A tirzepatide coupon usually means one of Lilly’s own programs. People with commercial insurance can use the Mounjaro or Zepbound Savings Card to pay as little as $25 when their plan covers the drug.[1][2] People paying cash can buy Zepbound vials or KwikPens from $299 a month and Mounjaro from $499 through LillyDirect.[3][4] Eligible Medicare members can get the Zepbound KwikPen for $50 a month through a temporary federal program.[5]
Prices and program terms checked October 2026. They change often; confirm with the manufacturer or your plan.
Mounjaro and Zepbound are the same drug, tirzepatide, with different approved uses. Mounjaro is for type 2 diabetes, and Zepbound is for weight management and obstructive sleep apnea.[9][10] See our tirzepatide profile.
All tirzepatide savings programs compared
| Program | Brand and form | You pay | Who can use it |
|---|---|---|---|
| Mounjaro Savings Card (covered) | Mounjaro pen | As little as $25 for 1 to 3 months[1] | Commercial plan covers Mounjaro |
| Mounjaro Savings Card (not covered) | Mounjaro pen | As low as $499 a month[1] | Commercial plan excludes Mounjaro |
| Zepbound Savings Card (covered) | Zepbound single-dose pen | As little as $25 for 1 to 3 months[2] | Commercial plan covers Zepbound |
| Zepbound Savings Card (not covered) | Single-dose pen or KwikPen | $499 (pen); $299 to $449 (KwikPen)[2] | Commercial plan excludes Zepbound |
| LillyDirect self-pay | Zepbound vial or KwikPen | $299 to $449 a month[3] | Anyone paying cash with a prescription |
| LillyDirect self-pay | Mounjaro pen | From $499 a month[4] | Anyone paying cash with a prescription |
| Medicare GLP-1 Bridge | Zepbound KwikPen | $50 a month[5] | Eligible Part D members, weight management |
| Lilly Cares | Not available for either brand | n/a[6] | n/a |
Mounjaro Savings Card
For commercially insured people with a Mounjaro prescription for an approved use. If your plan covers Mounjaro, Lilly pays up to $150 per month’s fill and $1,950 a year, so you pay as little as $25. If your plan does not cover it, you pay as low as $499, with Lilly paying up to $647 a month and $8,411 a year. The card expires December 31, 2026.[1]
Full terms: Mounjaro savings card.
Zepbound Savings Card
For commercially insured people with a Zepbound prescription for an approved use. If your plan covers the single-dose pen, Lilly pays up to $100 per month’s fill and $1,300 a year, so you pay as little as $25. If your plan does not cover Zepbound, you pay as low as $499 for the single-dose pen, or $299 to $449 for the KwikPen. The higher-dose KwikPen price of $449 depends on refilling within 45 days. The card expires December 31, 2026.[2]
Full terms: Zepbound savings card.
LillyDirect self-pay pricing
LillyDirect is Lilly’s direct-to-patient pharmacy service. It is not a coupon, but for people without coverage it is usually the lowest price:
- Zepbound vial or KwikPen: $299 (2.5 mg), $399 (5 mg), and $449 (7.5 to 15 mg) when refilled within 45 days. Late refills at higher doses cost $499 to $699.[3]
- Mounjaro pen: from $499 a month at every dose.[4]
Lilly added Mounjaro to LillyDirect self-pay after its November 2025 agreement with the U.S. government, which promised self-pay pricing 50% to 60% below list.[7] The government’s TrumpRx site also lists Zepbound vials, but it routes orders to LillyDirect.[8]
See Zepbound cost without insurance and Mounjaro cost without insurance.
Medicare: the GLP-1 Bridge
Lilly’s savings cards exclude everyone with Medicare.[1][2] For weight management, CMS runs the Medicare GLP-1 Bridge from July 1, 2026 through December 31, 2027. Eligible Part D members pay $50 a month for the Zepbound KwikPen. Vials and single-dose pens are not covered, prior authorization is required, and people with type 2 diabetes or sleep apnea use their regular Part D plan instead.[5] Details: does Medicare cover Zepbound?
Lilly Cares patient assistance
Lilly Cares gives some Lilly medicines free to people with limited income. As of October 2026, neither Mounjaro nor Zepbound is on its list of available medications. Trulicity, an older Lilly GLP-1 drug for type 2 diabetes, is.[6] See our Mounjaro patient assistance and Zepbound patient assistance guides.
Rules shared by Lilly’s tirzepatide programs
Both savings cards have the same basic conditions:[1][2]
- A prescription for an approved use that matches the label. For Mounjaro that means type 2 diabetes; for Zepbound, weight management or obstructive sleep apnea.[9][10]
- Residence in the U.S. or Puerto Rico, and age 18 or older.
- No enrollment in Medicare, Medicaid, TRICARE, VA or other government coverage for the commercial tiers.
- Activation of the card and a signed HIPAA authorization.
- No combining with other coupons, and no claiming the card’s savings from an HSA, FSA or insurer.
- Expiration on December 31, 2026, with Lilly able to change or end the program at any time.
How the programs changed in 2025 and 2026
Lilly’s tirzepatide pricing has moved several times in a year:
- November 6, 2025: Lilly’s agreement with the U.S. government promised $50 Medicare pricing for a multi-dose Zepbound pen and LillyDirect self-pay access to Mounjaro.[7]
- Early 2026: the Zepbound KwikPen launched at the same self-pay price as vials.[3]
- July 1, 2026: CMS started the Medicare GLP-1 Bridge.[5]
Because terms shift often, check the program page before each new year.
How to choose the right program
- Do you have Medicare, Medicaid, TRICARE or VA coverage? The savings cards are off the table. Check your Part D plan (diabetes or sleep apnea) or the Medicare GLP-1 Bridge (weight management).[5]
- Do you have commercial insurance that covers the drug? Use the matching savings card for as little as $25.[1][2]
- Commercial insurance that excludes it? Compare the not-covered card tier with LillyDirect self-pay; for Zepbound the KwikPen or vial at $299 to $449 is usually lower than the $499 pen tier.[2][3]
- No insurance? LillyDirect self-pay is the official route.[3][4]
Which brand you receive depends on your diagnosis, and a clinician makes that call. For a full cost breakdown, see tirzepatide cost.
Coupons to be careful with
Lilly’s savings cards cannot be combined with any other coupon, discount card or offer.[1][2] Third-party discount cards are separate from Lilly, and Lilly does not set their prices, so compare any quote against the LillyDirect self-pay price before you pay.
