Mounjaro (tirzepatide) remains one of the most effective weekly injections available for adults with type 2 diabetes or chronic weight issues. The dual GLP-1/GIP action delivers powerful appetite control, substantial average weight loss (often 15–22 % over 12–18 months in studies), and reliable blood sugar improvement that many patients describe as life-changing after years of other treatments falling short. For a lot of people starting or continuing Mounjaro, the biggest ongoing question is how to keep the monthly cost manageable so treatment never has to stop because of price.
The official manufacturer savings card from Eli Lilly is still the single most powerful tool that brings the cost down to as little as $25 per 30-day supply (one carton of four pens) for a large number of eligible users. This program has remained remarkably generous through 2025–2026, even as other GLP-1 medications have tightened their own savings rules. When everything lines up—correct insurance type, proper use at the pharmacy, and active card—the $25 price is achievable month after month for up to 12–13 fills per calendar year.
Not everyone qualifies, though, and the rules around eligibility, fill limits, and what happens when the card runs out can catch people off guard. This article explains exactly how the Mounjaro savings card (commonly called the “12-month coupon” by patients) works in 2025–2026, who can use it, step-by-step instructions to activate and apply it, what to do if you don’t qualify, and the most reliable alternatives so you can keep your monthly cost as low as possible while staying on treatment.
Who Qualifies for the Mounjaro Savings Card in 2025–2026
The savings card is available only to patients with commercial (private, employer-sponsored, or marketplace) prescription drug insurance. It does not work with any government-sponsored coverage, including Medicare (Original or Advantage), Medicaid, VA benefits, TRICARE, CHAMPVA, or any state pharmaceutical assistance program.
You must be 18 years or older and a resident of the United States or Puerto Rico. Certain states (notably Massachusetts and a few others with restrictive copay-assistance laws) may block use due to state-level regulations, even with commercial insurance. The card cannot be combined with other discount programs (GoodRx, SingleCare, etc.) or used for cash-pay purchases.
The program allows up to 13 fills per calendar year (resets January 1), with a maximum savings of $150 applied per fill. If your copay, coinsurance, or deductible is already $25 or lower after insurance pays its portion, no additional savings apply—you simply pay the plan amount.
Step-by-Step: How to Get and Use the Mounjaro Savings Card
Visit mounjaro.lilly.com and navigate to the “Cost and Savings” or “Savings Card” section. Download the digital card directly to your phone wallet (Apple Wallet or Google Pay) or print a physical copy. No account creation, income verification, or personal registration is required to obtain the card itself.
Your prescribing doctor’s office may hand you a physical card during your visit, or the pharmacy can often generate and print one at the counter if you mention the savings program when dropping off the prescription. Keep the card accessible (digital is easiest) for every refill.
At the pharmacy, present both your commercial insurance card and the Mounjaro Savings Card. Ask the pharmacist to:
- Run the claim through your insurance first
- Then apply the savings card to the remaining balance
The final price should show $25 (or very close to it) if your plan’s cost-sharing exceeds $25. If the price is higher than expected, ask the pharmacist to re-process or call Lilly support (number printed on the card) while you wait.
What Happens When the Savings Card Reaches Its Limit
The card covers up to 13 fills per calendar year (approximately 13 months if filled monthly). After the 13th fill you pay your plan’s full copay, coinsurance, or deductible amount until January 1, when the limit resets. Many patients hit this cap in late fall or early winter if they fill on schedule.
When the card is exhausted or no longer eligible (e.g., insurance changes to a government plan), the monthly cost jumps to your plan’s standard amount or full cash price. At that point most people switch to one of the cash-pay discount routes below.
Lilly occasionally extends extra fills or bridge supplies for patients facing coverage gaps—call Lilly support to ask about any current hardship or continuity programs.
Cash-Pay Prices and Discount Programs When the $25 Card Isn’t Available
Without the savings card, cash prices for one carton of Mounjaro (four pens, 28-day supply) typically range from $850–$1,100 in 2026, depending on pharmacy and location.
Discount cards (GoodRx, SingleCare, RxSaver, Blink Health) regularly reduce this to $780–$950 at participating locations. Walmart, Costco (pharmacy usually no membership required), and Sam’s Club often post the lowest consistent cash prices in the $800–$900 range.
LillyDirect (Eli Lilly’s direct-to-patient program) sells Mounjaro for $850–$950 per carton with free home delivery in most areas. It is a reliable fallback when local pharmacy prices are higher or when convenience is a priority.
Comparison of Mounjaro Cost-Reduction Options in 2025–2026
Different payment routes produce very different monthly costs depending on insurance status and eligibility. Here is a realistic comparison:
| Payment Method | Typical Monthly Cost (1 carton) | Eligibility Requirements | Annual Max Savings / Fills | Delivery Option? | Reliability & Availability | Best For |
|---|---|---|---|---|---|---|
| Mounjaro Savings Card | $25 (up to $150 savings/fill) | Commercial insurance only; no government plans | $1,950 (13 fills × $150) | No | Very high | Commercially insured patients |
| Cash price at Walmart / Costco | $795–$925 | No insurance needed | None | No | Very high | No commercial insurance or card eligibility |
| GoodRx / SingleCare / RxSaver coupon | $780–$920 | No insurance or savings card needed | None | No | High (prices change daily) | Quick savings at local pharmacies |
| LillyDirect cash-pay program | $850–$950 | No insurance needed | None | Yes (free in most areas) | High | Convenience + free delivery |
| Medicare Part D (various plans) | $100–$500+ (varies by phase) | Medicare Part D enrollment | Depends on plan | No | Moderate to high | Medicare beneficiaries |
| Lilly Cares Patient Assistance Program | $0–$50 (case-by-case) | Uninsured/underinsured + income ≤400 % FPL | Varies | Yes | Limited availability | Financial hardship |
The savings card remains the lowest-cost option for eligible patients; cash prices at big-box pharmacies or with discount cards are the most dependable fallback.
Practical Steps to Secure the $25 Price or Lowest Alternative
Download the savings card today from mounjaro.lilly.com (cost and savings section) and add it to your phone wallet. Have it ready before your next pharmacy visit—no signup or personal details are needed.
When filling, hand over your commercial insurance card first, then the savings card. Ask the pharmacist to process insurance → savings card in that order. Confirm the price is $25 before paying.
If the price is higher than $25, ask them to re-run the claim or call Lilly support (number on the card) while you’re at the counter. Most processing errors resolve quickly with a phone call.
When the card reaches 13 fills or you lose commercial coverage, compare cash prices at Walmart, Costco, or with GoodRx/SingleCare coupons. LillyDirect is a solid $850–$950 option with delivery if local pharmacies charge more.
Check eligibility for Lilly Cares if you are uninsured or underinsured. The program requires income documentation and proof of denial from other sources but can provide free medication when approved.
Summary
The Mounjaro Savings Card remains the most effective way to pay only $25 per 30-day supply in 2025–2026, covering up to $150 per fill for 13 fills per calendar year—but only for patients with commercial insurance. Government plans (Medicare, Medicaid, VA, TRICARE) cannot use it, so those patients typically pay $100–$500+ under Part D or full cash prices ($780–$950 with coupons at Walmart/Costco). LillyDirect offers reliable $850–$950 cash pricing with free delivery, and Lilly Cares provides free medication for qualifying low-income uninsured/underinsured individuals.
To lock in $25, download the card from mounjaro.lilly.com, present it with your commercial insurance card at the pharmacy, and verify the savings apply before leaving. If ineligible or the card is exhausted, compare local cash prices, use discount coupons, or apply for patient assistance. Staying proactive with documentation and appeals often keeps costs manageable so treatment can continue uninterrupted.
FAQ
Who qualifies for the Mounjaro $25 coupon in 2026?
Only patients with commercial (private, employer-sponsored, or marketplace) prescription drug insurance are eligible. Medicare, Medicaid, VA, TRICARE, CHAMPVA, and other government plans are excluded. You must be 18+ and a U.S. or Puerto Rico resident.
How do I get the Mounjaro Savings Card?
Go to mounjaro.lilly.com, find the cost and savings section, and download the digital card to your phone wallet or print a physical copy. No registration or personal information is required. Your doctor or pharmacy can also provide one.
What is the maximum number of $25 fills allowed?
The card provides up to 13 fills per calendar year (resets January 1), covering roughly 13 months if filled monthly. After 13 fills you pay your plan’s full copay/coinsurance until the next year begins.
Can I use the savings card with Medicare or Medicaid?
No—the savings card is not valid with any government-sponsored insurance. Attempting to use it with Medicare, Medicaid, or similar plans violates the terms and can deactivate the card. Medicare Part D may cover Mounjaro separately with prior authorization.
What if the pharmacy charges more than $25 even with the card?
Ask the pharmacist to re-process the claim through insurance first, then apply the savings card. If the price is still higher, call Lilly support (number on the card) while at the pharmacy. Most errors resolve quickly with a phone call.
Dr. Hamza is a medical content reviewer with over 12+ years of experience in healthcare research and patient education. He specializes in evidence-based health information, medications, and chronic conditions. His reviews are grounded in trusted medical sources and current clinical guidelines to ensure accuracy, transparency, and reliability. Content reviewed by Dr. Hamza is intended for educational purposes and is not a substitute for professional medical advice.