Mounjaro, a prescription medication with the active ingredient tirzepatide, helps manage type 2 diabetes and supports weight loss. Its effectiveness comes with a significant price tag, making the Mounjaro monthly cost a key concern for many users. Understanding the factors affecting its price and available savings options can help you plan your budget.
This article breaks down the Mounjaro monthly cost, explores insurance coverage, and shares practical ways to reduce expenses. With clear insights and tips, you’ll be better equipped to navigate the financial side of this treatment.
What Is Mounjaro and Why Is It Expensive?
Mounjaro is an injectable drug approved for type 2 diabetes but often prescribed off-label for weight loss. It mimics GLP-1 and GIP hormones to control blood sugar and reduce appetite. Its dual-action mechanism makes it highly effective but also costly.
The high price stems from its brand-name status and extensive research by manufacturer Eli Lilly. Without a generic version, the Mounjaro monthly cost reflects production and patent costs. Demand for weight loss also drives prices higher.
Mounjaro Monthly Cost Without Insurance
Without insurance, the Mounjaro monthly cost ranges from $1,000 to $1,500 for a 28-day supply of four pens. Prices vary by pharmacy, location, and dosage (2.5 mg to 15 mg). The average list price is around $1,069.08, but retail costs can be higher.
For example, a 5 mg dose might cost $1,100 at one pharmacy and $1,200 at another. Checking multiple pharmacies can help you find the best deal. Online tools like GoodRx or SingleCare provide price comparisons.
Mounjaro Monthly Cost With Insurance
Insurance can significantly lower the Mounjaro monthly cost, especially for type 2 diabetes patients. Commercially insured users may pay as little as $25 for a 1-, 2-, or 3-month supply with the Mounjaro Savings Card. Copays typically range from $25 to $300, depending on the plan.
Coverage for weight loss is less common, as it’s an off-label use. Check your plan’s formulary to confirm coverage. Prior authorization may be required, which involves your doctor justifying the prescription.
Factors Affecting Mounjaro Monthly Cost
Several factors influence the Mounjaro monthly cost, making it vary widely. Understanding these can help you anticipate expenses and find savings. Here are the main drivers:
- Pharmacy Pricing: Different pharmacies charge different rates, even in the same area.
- Dosage: Higher doses (e.g., 15 mg) may cost more than lower ones (e.g., 2.5 mg).
- Location: Urban areas may have higher prices than rural ones.
- Insurance Coverage: Plans with better drug benefits reduce out-of-pocket costs.
- Savings Programs: Coupons or manufacturer discounts can lower the price significantly.
Comparing prices and exploring discounts can help manage these variables effectively.
Mounjaro Savings Card and Discounts
Eli Lilly offers a Mounjaro Savings Card for commercially insured patients. Eligible users with coverage for Mounjaro may pay as little as $25 per month, with maximum savings of $150 per 28-day supply. Those without coverage can save up to $573 monthly, limited to six fills annually.
To qualify, you must have commercial insurance and a type 2 diabetes diagnosis. Government-insured patients (e.g., Medicare, Medicaid) are ineligible. Apply online or call 844-805-5807 to check eligibility.
Other Ways to Save on Mounjaro
Beyond the Savings Card, several strategies can reduce the Mounjaro monthly cost. Exploring these options can make the medication more affordable. Here’s how to save:
- Compare Pharmacy Prices: Use GoodRx or SingleCare to find the lowest local prices.
- Opt for a 90-Day Supply: Filling three months at once may lower the per-month cost.
- Use Mail-Order Pharmacies: These often offer competitive pricing and convenience.
- Check Discount Programs: Sites like Optum Perks provide coupons for additional savings.
- Ask About Compounded Tirzepatide: Some providers offer it at $349–$449 monthly.
Always consult your doctor before switching to alternatives or compounded versions.
Mounjaro Cost Comparison by Pharmacy
The Mounjaro monthly cost varies across pharmacies, impacting your out-of-pocket expenses. Below is a sample comparison for a 28-day supply of 5 mg Mounjaro pens without insurance, based on recent estimates:
| Pharmacy | Price (28 Days) | Discount with GoodRx |
|---|---|---|
| CVS Pharmacy | $1,207 | $1,062 |
| Walgreens | $1,228 | $1,068 |
| Walmart | $1,135 | $1,000 |
| Costco | $1,093 | $990 |
| Safeway | $1,093 | $1,027 |
Prices fluctuate, so check current rates at local pharmacies or online tools.
Medicare and Medicaid Coverage
Medicare Part D or Medicare Advantage plans may cover Mounjaro for type 2 diabetes, but not for weight loss. Copays range from $25 to $100, depending on the plan. Prior authorization is often required to confirm medical necessity.
Medicaid coverage varies by state, with similar restrictions on weight loss use. Contact your plan administrator to verify coverage and costs. Without coverage, you’ll pay the full retail price unless discounts apply.
Compounded Tirzepatide as an Alternative
Compounded tirzepatide, the active ingredient in Mounjaro, is a lower-cost option offered by some providers. Prices range from $349 to $449 monthly for injections, significantly less than brand-name Mounjaro. For example, QuickMD offers it for $379 for a 4-week supply.
Ensure the compounding pharmacy is reputable and follows safety standards. Discuss with your doctor to confirm it’s a suitable alternative. This option is ideal for those without insurance or coverage.
Additional Costs to Consider
Beyond the Mounjaro monthly cost, other expenses may arise. Doctor visits or telehealth consultations can cost $50–$150 per session. Blood tests to monitor diabetes or side effects may add $100–$300 annually.
If prescribed off-label for weight loss, you might need nutritionist support, costing $50–$100 per session. Budgeting for these ensures you’re fully prepared for the treatment journey.
Tips for Managing Mounjaro Costs
Managing the Mounjaro monthly cost requires proactive steps. These practical tips can help you save money while staying on track with treatment.
Shop Around for Pharmacies
Prices vary, so compare rates at local and online pharmacies. Use discount apps to find the best deals. Even a $100 difference monthly adds up over time.
Apply for Savings Programs Early
Enroll in the Mounjaro Savings Card or other discount programs before filling your prescription. Confirm eligibility to avoid delays. Keep track of annual limits to maximize benefits.
Talk to Your Doctor
Discuss cost concerns with your healthcare provider. They may suggest alternatives like Zepbound or other GLP-1 drugs. They can also assist with prior authorization for insurance.
Consider Telehealth Services
Telehealth platforms like QuickMD or Sesame offer affordable consultations and prescriptions. Some include discounts on compounded tirzepatide. This saves time and money compared to in-person visits.
Use HSA or FSA Accounts
If you have a health savings account (HSA) or flexible spending account (FSA), use it to cover Mounjaro costs. Check plan rules to ensure eligibility. This reduces out-of-pocket expenses.
Summary
The Mounjaro monthly cost ranges from $1,000 to $1,500 without insurance, but savings options can make it more affordable. Commercially insured patients may pay as little as $25 with the Mounjaro Savings Card, while compounded tirzepatide offers a budget-friendly alternative at $349–$449.
Comparing pharmacy prices, using discount programs, and exploring 90-day supplies further reduce expenses.
Medicare and Medicaid may cover Mounjaro for type 2 diabetes, but not weight loss, with copays varying by plan. By planning ahead and discussing options with your doctor, you can manage costs effectively. This guide equips you to navigate Mounjaro’s pricing with confidence.
FAQ
What is the average Mounjaro monthly cost without insurance?
Without insurance, Mounjaro costs $1,000–$1,500 for a 28-day supply, depending on the pharmacy and dosage. Using discount programs like GoodRx can lower it to around $990. Check multiple pharmacies for the best price.
Does insurance cover the Mounjaro monthly cost?
Commercial insurance often covers Mounjaro for type 2 diabetes, with copays of $25–$300. Weight loss use is rarely covered. Verify coverage with your plan and ask about prior authorization.
How does the Mounjaro Savings Card work?
Eligible commercially insured patients can pay as little as $25 monthly, with savings up to $150 per 28-day supply. Those without coverage save up to $573 for six fills. Apply online or call 844-805-5807.
Can I get Mounjaro cheaper with Medicare?
Medicare Part D may cover Mounjaro for type 2 diabetes, with copays of $25–$100. Coverage for weight loss is unlikely. Contact your plan to confirm costs and prior authorization requirements.
Is compounded tirzepatide a good way to lower Mounjaro monthly cost?
Compounded tirzepatide costs $349–$449 monthly, much less than Mounjaro. It’s a viable option if sourced from a reputable pharmacy. Discuss safety and effectiveness with your doctor before switching.