Mounjaro is Eli Lilly's once-weekly tirzepatide injection approved to control blood sugar in people 10 and older with type 2 diabetes and to cut heart risk in high-risk adults with type 2 diabetes; it is not approved for weight loss [3].
What Mounjaro costs in each situation
Your price depends almost entirely on your insurance. Unlike Zepbound, Mounjaro has no LillyDirect self-pay price that we could confirm from Lilly; Lilly's Mounjaro pages we checked list only the list price and the savings card. Ask the pharmacy for its cash price before you fill. The GLP-1 Price Tracker shows how that compares with every other option.
| Situation | Price a month | What is included | Checked | Source |
|---|---|---|---|---|
| Commercial plan covers Mounjaro, with savings card | As little as $25 | 1-, 2- or 3-month fill. Savings capped at $150 per month, $450 per 3 months, $1,950 a year, 13 fills a year. | Oct 17, 2026 | Lilly [2] |
| Commercial plan does not cover it, with savings card | As low as $499 | Savings capped at $647 a month and $8,411 a year | Oct 17, 2026 | Lilly [2] |
| No insurance | $1,112.16 list | Four pens, 28 days. The card is not open to uninsured people. A LillyDirect cash price could not be confirmed. | Oct 17, 2026 | Lilly [1] [2] |
| Costco pickup | About $1,103.95 reported | Third-party tracker figure, not confirmed with Costco | Sept 2026 | WeightLossRankings [5] |
| Medicare GLP-1 Bridge | Not covered | The Bridge covers Foundayo, Wegovy and the Zepbound KwikPen only | Oct 17, 2026 | CMS [6] |
Extra costs to expect
- Dose increases. The label starts at 2.5 mg and adds 2.5 mg steps after at least 4 weeks if more blood sugar control is needed, up to 15 mg for adults [3].
- Visits and labs for diabetes care, billed by your clinician.
- Pen needles if you use the multi-dose KwikPen, which holds four doses [7]. The FDA approved a Mounjaro KwikPen in late January 2026, Fierce Pharma reported [8].
- The card's end date. Mounjaro card savings run through Dec 31, 2026 [2].
How to get Mounjaro for $25
- Have type 2 diabetes. The card requires a prescription for an FDA-approved use [2], and Mounjaro's approved uses are for type 2 diabetes [3].
- Have commercial insurance. Medicare, Medicaid and other government plans are excluded [2].
- Confirm your plan covers Mounjaro. If it does, the card can lower the copay to $25 [2]. Our Zepbound and Mounjaro insurance guide shows how to check.
- Activate the card and show it at the pharmacy with each fill.
Mounjaro without diabetes: look at Zepbound
Mounjaro and Zepbound hold the same drug, tirzepatide, and the Zepbound label says not to use the two together [9]. Zepbound is the version approved for weight management and sleep apnea [7], and it has a cash price: $299 to $449 a month on LillyDirect when you refill within 45 days [4]. A prescription for Mounjaro without diabetes is off-label, so the Mounjaro savings card, which needs an approved use, will not apply [2]. See Mounjaro vs Zepbound: same drug, different label.
| Product | Approved use | Cash price a month | Source |
|---|---|---|---|
| Mounjaro | Type 2 diabetes (age 10+); heart risk in type 2 diabetes | $1,112.16 list | [3] [1] |
| Zepbound | Weight management; sleep apnea with obesity | $299 to $449 (up to $699 if refilled late) | [7] [4] |
| Compounded tirzepatide | Not FDA-approved | $117 to $399 in the programs we track | [10] [11] |
In a trial in the Zepbound label of adults with type 2 diabetes, people on 10 mg and 15 mg tirzepatide lost an average of 12.8% and 14.7% of body weight at 72 weeks, against 3.2% on placebo [12].
Medicare and Medicaid
For people with type 2 diabetes, Medicare says your Part D plan might cover GLP-1s [13]. Your cost then follows that plan's tiers. The Lilly savings card cannot be used with Medicare or Medicaid [2]. Medicaid rules differ by state; see Medicare and Medicaid GLP-1 coverage.
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Telehealth programs that prescribe Mounjaro (clean or caution only)
- Price
- Membership $19.99 (first month free); first visit $129 without insurance [14]
- What you get
- Mounjaro for type 2 diabetes; Zepbound and Wegovy for weight
- FDA record
- No FDA warning letter found as of Oct 17, 2026
- BBB
- Not yet checked
- Note
- Drugs and labs extra
- Clean
- Price
- Brand plan $99 to $149 a month, drug billed separately [15]
- What you get
- Prescribes brand GLP-1s including Mounjaro
- FDA record
- No FDA warning letter found as of Oct 17, 2026
- BBB
- Not yet checked
- Note
- Found quotes Mounjaro at about $1,100 a month without coverage
Mounjaro safety points
Mounjaro carries a boxed warning for thyroid C-cell tumors seen in rats; do not use it with a personal or family history of medullary thyroid carcinoma or MEN 2 [12]. With basal insulin, 14% to 19% of trial patients had low blood sugar below 54 mg/dL, and with a sulfonylurea 9.9% to 13.8% [3]. Severe, lasting stomach pain (a possible sign of pancreatitis) and allergic reactions need prompt medical care. Oral birth control may work less well for 4 weeks after starting and after each dose increase [3]. For an emergency, call 911. See Mounjaro side effects.
Questions people ask
How much is Mounjaro without insurance?
How do I get Mounjaro for $25?
You need commercial insurance that covers Mounjaro and a prescription for an approved use, which means type 2 diabetes. The Lilly savings card can then lower the cost to $25 for a 1-, 2- or 3-month fill, through Dec 31, 2026 [2].
What if my insurance does not cover Mounjaro?
With commercial insurance that does not cover it, the savings card can bring Mounjaro to as low as $499 for a 1-month fill, with savings capped at $647 a month [2].
Is there a generic for Mounjaro?
Can I get Mounjaro without diabetes?
Does Medicare cover Mounjaro?
How much does Mounjaro cost per month with the savings card?
As little as $25 if your commercial plan covers it, or as low as $499 if it does not. Savings are capped at $150 per covered month and $647 per uncovered month [2].
Sources
16 cited
- Mounjaro frequently asked questions. Eli Lilly and Company, Oct 17, 2026.
- Mounjaro savings card terms. Eli Lilly and Company, Oct 17, 2026.
- Mounjaro (tirzepatide) label. DailyMed, National Library of Medicine, Aug 2026.
- Zepbound on LillyDirect: self-pay prices. Eli Lilly and Company (LillyDirect), Oct 17, 2026.
- Costco Pharmacy GLP-1 prices (third-party tracker). WeightLossRankings.org, Sep 2026.
- Medicare GLP-1 Bridge: information for pharmacies. Centers for Medicare & Medicaid Services, Oct 17, 2026.
- Zepbound (tirzepatide) label. DailyMed, National Library of Medicine, Aug 2026.
- Lilly adds multidose Zepbound pens to self-pay menu after FDA nod. Fierce Pharma, Feb 23, 2026.
- Zepbound frequently asked questions. Eli Lilly and Company, Oct 17, 2026.
- IVIM Health home page and prices. IVIM Health, Oct 17, 2026.
- DirectMeds pricing. DirectMeds, Oct 17, 2026.
- Zepbound prescribing information (217806s050). US Food and Drug Administration, Apr 2026.
- Weight loss drugs coverage. Medicare.gov (CMS), Oct 17, 2026.
- PlushCare weight loss. PlushCare, Oct 17, 2026.
- Found offer terms. Found, Oct 17, 2026.
- FDA's concerns with unapproved GLP-1 drugs used for weight loss. US Food and Drug Administration, Oct 1, 2026.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.