How Much Does Mounjaro Cost? Prices With and Without Insurance (2026)
Mounjaro's list price is $1,112.16 per fill (four pens, one month), LillyDirect self-pay starts at $499/month, and commercially insured patients whose plan covers Mounjaro can pay as little as $25 for up to a 3-month prescription with the savings card.
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Mounjaro (tirzepatide) costs $1,112.16 per fill at list price, and one fill equals a month’s supply of four pens [1]. What you actually pay depends almost entirely on your insurance situation. Through LillyDirect, Lilly’s direct-to-patient pharmacy channel, the self-pay price starts at $499 per month [4]. People with eligible commercial insurance whose plan covers Mounjaro can pay as little as $25 for up to a 3-month prescription using the Mounjaro Savings Card [9][7][8]. People with commercial insurance whose plan does not cover Mounjaro can pay as low as $499 per month through the same savings card program [8]. At retail pharmacies without any discount, GoodRx lists an average retail price of $1,348.34 for the most common version [7].
Lilly says data on what patients pay under specific insurance plans is not yet available, and the company has committed to sharing average patient out-of-pocket costs once they exist [1]. Until then, the figures below are the published list prices, manufacturer self-pay prices, and dated discount-card samples — not guarantees of what any individual will pay.
What is Mounjaro’s list price, and has it changed?
Lilly’s consumer pricing page lists Mounjaro at $1,112.16 per fill [1]. That figure is the wholesale acquisition cost (WAC) — the price at which Lilly sells to wholesalers — not necessarily what a patient pays at a pharmacy, since pharmacy charges, insurance cost-sharing, and discounts all sit between the two [1]. Lilly sourced the WAC from AnalySource, accessed on January 1, 2026 [1].
The list price is the same across all six strengths, from 2.5 mg/0.5 mL through 15 mg/0.5 mL single-dose pens, according to the TrumpRx drug configurator [5].
An earlier figure exists for comparison, but the two are not directly comparable. A Peterson-KFF analysis using prices from web searches as of August 15, 2023, put the U.S. list price of one month of Mounjaro (15 mg, four pens) at $1,023 [2]. That was a web-search snapshot for the 15 mg strength, while the current $1,112.16 figure is Lilly’s published WAC per fill sourced from AnalySource [1][2]. No supplied source states that the list price increased between those dates.
The prices Lilly actually realizes have been falling. In its second quarter of 2026, Lilly reported worldwide revenue of $23.0 billion, up 48%, driven by a 60% volume increase that was partially offset by a 13% decrease in realized prices [3]. In the U.S., revenue rose 33% to $14.4 billion on 37% volume growth, with realized prices down 3% — or approximately 9% excluding adjustments to rebate and discount estimates — with the U.S. price decline driven primarily by Zepbound and Mounjaro [3]. Outside the U.S., realized prices fell 36%, driven mainly by Mounjaro’s addition to China’s National Reimbursement Drug List in the first quarter of 2026 [3]. Mounjaro’s worldwide revenue in Q2 2026 was $9,943 million, up 91% [3].
How much does Mounjaro cost without insurance through LillyDirect?
LillyDirect, Lilly’s direct-to-patient pharmacy experience, lists a self-pay price of “starting at $499/month” on the product cards for all six single-dose prefilled pen strengths: 2.5, 5, 7.5, 10, 12.5, and 15 mg/0.5 mL [4].
The word “starting” matters. Lilly’s terms note that a prescription is required, terms apply, and additional taxes and fees may apply [4]. The $499 figure is not a guaranteed flat price.
Lilly says self-pay savings options open up if your commercial or government insurance does not cover Mounjaro, or if you have no insurance at all [1]. The purchase is FSA/HSA eligible, though eligibility may vary by plan [4]. LillyDirect offers free home delivery or free retail pickup [4].
LillyDirect works with four dispensing pharmacies — Amazon Pharmacy, Fuze Health, Gifthealth, and Walmart Pharmacy — and Lilly says you pay the same price no matter which one fills your prescription [4]. Prescriptions are sent to LillyDirect Pharmacy, 1555 S Harding St, Ste 171-B68, Indianapolis, IN 46221 (NPI 1912889320, NCPDP 1574056) [4]. LillyDirect also automatically checks insurance coverage routinely and supports prior authorization when one is required [4].
Questions about saving on Mounjaro can go to Lilly Support Services at 1-800-LillyRx (1-800-545-5979) [1].
What is the TrumpRx price for Mounjaro?
TrumpRx, the government pricing site, lists Mounjaro at 55% off [5]. The page displays an original price of $1,112.16 and savings of −$613.16; subtracting the savings from the original price works out to $499, but that net figure is a calculation from the two numbers the page displays, not a price the page quotes directly [5].
The site labels this an out-of-pocket price, states that eligibility is required and terms and conditions apply, and advises insured users to check their copay first, since it may be even lower [5].
The TrumpRx configurator covers the single-dose pen form in all six strengths, from 2.5/0.5 through 15/0.5 mg/mL [5]. Orders are handled by LillyDirect, and support is available through LillyDirect Customer Care at 844-559-3471, 9am to 7pm ET, Monday through Friday [5].
This traces back to a November 6, 2025 agreement between Lilly and the U.S. government, under which Mounjaro — along with Emgality and Trulicity — was added to LillyDirect for self-pay patients at 50% to 60% off current list prices [6].
What does Mounjaro cost at retail pharmacies with a discount card?
GoodRx lists Mounjaro as available for as low as $1,086.78 using its coupon, which it describes as 19% off an average retail price of $1,348.34 for the most common version [7]. GoodRx states its coupon prices were last updated on 09/14/26 — these are dated samples that change by pharmacy and week, not list prices or guaranteed prices [7].
GoodRx’s published retail and coupon prices by strength (one carton of four pens):
| Strength | GoodRx retail price | GoodRx coupon price |
|---|---|---|
| 2.5 mg/0.5 mL | $1,351.68 | $1,093.78 [7] |
| 5 mg/0.5 mL | $1,351.69 | $1,093.69 [7] |
| 7.5 mg/0.5 mL | $1,339.40 | $1,096.23 [7] |
| 10 mg/0.5 mL | $1,340.02 | $1,096.27 [7] |
| 12.5 mg/0.5 mL | $1,351.69 | $1,093.46 [7] |
| 15 mg/0.5 mL | $1,351.69 | $1,093.45 [7] |
GoodRx notes that retail prices shown are average costs users pay and do not reflect pricing at any specific location [7].
Sample GoodRx coupon prices at individual pharmacies: Hy-Vee at $1,052.07, Dillons at $1,096.28, Walgreens at $1,197.79, CVS at $1,150.50, Walmart at $1,161.15, and Costco at $1,386.42 [7].
SingleCare puts the average retail price without insurance or discounts at $1,350 per month [8]. In one dated sample — 5 mg/0.5 mL, four pens, ZIP code 23666 in Hampton, Virginia — SingleCare listed Kroger and Harris Teeter at $874.25 each, a price the site labels as available with signup for its coupon [8]. SingleCare notes its coupons cannot be combined with insurance or other discounts, and that prices vary by location, pharmacy, dosage, and insurance [8].
There are currently no generic alternatives to Mounjaro [7].
How does the Mounjaro Savings Card work?
The Mounjaro Savings Card is Lilly’s copay assistance program for people with eligible commercial insurance. If your plan covers Mounjaro, the card brings the price down to as little as $25 for up to a 3-month prescription [9][7][8]. A month is defined as 28 days and up to 4 pens, and savings are subject to monthly and annual limits [9].
If your commercial plan does not cover Mounjaro, the card can bring the price down to as low as $499 per month [8]. The annual caps differ by situation:
| Your situation | What you may pay | Maximum savings per calendar year |
|---|---|---|
| Commercial insurance, plan covers Mounjaro | As little as $25 for up to a 3-month prescription [9] | $1,950 [8] |
| Commercial insurance, plan does not cover Mounjaro | As low as $499/month [8] | $8,411 [8] |
Eligibility requires being at least 18 years old, a resident of the U.S. or Puerto Rico, and having eligible commercial insurance [8]. Enrollment involves a short online form, and the card can be downloaded, received by email, or added to a mobile wallet [8].
The card is not available to governmental beneficiaries — people with Medicaid, Medicare, Medigap, Department of Defense, VA, TRICARE/CHAMPUS, or any state patient or pharmaceutical assistance program are excluded [1][9][8]. Lilly states the program is not insurance and that it may terminate, rescind, revoke, or amend the offer at any time without notice [9].
Patients without commercial insurance who need assistance can call the Lilly Answers Center at 1-800-545-5979 for information on other affordability options [1].
What does Mounjaro cost with Medicare?
Some Medicare Part D plans cover Mounjaro, but not all do [8]. If a plan covers it, the copay or coinsurance depends on the formulary tier the plan assigns [8].
For 2026, federal law caps Medicare Part D out-of-pocket costs at $2,100 for the entire year [8]. That cap applies only to drugs the plan covers — if a Part D plan does not cover Mounjaro, what you pay at the pharmacy does not count toward the $2,100 limit [8].
Two limitations apply for Medicare patients:
- The Mounjaro Savings Card excludes Medicare beneficiaries [1][9][8].
- The Medicare GLP-1 Bridge program does not include Mounjaro [8].
The $50-per-month Medicare pricing announced in the November 2025 Lilly–U.S. government agreement applies to Zepbound and orforglipron (if approved), starting as early as April 1, 2026 — not to Mounjaro [6].
Medicare beneficiaries who qualify for Extra Help, the low-income subsidy program, get Part D premiums paid on their behalf and reduced pharmacy costs; after total drug costs reach $2,100, covered prescriptions are free for the rest of the year [8].
Does Medicaid cover Mounjaro?
Medicaid coverage varies by state. Many state programs cover type 2 diabetes drugs like Mounjaro, but coverage is not guaranteed [8]. Lilly directs readers to the state overviews at medicaid.gov for eligibility and state copayment information [1].
How do commercial insurance plans handle Mounjaro?
Many commercial plans cover Mounjaro for its FDA-approved indication — type 2 diabetes [8]. Prior authorization is commonly required, meaning your provider documents the type 2 diabetes diagnosis for the plan [8]. Coverage is often denied for off-label uses such as weight loss or sleep apnea [8].
When a plan does cover Mounjaro, it is typically placed in a mid-tier, such as Tier 2 or Tier 3 [8]. Copays and coinsurance generally rise with the tier number [8]. A deductible may apply before the copay kicks in — until it is met, you may owe the full allowed amount for early fills, and the deductible resets each plan year [8].
LillyDirect automatically checks insurance coverage and supports prior authorization [4]. Lilly says plan-specific out-of-pocket data is not yet available, so the only way to know your cost is to confirm the formulary tier and prior-authorization requirement with your plan directly [1][8].
Why is Zepbound’s self-pay price lower than Mounjaro’s?
Mounjaro and Zepbound both contain tirzepatide, but they are approved for different uses. Mounjaro is approved to improve blood sugar in people with type 2 diabetes aged 10 and older, and to reduce the risk of major cardiovascular events — heart attack, stroke, or cardiovascular death — in adults with type 2 diabetes at high risk for these events [4]. Zepbound is approved for obesity or overweight with weight-related conditions, and for moderate-to-severe obstructive sleep apnea in adults with obesity [6]. Tirzepatide is marketed as Zepbound for obesity in the U.S., Canada, and Japan [3].
Mounjaro is used off-label for weight loss; Zepbound is the FDA-approved weight-loss brand [8]. Coverage follows those indications: Mounjaro coverage may be denied when it is prescribed for off-label uses like weight loss or sleep apnea, and some insurance companies cover Mounjaro but not Zepbound, or vice versa [8].
The self-pay prices also differ. Under the November 2025 government agreement, upon FDA approval, Zepbound’s multi-dose pen will be available self-pay at the lowest dose for $299, with higher doses up to $449, and refills at no more than $449 [6]. Zepbound and orforglipron (if approved) carry the $50-per-month Medicare price under that agreement [6]. Mounjaro’s self-pay price through LillyDirect starts at $499 per month [4].
How does the U.S. price compare to other countries?
A Peterson-KFF analysis published August 17, 2023, using prices from web searches as of August 15, 2023, compared one month of Mounjaro (15 mg, four pens) at list price: $1,023 in the U.S., $444 in the Netherlands, and $319 in Japan [2]. These are 2023 list prices for the 15 mg strength, not current 2026 prices.
The analysis notes that list prices are not necessarily net prices, since manufacturers provide insurer rebates and patient coupons [2].
The November 2025 Lilly–U.S. government agreement explicitly positions Zepbound’s self-pay pricing as similar to what is available in Europe [6]. As part of that agreement, Lilly committed to a more balanced pricing approach across developed nations, and in return receives three years of tariff relief and exemption from future pricing mandates [6].
What can you do to lower the bill?
Several practical steps can reduce what you pay, though none is guaranteed:
- Comparing prices across pharmacies, and asking whether a 3-month supply costs less than three 1-month fills [8].
- Asking a prescriber about lower-cost alternatives, such as Victoza, liraglutide (generic Victoza), Jardiance, Farxiga, Invokana, Rybelsus, or Trulicity [8].
- Discount coupons from services like SingleCare cannot be stacked with insurance or other discounts — they work for people paying cash [8].
- Savings through Lilly are applied automatically through LillyDirect when you are eligible [4].
- Confirming your plan’s formulary tier and prior-authorization requirement directly with the plan [8][1].
For the most accurate information, Lilly recommends talking to your insurance provider, who knows the details of your plan [1]. Dosing decisions belong with your prescriber.
Sources
- Eli Lilly and Company. Mounjaro cost information | With or without insurance | Mounjaro (tirzepatide) injection.
- Peterson-KFF Health System Tracker. How do prices of drugs for weight loss in the U.S. compare to peer nations’ prices? August 17, 2023.
- Eli Lilly and Company. Lilly reports second-quarter 2026 financial results, raises full-year guidance, and highlights continued growth and pipeline progress. August 5, 2026.
- Eli Lilly and Company. Authentic Mounjaro (tirzepatide) shipped to you | LillyDirect.
- TrumpRx. Mounjaro on TrumpRx.
- Eli Lilly and Company. Lilly and U.S. government agree to expand access to obesity medicines to millions of Americans. November 6, 2025.
- GoodRx. Mounjaro coupons, cost & savings cards.
- SingleCare. 5 Mounjaro savings tips.
- Eli Lilly and Company. Savings & coverage | Mounjaro (tirzepatide).
- Centers for Medicare & Medicaid Services. BALANCE (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth) Model.
- KFF. Medicaid coverage of and spending on GLP-1s. January 16, 2026.
- TRICARE Newsroom. TRICARE coverage of weight loss medications: What to know.
- Lilly Cares Foundation. Patient Assistance Program application.
- TeleTest. Mounjaro cost in Canada (June 2026): $325.67 Costco vs $650. June 12, 2026.
- US Food and Drug Administration. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. Patent information.
- Eli Lilly and Company. FDA approves Lilly’s Mounjaro (tirzepatide) to reduce cardiovascular risk in adults with type 2 diabetes. August 28, 2026.
Frequently asked questions
Why did my pharmacy quote a higher price than Lilly's $499?
The $499 figure is LillyDirect's self-pay price, and Lilly's own wording is "starting at $499/month," with terms applying and possible additional taxes and fees. A retail pharmacy quoting a cash price is not using that channel — GoodRx samples from September 2026 showed individual pharmacy coupon prices ranging from $1,052.07 at Hy-Vee to $1,386.42 at Costco. Prices vary by location, pharmacy, dosage, and insurance.
Can I get the $499 price if I have no insurance at all?
Yes, that is one of the situations LillyDirect's self-pay option covers. Lilly says self-pay savings options apply if your commercial or government insurance does not cover Mounjaro, or if you have no insurance at all. A prescription is still required, terms apply, and additional taxes and fees may apply.
Can Medicare beneficiaries use the Mounjaro Savings Card?
No. The savings card excludes governmental beneficiaries, including people with Medicare, Medicaid, Medigap, Department of Defense, VA, TRICARE/CHAMPUS, and state patient or pharmaceutical assistance programs. Medicare patients without commercial insurance can call the Lilly Answers Center at 1-800-545-5979 for information on other affordability options.
Does the $50-per-month Medicare GLP-1 pricing cover Mounjaro?
No. The November 2025 agreement between Lilly and the U.S. government sets $50-per-month Medicare pricing for Zepbound and orforglipron (if approved), starting as early as April 1, 2026. Mounjaro is not part of that pricing. Mounjaro was instead added to LillyDirect for self-pay patients at 50% to 60% off list prices.
Does a coupon payment count toward my deductible?
That depends on your plan design. SingleCare notes its coupons cannot be combined with insurance or other discounts, so they apply to cash purchases rather than insurance claims. On an insurance claim, a plan deductible may apply before your copay — until it is met, you may owe the full allowed amount for early fills, and the deductible resets each plan year. Your plan can confirm how it counts.
Is there a generic version of Mounjaro?
No. GoodRx states there are currently no generic alternatives to Mounjaro. The brand-name versions of tirzepatide sold in the U.S. are Mounjaro, approved for type 2 diabetes and cardiovascular risk reduction, and Zepbound, approved for obesity and obstructive sleep apnea.
Does Mounjaro cost more at higher doses?
The list price of $1,112.16 per fill is the same across all six strengths on the TrumpRx configurator. On LillyDirect, the same "starting at $499/month" wording appears on the product card for every strength, from 2.5 mg to 15 mg — though "starting at" means the final price may differ, with terms and possible taxes and fees applying. GoodRx retail samples vary only slightly by strength, from $1,339.40 to $1,351.69. Dosing itself is a decision for your prescriber.
What does a "fill" mean in Lilly's pricing?
One fill equals one month's supply of Mounjaro, which Lilly defines as four pens per month. The savings card program uses the same definition — a month is 28 days and up to 4 pens. Mounjaro is a medication that is injected once weekly.
This article summarizes FDA labeling, published research and company information current as of October 13, 2026. It is not medical advice and does not replace a conversation with your own healthcare provider. How we research and verify.