Is Mounjaro covered by insurance?<\/span><\/h2>\nSome insurance plans and <\/span>Medicare Part D drug plans<\/span> cover Mounjaro for Type 2 diabetes, but some don\u2019t. Before filling a prescription, check with the insurance company. Insurance plans covering Mounjaro tend to place the drug in their highest <\/span>copay<\/span> or non-formulary tier. The copay cost could be high. The final out-of-pocket cost could include <\/span>deductibles<\/span>, <\/span>coinsurance<\/span>, or <\/span>coverage gap<\/span> costs.<\/span><\/p>\nMedicaid may or may not cover a Mounjaro prescription. It will depend on the state. The VA and Tricare classify Mounjaro as non-formulary, so a prescription will only be covered with prior authorization if certain criteria are met.<\/span><\/p>\nIf Mounjaro is prescribed for weight loss and not Type 2 diabetes, health insurance providers typically will not cover it.<\/span><\/p>\nHow much does Mounjaro cost without insurance?<\/span><\/h2>\nWithout insurance coverage, the retail price for a 28-day supply of Mounjaro (4, 0.5 mL of 5 mg\/0.5 mL auto-injector pens) is approximately $1,460. That means each weekly dose costs almost $365. A year of Mounjaro treatment will cost nearly $19,000 at the full retail price.<\/span><\/p>\nPeople without insurance should ask the prescriber about other drugs in the GLP-1 agonist class. They, too, are premium-priced brand-name drugs, but may cost less per month than Mounjaro. They include <\/span>Zepbound (tirzepatide)<\/span>, <\/span>Ozempic (semaglutide)<\/span>, <\/span>Wegovy (semaglutide)<\/span>, <\/span>Trulicity (dulaglutide)<\/span>, <\/span>Saxenda (liraglutide)<\/span>, and <\/span>Victoza (liraglutide)<\/span>, all injections similar to Mounjaro. <\/span>Rybelsus (semaglutide)<\/span>, a once-a-day oral tablet, is another alternative that could save hundreds of dollars per month.<\/span><\/p>\nIf any of these drugs prove too challenging to afford every month, ask the prescriber for medical advice about other Type 2 diabetes medications you may not have tried yet. Many are available in low-priced <\/span>generic versions<\/span>. However, their effectiveness will differ, as will side effects and drug interactions. Most do not dramatically affect body weight as much as the GLP-1 agonists do.<\/span><\/p>\nThe best alternative may be to use a <\/span>prescription discount card<\/span>. People using at a participating pharmacy could pay as little as $945 for a 28-day supply of Mounjaro.<\/span><\/p>\n\n\n\n\n<\/th>\n<\/tr>\n<\/thead>\n \n\nMounjaro<\/span><\/p>\n(tirzepatide)<\/span><\/p>\n<\/td>\n
$1,069 per 4, 0.5 mL of 5 mg\/0.5 mL auto-injector pens<\/span><\/td>\n $994 per 4, 0.5 mL of 5 mg\/0.5 mL auto-injector pens of brand-name Mounjaro<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nZepbound<\/span><\/p>\n(tirzepatide)<\/span><\/p>\n<\/td>\n
$1,060 per 4, 0.5 mL of 5 mg\/0.5 mL auto-injector pens<\/span><\/td>\n $1034 per 4, 0.5 mL of 5 mg\/0.5 mL auto-injector pens of brand-name Zepbound<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nOzempic<\/span> (semaglutide)<\/span><\/td>\n $936 per 1, 1.5 mL of 2 mg\/1.5 mL auto-injector pen<\/span><\/td>\n $815 per 1, 1.5 mL of 2 mg\/1.5 mL auto-injector pen of brand-name Ozempic<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nWegovy<\/span><\/p>\n(semaglutide)<\/span><\/p>\n<\/td>\n
$1,349 per 4, 0.5ML of 0.25 mg\/0.5 mL auto-injector pens<\/span><\/td>\n $1,234 per 4, 0.5 mL of 0.25 mg\/0.5 mL auto-injector pens of brand-name Wegovy<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nTrulicity<\/span><\/p>\n(dulaglutide)<\/span><\/p>\n<\/td>\n
$1,288 per 4, 0.5 mL of 1.5 mg\/0.5 mL auto-injector pens<\/span><\/td>\n $744 per 4, 0.5 mL of 1.5 mg\/0.5 mL auto-injector pens<\/span><\/p>\nof brand-name Trulicity<\/span><\/p>\n<\/td>\n
See latest prices<\/span><\/td>\n<\/tr>\n\nSaxenda<\/span><\/p>\n(liraglutide)<\/span><\/p>\n<\/td>\n
$1,698 per<\/span><\/p>\n5, 3 mL of 18 mg\/mL auto-injector pens<\/span><\/p>\n<\/td>\n
$1,157 per 5, 3 mL of 18 mg\/3 mL auto-injector pens of brand-name Saxenda<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nVictoza <\/span>(liraglutide)<\/span><\/td>\n $815 per 3, 3 mL of 18 mg\/3 mL auto-injector pens<\/span><\/td>\n $665 per 3, 3 mL of 18 mg\/3 mL auto-injector pens of brand-name Victoza<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n\nRybelsus<\/span> (semaglutide)<\/span><\/td>\n $1,268 per 30, 7 mg tablets<\/span><\/td>\n $807 per 30, 7 mg tablets of brand-name Rybelus<\/span><\/td>\n See latest prices<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nPrescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed price references the price of generic drugs if available. Click the link under \u201cSavings options\u201d to see the latest drug prices.<\/span><\/i><\/p>\nHow to get Mounjaro without insurance<\/span><\/h2>\nBrand-name prescription drugs are often challenging to squeeze into a budget. With a monthly price tag of $1,069, Mounjaro is no exception. As with other premium-priced prescription drugs, the manufacturer, Eli Lilly and Co., offers a patient assistance program and a Mounjaro savings card. However, not everyone who applies will qualify. Fortunately, those aren\u2019t the only options to save money.\u00a0<\/span><\/p>\n1. Use a prescription discount card<\/span><\/h3>\nWith a Mounjaro coupon, uninsured patients can get Mounjaro for as little as $944. Depending on the pharmacy, other Mounjaro discount prices may be higher. Check the current prices on \u2019s <\/span>Mounjaro discount card page<\/span>.\u00a0<\/span><\/p>\n2. Shop around for the lowest price<\/span><\/h3>\nComparing pharmacy prices can net savings of as much as $400. That\u2019s the difference between the lowest pharmacy price for Mounjaro and the average retail price. You can easily compare pharmacy prices on the Mounjaro <\/span>coupon page<\/span>.\u00a0<\/span><\/p>\n3. Ask the prescriber about other GLP-1 agonists<\/span><\/h3>\nThe prescriber may be able to recommend another drug similar to Mounjaro called a GLP-1 receptor agonist. These alternatives may cost hundreds of dollars less per month than the cost of Mounjaro.<\/span><\/p>\n4. Ask the prescriber for medical advice about cheaper diabetes drugs<\/span><\/h3>\nThe prescribing healthcare provider may have good medical advice about alternative blood glucose-lowering drugs that haven\u2019t yet been tried. Many are available as generics, so the cost could be dramatically lower than Mounjaro.\u00a0<\/span><\/p>\n5. Ask the prescriber about other weight loss medications<\/span><\/h3>\nIf Mounjaro is prescribed off-label for weight management, then insurance won\u2019t help. Everyone will pay the full cash price. If that price is too much, consider switching to another weight loss drug such as <\/span>Xenical<\/span> (<\/span>orlistat<\/span>) and <\/span>Adipex-P<\/span> (<\/span>phentermine<\/span>).<\/span><\/p>\n6. Enroll in Medicaid<\/span><\/h3>\nIf you qualify for <\/span>Medicaid<\/span>, there\u2019s still a chance that your state doesn\u2019t cover Mounjaro. However, another drug similar to Mounjaro may be. Start by visiting your state\u2019s Medicaid website for eligibility information. Enrollment can be done online or with the help of a local health department representative.<\/span><\/p>\n7. Buy a health insurance policy<\/span><\/h3>\nOne of the most enduring ways to save money on long-term, high-priced medications like Mounjaro is to purchase health insurance with a prescription drug benefit. Not only are many health insurance plans cheaper than a year\u2019s expenditure on Mounjaro, but some plans are also surprisingly affordable. Start by comparing prices on your state\u2019s health insurance marketplace website.<\/span><\/p>\n\n \n \n
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