Mounjaro® costs in 2025: With and without insurance coverage

What you’ll learn:       

• Mounjaro^® (tirzepatide) is a medication originally approved for type 2 diabetes, now widely prescribed off-label for weight loss.
• The list price of Mounjaro^® is around $1,080 per month, but insurance, manufacturer savings cards, and patient assistance programs can reduce out-of-pocket expenses.
• Coverage varies by insurance plan, with broader approval for type 2 diabetes but limited coverage for weight loss.

Mounjaro^® has become one of the most talked-about medications, alongside Ozempic^®, for its weight loss potential. Originally approved by the FDA for type 2 diabetes, Mounjaro^® is now widely prescribed off-label due to its ability to help people lose an average of 21% of their body weight over 18 months when combined with lifestyle changes. 

Tirzepatide, the active ingredient in Mounjaro^®, is a dual-acting medication that targets two different receptors (GLP-1 and GIP) to reduce appetite, slow stomach emptying, and regulate blood sugar. This sets it apart from Ozempic^® and Wegovy^®, which are made with semaglutide and only target GLP-1. The dual action of tirzepatide makes it one of the most effective medical weight-loss options available. Its rising popularity, however, comes with a major concern—the cost. 

The list price of Mounjaro^® is over $1,000 a month. Whether or not insurance covers it can significantly impact whether some people can afford it. FYI, Zepbound^® is the FDA-approved version of tirzepatide specifically for weight loss, but it, too, is rarely covered by insurance. 

So, are there ways to make Mounjaro^® more affordable in 2025? We’ll break down everything you need to know about its pricing, insurance coverage, and the best ways to save.

When does insurance cover Mounjaro^®?

Not surprisingly, the $1,080 monthly price tag of Mounjaro^® can be a challenge for people who would like to use the medication. Insurance can significantly lower the monthly cost of Mounjaro^®, but getting coverage is rare and can be complicated. 

Here are some common scenarios:

• Type 2 diabetes management: Some insurance plans cover Mounjaro^® for people with type 2 diabetes, but qualifications to get coverage will vary.
• Weight-related conditions: Plans rarely cover Mounjaro^® for weight management without a diabetes diagnosis.

Always contact your insurance provider directly. Confirm that Mounjaro^® is on the covered list and ask about any additional documentation that may be needed.

How much does Mounjaro^® cost with insurance?

What you’ll pay for Mounjaro^® with insurance depends on several factors. Here are some common scenarios by insurance type:

• Private Insurance: Many private insurance plans list Mounjaro^® as a tiered specialty drug, which means that how much is covered and the copays can vary. If Mounjaro^® is covered, monthly copays typically range from $25 to $150. However, you might have to pay more if you haven’t met your deductible. Always verify coverage details with your insurance provider to avoid surprises at the pharmacy.
• Medicare (Part D and Medicare Advantage): Medicare will cover Mounjaro^® when prescribed for type 2 diabetes, but the costs vary. If you’re enrolled in Medicare Part D or a Medicare Advantage plan, you can typically expect copays between $10 and $50 per month when using Mounjaro^® for diabetes management. If you’re looking to use Mounjaro^® solely for weight loss, Medicare may not cover it. While there have been proposals to expand Medicare coverage for weight management medications, any major changes likely won’t take effect for a few years. Always check with your Medicare provider to confirm what’s covered.
• Medicaid: For those on Medicaid, Mounjaro^® coverage varies by state. Many state Medicaid programs will cover Mounjaro^® if it’s prescribed for diabetes, but eligibility criteria differ. Medicaid coverage for weight loss medications is still limited, with only 13 state Medicaid programs covering GLP-1s for weight management. Out-of-pocket costs for Medicaid recipients are typically very low, often ranging from $0 to $5 per month. If you’re on Medicaid, contact your state’s Medicaid office to understand the exact coverage requirements and any necessary paperwork.
• Veterans Affairs (VA) and TRICARE: For those receiving healthcare through the VA Health Care system, Mounjaro^® may be available through specialized programs that focus on diabetes and weight management. Since it’s not part of the VA’s standard offering, availability may depend on your specific case.
  • If you’re covered under TRICARE, Mounjaro^® might be covered for diabetes management, but prior authorization is required. TRICARE often follows step therapy rules, meaning you may need to try other, more affordable medications before Mounjaro^® is approved. If covered, copays are generally standardized and affordable, with a $38 copay for a 90-day supply when using the TRICARE Pharmacy Home Delivery program.

No matter which type of insurance you have, it’s always a good idea to check with your provider, ask about savings programs, and explore options to lower your costs.

Can you get Mounjaro^® for free with insurance?

While it’s rare to get Mounjaro^® completely free, there are several ways to reduce the cost significantly. If you have insurance, savings programs and assistance options can help lower your out-of-pocket expenses. Here’s how:

• Manufacturer savings card: For those with commercial insurance, Eli Lilly offers a Mounjaro^® Savings Card that can reduce the cost to as low as $25 per month. This savings card:
  • Requires an active prescription for type 2 diabetes (not weight loss)
  • Covers up to $450 every three months
  • Helps lower copays for those with eligible insurance plans
• Patient assistance programs: If you don’t have insurance or are facing financial difficulties, Eli Lilly’s Patient Assistance Program may provide Mounjaro^®at no cost if you meet specific income criteria. To qualify, you typically need to:
  • Have a household income at or below 400% of the federal poverty level (FPL)
  • Be a U.S. resident without insurance or experiencing financial hardship
  • Apply through the Lilly Cares Foundation
• Nonprofit support & copay assistance: Certain nonprofit organizations offer financial assistance for eligible individuals struggling to afford Mounjaro^®. Programs like PAN Foundation and HealthWell Foundation can provide grants or copay assistance for those who qualify.

If you’re looking for ways to lower your cost, check with your insurance provider, pharmacy, and the Mounjaro^® website to see which savings options you may qualify for.

What factors affect the cost of Mounjaro^®?

Several key factors influence the cost of Mounjaro^®. Understanding these can help you plan your budget and explore cost-saving measures:

• Manufacturer pricing: Eli Lilly sets the price based on research, production costs, and market demand. While price adjustments typically occur annually, government price negotiations under the Inflation Reduction Act could impact future costs, particularly for Medicare recipients. However, significant changes aren’t expected until at least 2027.
• Insurance coverage: Your copay, deductible, and prior authorization requirements can significantly impact your final cost. Coverage also varies depending on whether Mounjaro^® is prescribed for type 2 diabetes or off-label for weight loss.
• Pharmacy and location: Prices can vary between local pharmacies, warehouse clubs, and online retailers. Some may offer discounts.

Keeping an eye on government pricing regulations, manufacturer discounts, and pharmacy deals can help you find the best price for Mounjaro^®.

Tips to reduce Mounjaro^® costs

Whether you have insurance or not, there are several ways to lower your Mounjaro^® costs. Here are some practical strategies:

• Use the manufacturer savings card: If you have commercial insurance, check if you qualify for Eli Lilly’s Mounjaro^® Savings Card. As mentioned before, this can reduce your cost to as low as $25 per month, depending on eligibility.
• Explore patient assistance programs: If you’re uninsured or struggling with costs, you may qualify for manufacturer or nonprofit assistance programs that provide Mounjaro^® at a reduced price or even free for a limited time.
• Stay informed on insurance changes: Insurance coverage can change, so review your benefits annually to check for new savings opportunities. If your current plan doesn’t offer the best coverage, explore other insurance options or speak with your provider about alternatives.

Being proactive about cost-saving options can help you get the treatment you need at the lowest possible price.

Will the cost of Mounjaro^® increase as my dose increases?

Mounjaro^® is taken as a once-weekly injection, and most people start on the lowest dose of 2.5 mg. For weight loss or glycemic control, the dose can be increased, if indicated and tolerated, to a maximum of 15 mg. The good news is the cost remains the same regardless of the dosage prescribed. 

If you are using Zepbound^® for weight loss, there are single-dose vials available that do have different costs depending on dose: 

• $399 for 2.5 mg
• $549 for 5 mg

Again, be aware that once you move beyond the 5 mg dose, you will need to step up to an auto-injector pen.

How to get a Mounjaro^® prescription for weight loss

If you’re interested in exploring Mounjaro^® for weight loss, you’ll need a prescription from a healthcare provider. Here’s what you need to know about the process and where to get started.

• Review your medical eligibility: Mounjaro^® can be prescribed off-label for weight management to people with a BMI of 30 or above or 27 and above with weight-related conditions like high blood pressure. 
• Consult your healthcare provider: Schedule an appointment with your primary care doctor, endocrinologist, or another specialist. Discuss your health history, current medications, and treatment goals to see if Mounjaro^® is right for you. You can also fill out a quick online form to see if you qualify for Noom Med. You’ll be connected with a clinician who can assess your eligibility online.
• Manage insurance requirements: If your insurance requires prior authorization, your provider will need to submit documentation, including your treatment history. Make sure all paperwork is completed to avoid delays. 
• Fill your prescription: Once approved, you can fill your prescription at a local pharmacy or through an online provider. 

Following these steps will help you start Mounjaro^® treatment smoothly while managing your costs.

Who should not take Mounjaro^®?

Mounjaro^® works well for many people, but it is not suitable for everyone. Discuss your medical history with your healthcare provider before starting the medication. 

Do not use Mounjaro^® if:

• You or a family member has had medullary thyroid carcinoma (MTC), a type of thyroid cancer.
• You have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), a rare endocrine disorder.
• You have had a serious allergic reaction to tirzepatide or any ingredients in Mounjaro^®.

Before starting Mounjaro^®, tell your doctor if you:

• Have or have had pancreatitis, kidney disease, or other serious digestive issues, as Mounjaro® may increase the risk of pancreatitis, affect kidney function due to dehydration, or slow digestion, potentially worsening existing conditions.
• Have type 2 diabetes with a history of diabetic retinopathy (eye problems) since Mounjaro® can cause rapid blood sugar reductions, which may temporarily worsen diabetic retinopathy.
• Are pregnant or planning to become pregnant, Mounjaro^® shouldn’t be used during pregnancy. You should also stop taking it at least two months before trying to conceive.
• Are breastfeeding or planning to breastfeed, as it’s unknown whether Mounjaro^® passes into breast milk.

Always share your full medical history with your provider to ensure Mounjaro^® is a safe option for you. For full details on all potential side effects, visit the Mounjaro^® website.

Medications that may interact with Mounjaro^®

It’s important to let your doctor know about all medications and supplements you’re taking. Some drugs may require dosage adjustments or careful monitoring when used with Mounjaro^®. Here are some medications that can interact with Mounjaro^®:

• Diabetes medications: Taking Mounjaro^® alongside insulin or sulfonylureas can increase the risk of low blood sugar (hypoglycemia) if you have diabetes. Your doctor may need to adjust your diabetes medication.
• Oral medications: Since Mounjaro^® slows stomach emptying, it can delay the absorption of certain oral drugs, which may affect their effectiveness. 
• Medications affecting digestion: Some drugs that slow gastric motility may worsen side effects like nausea, bloating, or stomach discomfort when combined with Mounjaro^®.

To avoid potential interactions, always review your full medication list with your healthcare provider before starting Mounjaro^®.

Can Mounjaro^® be combined with other weight-loss medications?

Combining Mounjaro^® with other weight-loss medications is not recommended, as its safety and effectiveness alongside other drugs have not been well studied. 

If you’re considering additional weight-loss treatments, talk to your doctor about the potential risks and benefits. Your healthcare provider will help determine the best treatment plan based on your specific needs.

Where to get a Mounjaro^® prescription filled

Once you have a Mounjaro^® prescription, choosing the right pharmacy can help you find the best price. Below are current price listings from GoodRx that will help you compare your options.

• Warehouse clubs and supermarkets: Membership-based stores and large retailers sometimes offer lower prices than traditional pharmacies. Estimated prices (subject to change):
  • Costco: $1,075
  • Walmart: $1,159
  • Target: $1,087
• Retail pharmacies & prescription discount programs: Many national and local pharmacies provide discount programs or manufacturer savings cards that may lower costs. Current estimated prices:
  • CVS: $1,087
  • Walgreens: $1,112
  • Rite Aid: $1,083

Disclaimer: Prices may change and are accurate as of the time of publication. Costs may vary based on location and pharmacy availability.

Mounjaro^® alternatives

While many patients benefit from Mounjaro^®, it may not be the perfect fit for everyone. Fortunately, there are several alternative medications available that work in similar ways to manage blood sugar and aid in weight loss.

Tirzepatide-based alternatives

As mentioned above, Zepbound^® is the version of tirzepatide that is FDA-approved for weight loss and obstructive sleep apnea (OSA) under the same BMI guidelines. Both contain the same active ingredients in identical doses. The biggest difference between Zepbound^® and Mounjaro^® is what they can be prescribed for.  

Zebound also comes in a vial and syringe format that can be cheaper than pre-filled pens. The lowest 2.5 mg dose is $399, while the 5 mg dose is $549. Beyond that, people using the medication will need an auto-injecting pen.

Semaglutide-based alternatives

Semaglutide works similarly to tirzepatide but only targets GLP-1 receptors. It’s still considered highly effective, with people losing an average of 15% of body weight over 16 months. Here are the options:

• Ozempic^® – Like Mounjaro, Ozempic is FDA-approved for type 2 diabetes but often prescribed off-label for weight loss. The list price is about $997 per month without insurance.
• Wegovy^® – Wegovy^® is FDA-approved for managing weight and for preventing cardiac events under the same BMI guidelines as Mounjaro. Without insurance, it typically costs about $1,349 monthly. 
• Rybelsus^® – Rybelsus^® is an oral form of semaglutide approved for managing diabetes and sometimes used off-label for weight loss. The list price without insurance is the same as that of Ozempic^®: $997 monthly.

Compounded semaglutide

You can also consider compounded semaglutide via Noom GLP-1^Rx. This alternative contains the same active ingredient as Ozempic^® but at a potentially more affordable cost. First, see if you qualify for Noom Med. If your clinician determines that it is right for you, they will prescribe it, and it will be shipped to your door for $149 per month to start. Read more about compounded semaglutide and what you get with a Noom Med subscription.

Liraglutide-based alternatives

Liraglutide targets GLP-1 receptors like Ozempic^® but is shorter acting, meaning people need to take an injection each day. Here’s a look at pricing and approved uses:

• Saxenda^® – Saxenda^® is FDA-approved for weight loss. Its list price is $1,349 per month without insurance.
• Victoza^® – This medication is FDA-approved to treat diabetes and is sometimes prescribed off-label for weight loss. It costs between $800 and $1400 per month.
• Generic liraglutide – Recently approved by the FDA, generic liraglutide offers a more affordable option for people managing type 2 diabetes. The current cost is about $470 for a pack of two pens and $704 for a pack of three pens.

Dulaglutide medication

Dulaglutide, available under the brand name Trulicity^®, works in the same way as Ozempic^® but may be less effective for weight loss. It’s taken as a weekly injection. Trulicity is FDA-approved to manage type 2 diabetes and is occasionally prescribed off-label for weight loss. The list price is $987 per month.

Other weight loss medications to consider

While GLP-1 medications are a very popular choice for weight loss, other weight loss medications can also be effective or more affordable for some people. Here’s a look at some of the alternatives (always double-check the prices at your pharmacy for the most accurate numbers) :

• Metformin – Metformin is FDA-approved for diabetes, but it can be prescribed off-label for weight loss. It can help people lose moderate amounts of weight. If you qualify for Noom Med, your clinician can decide if a prescription for metformin is right for you. It will cost $59 for the first month and $89 for recurring 3-month supplies if prescribed. You’ll also get access to medical counseling, a coach, and Noom’s trackers and tools.
• Orlistat – This medication helps block fat absorption and is taken three times daily with meals. The cost can vary widely, ranging from $50 to $800 per month without insurance.
• Phentermine – Phentermine is an appetite suppressant designed for short-term use. It is taken once daily to help reduce hunger. Prices typically range from $27 to $100 per month without insurance.
• Diethylpropion – Diethylpropion is taken one to three times daily and is used for short-term appetite suppression. Its price ranges from $40 to $85 per month without insurance.
• Naltrexone and bupropion (Contrave)– This combination drug is FDA-approved for weight management and helps reduce appetite and cravings. For people using the CurAccess™ Patient Support Program, Contrave is $99 per month with free shipping. If your insurance covers Contrave, it may cost less. Prices can range from $600 to $800 per month without these benefits. 

Mounjaro^® side effects and warnings

Mounjaro^® can cause some side effects, particularly when starting the medication or when your clinician ups the dose. If you get your prescription through Noom Med, your clinician will help you manage any side effects. If you get your prescription through a private clinician, use Noom’s GLP-1 Companion if you’re a member. It provides nutrition guidance, protein tracking, and on-demand fitness classes. These will help you keep track of side effects, manage triggers, and build and maintain muscle while losing weight. 

Let’s take a closer look at the possible side effects and how to handle them.

Common Side Effects

• Nausea
• Vomiting
• Diarrhea
• Constipation
• Fatigue

Serious Warnings

Mounjaro^® may cause serious side effects or worsen certain conditions. If you experience any of the following, seek immediate medical attention:

• Pancreatitis: Symptoms include severe abdominal pain that radiates to your back, with or without vomiting. 
• Vision changes: If you notice any sudden changes in your vision while taking Mounjaro^®, get immediate medical attention.
• Low blood sugar (hypoglycemia): Symptoms include dizziness, shakiness, blurred vision, fast heartbeat, and feeling jittery. Low blood sugar is most likely in people who are also taking medications for diabetes.
• Kidney problems: Diarrhea, nausea, and vomiting can cause dehydration and worsen kidney issues. Go to the ER if you experience decreased urination, swelling in the ankles or legs, fatigue, or shortness of breath.
• Gallbladder problems: Symptoms include upper abdominal pain, fever, jaundice, or clay-colored stools. 
• Allergic reaction: Symptoms include swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, or a rapid heartbeat. If you think you’re having an allergic reaction to Mounjaro^®, get immediate medical attention. 
• Thyroid tumors or cancer: Be alert for a lump or swelling in the neck, difficulty swallowing, or shortness of breath. (This connection has only been established in animal studies.) 

Get more information about the side effects and safety warnings associated with Mounjaro.

Making informed decisions about Mounjaro^® costs

Mounjaro^® has emerged as a powerful tool for managing both type 2 diabetes and weight loss (off-label), but its high cost and limited insurance coverage can make access challenging. Understanding your insurance options, exploring savings programs, and comparing pharmacy prices can help reduce out-of-pocket costs. While some people can secure coverage for Mounjaro^® when prescribed for diabetes, weight-loss use remains largely uncovered, making cost-saving programs important for people who can’t afford it.

Ultimately, the decision to start Mounjaro^® should be based on both medical and financial factors. Consulting with a healthcare provider to determine eligibility, navigating insurance approval processes, and considering alternative GLP-1 medications or cost-saving programs can help make treatment more accessible. As policies and pricing continue to evolve, staying informed about new coverage opportunities and cost-reduction strategies will be essential in finding the best path forward for your health and weight-management goals.

Need some help determining if Mounjaro^® or another medication is right for you? See if you qualify for Noom Med. 

*Compounded semaglutide available on the Noom platform is produced in an FDA-registered facility but not reviewed by the FDA for safety, efficacy, or quality.

Note: Mounjaro^® and Ozempic^® are not FDA-approved to treat obesity or for weight loss.