbound and Why Is It Popular?
Zepbound (tirzepatide) is an injectable medication for adults with obesity or weight-related conditions. It mimics GIP and GLP-1 hormones to reduce appetite and promote weight loss. Clinical trials, like SURMOUNT-1, showed users lost an average of 48 pounds over 72 weeks. Its effectiveness has driven massive demand across the U.S.
Express Scripts added Zepbound to its National Preferred Formulary in December 2023. This made it accessible for many insured users at a low copay, often $25 for a 3-month supply. However, high demand has led to supply challenges, affecting availability.
Does Express Scripts Have Zepbound in Stock?
As of April 2025, Express Scripts’ stock of Zepbound is inconsistent due to nationwide shortages. The FDA lists all Zepbound doses as having “limited availability” through at least June 2025. Express Scripts, like other pharmacies, struggles to maintain steady supplies. User reports on platforms like Reddit indicate stock varies by region and dose, with some doses occasionally available.
For example, a Reddit post from April 2024 noted Express Scripts had all doses except 5 mg in stock at one point. However, availability changes rapidly, and many users face delays or cancellations. Checking stock directly with Express Scripts is the best way to confirm.
Why Is Zepbound Hard to Find?
Zepbound’s shortages stem from multiple factors. Understanding these can help users navigate the issue and plan accordingly. Here are the main reasons for the limited supply.
High Demand Overwhelms Supply
Zepbound’s popularity has surged, with 25,000 new prescriptions weekly by December 2024, according to Eli Lilly’s CEO. This demand outpaces production, causing shortages. Express Scripts, despite being a large provider, can’t secure enough stock to meet all orders.
Manufacturing Limitations
Eli Lilly is expanding production, including a new facility in North Carolina opening in 2025. However, scaling up takes time, and current output can’t keep up. This affects all pharmacies, including Express Scripts, which relies on Lilly’s distributors.
Express Scripts’ 90-Day Supply Policy
Express Scripts often requires a 90-day supply for mail-order prescriptions. During shortages, securing three boxes of Zepbound at once is nearly impossible. Users report Express Scripts denying coverage for 30-day supplies, forcing them to seek local pharmacies.
Regional Stock Variations
Stock levels at Express Scripts vary by region. A user in Chicago reported access to multiple doses in April 2024, while others found none. This inconsistency frustrates users trying to fill prescriptions through Express Scripts’ home delivery.
How to Check If Express Scripts Has Zepbound
Express Scripts doesn’t publicly share real-time inventory data. However, there are steps you can take to check availability. These methods can save time and reduce frustration.
- Call Express Scripts: Contact their customer service line to ask about specific doses. Be prepared to call regularly, as stock changes frequently.
- Use the Online Portal: Log into your Express Scripts account to check prescription status. A “processing” status may not guarantee stock, so follow up by phone.
- Ask Your Doctor: Doctors can use Real Time Prescription Benefit tools to check Express Scripts’ stock before sending a prescription.
- Monitor Social Media: Platforms like Reddit’s r/Zepbound community often share updates on Express Scripts’ stock by region.
Calling Express Scripts directly is the most reliable option. Be persistent, as representatives may have limited information on restocking dates.
Table: Zepbound Doses and Availability Challenges
| Dose (mg) | Common Use | Availability Notes |
|---|---|---|
| 2.5 | Starter dose | Often out of stock, high demand |
| 5 | Early titration | Frequently unavailable |
| 7.5 | Mid-tier dose | Spotty availability, varies by region |
| 10 | Maintenance | Occasionally in stock, but limited |
| 12.5 | Higher dose | Rare, often backordered |
| 15 | Maximum dose | Very limited, hard to find |
This table highlights the challenges of securing different Zepbound doses through Express Scripts in 2025. Check with Express Scripts for the latest updates.
What to Do If Express Scripts Is Out of Stock
If Express Scripts doesn’t have Zepbound in stock, you have options to continue your treatment. These strategies can help you access the medication or manage delays.
Try Local Pharmacies
Express Scripts allows two courtesy fills at retail pharmacies before requiring a 90-day mail-order supply. Contact local pharmacies like Walgreens or Costco to check their stock. Some users report success with smaller, independent pharmacies.
Request an Override
If you find Zepbound at a retail pharmacy, ask Express Scripts for a coverage override for a 30-day supply. Explain the shortage and inability to secure a 90-day supply. Success varies, but persistence can pay off.
Explore Lilly’s Savings Card
Eli Lilly offers a commercial savings card for Zepbound. Commercially insured users may pay as low as $25 with coverage or $550 without. This can make retail pharmacy fills more affordable if Express Scripts is out of stock.
Discuss Alternatives with Your Doctor
If Zepbound remains unavailable, your doctor may suggest alternatives like Wegovy (semaglutide). Express Scripts’ 2025 formulary prefers Zepbound and Wegovy over other GLP-1 drugs like Saxenda. Ensure any alternative fits your health needs.
Split Doses (With Caution)
Some users split higher-dose pens (e.g., 10 mg) to create lower doses (e.g., 5 mg) using insulin syringes. This requires a doctor’s guidance and sterile equipment. It’s a last resort and not officially recommended.
How Long Will the Shortage Last?
Eli Lilly is working to resolve Zepbound shortages, but no immediate end is in sight. The new North Carolina plant will boost supply, with products expected on shelves in 2026. Until then, Express Scripts and other pharmacies will likely face intermittent stock issues.
The FDA notes limited availability through June 2025, and user reports suggest ongoing challenges. Staying proactive and flexible is key to managing your prescription.
Real Experiences from Express Scripts Users
Users on Reddit’s r/Zepbound community share their struggles and successes with Express Scripts. One user spent weeks searching for a 7.5 mg dose, only to face a $1,000 cost without coverage due to the 90-day policy. Another secured a 10 mg dose after persistent calls, highlighting the need for patience.
These stories show that while Express Scripts can sometimes provide Zepbound, stock is unpredictable. Joining online communities can offer tips and emotional support during shortages.
Preparing for Zepbound in 2025
To improve your chances of accessing Zepbound through Express Scripts, plan ahead. Here are some proactive steps to take.
- Confirm Coverage: Check your 2025 Express Scripts formulary to ensure Zepbound is covered. Most plans include it, but employer-specific rules vary.
- Get a Prior Authorization: Some plans require a prior authorization (PA). Work with your doctor to submit this early to avoid delays.
- Build a Relationship with Express Scripts: Regularly check in with their team to stay updated on stock. Familiarity with the process can help.
- Have a Backup Plan: Identify nearby pharmacies and keep their contact information handy in case Express Scripts is out of stock.
Preparation can make the process smoother, even during shortages.
Summary
Zepbound’s high demand and limited supply make it challenging to find at Express Scripts in 2025. Shortages stem from overwhelming demand, manufacturing constraints, and Express Scripts’ 90-day supply policy. Users can check stock by calling Express Scripts, exploring retail pharmacies, or using Lilly’s savings card.
While shortages may persist into 2026, proactive steps like planning ahead and persistence can help you access Zepbound. Stay informed and flexible to manage your treatment effectively.
FAQ
Does Express Scripts have Zepbound in stock in 2025?
Stock varies by region and dose, with all doses in limited supply through June 2025. Call Express Scripts or check their online portal for updates. Users report inconsistent availability due to shortages.
Why is Zepbound often out of stock at Express Scripts?
High demand, limited manufacturing, and a 90-day supply policy cause shortages. Eli Lilly is expanding production, but stock remains spotty. Regional variations also affect availability.
What can I do if Express Scripts doesn’t have Zepbound?
Try local pharmacies for courtesy fills or request a coverage override. Lilly’s savings card can lower costs at retail pharmacies. Discuss alternatives like Wegovy with your doctor.
How can I check Zepbound’s availability at Express Scripts?
Call Express Scripts’ customer service or check your online account. Ask your doctor to use Real Time Prescription Benefit tools. Monitor platforms like Reddit for user updates.
Will Zepbound shortages end soon?
Shortages are expected to continue through 2025, per the FDA. Eli Lilly’s new facility may improve supply in 2026. Stay proactive by regularly checking stock and exploring options.