Zepbound, a powerful weight loss medication, can be expensive, but savings programs make it more affordable.
This Zepbound coupon guide: how to get this for $25 explains how to access discounts, including the $25 savings card. Learn eligibility, steps to apply, and other ways to save on Zepbound.
What Is Zepbound?
Zepbound (tirzepatide) is an FDA-approved injectable drug for weight loss and obstructive sleep apnea. It mimics GLP-1 and GIP hormones to reduce appetite and improve metabolism. It’s prescribed for adults with obesity or weight-related conditions.
Clinical trials show Zepbound can lead to 15–20% weight loss. Its retail cost is around $1,060 monthly without insurance. Savings programs like the Zepbound Savings Card help lower costs significantly.
Understanding the Zepbound Savings Card
The Zepbound Savings Card, offered by Eli Lilly, reduces out-of-pocket costs for eligible patients. Commercially insured patients with coverage may pay as little as $25 for a 1-month or 3-month supply. Those without coverage can pay around $550–$650 monthly.
The card has limits, such as a maximum annual savings of $1,950 for covered patients. It’s a key part of this Zepbound coupon guide: how to get this for $25. Always check eligibility before applying.
Eligibility for the $25 Savings Card
To qualify for the $25 Zepbound Savings Card, you must meet specific criteria. You need commercial insurance that covers Zepbound and a valid prescription for FDA-approved uses. You must be a U.S. or Puerto Rico resident and at least 18 years old.
Those with government insurance, like Medicare or Medicaid, are not eligible. Residents of California and Massachusetts may face restrictions due to state laws. Check the Zepbound website for full terms.
Steps to Get the Zepbound Savings Card
Getting the $25 savings card is simple with these steps:
- Visit the Zepbound Website: Go to the official Zepbound Savings Card page.
- Check Eligibility: Confirm you have commercial insurance and meet other criteria.
- Enroll Online: Fill out the form and download or email your card.
- Use at Pharmacy: Present the card with your prescription to apply savings.
These steps make accessing discounts straightforward.
Using the Savings Card at Pharmacies
Take your savings card to a participating pharmacy, like CVS or Walgreens. Show it with your prescription and insurance card. The pharmacist processes insurance first, then applies the card to lower your copay.
Savings should appear on your receipt. If not, ask the pharmacist to verify the card’s application. This ensures you get the $25 rate if eligible.
Costs with and Without Insurance
Without insurance, Zepbound costs $1,060–$1,200 monthly. With commercial insurance and the savings card, you may pay just $25 for a 1-month or 3-month supply. Maximum savings are $150 monthly for 1-month prescriptions or $450 for 3-month prescriptions.
If your insurance doesn’t cover Zepbound, the card offers up to $469 off monthly, bringing costs to about $550. Annual savings caps apply, so track usage.
Zepbound Savings Card Limitations
The savings card has specific limits. For insured patients, it covers up to 13 fills annually with a $1,950 savings cap. For uninsured patients with commercial insurance, it covers 7 fills with a $3,283 annual cap.
The card expires December 31, 2025, and may not apply in California or Massachusetts. Always review terms on the Zepbound website for updates.
Insurance Coverage and Prior Authorization
BCBS and other commercial plans may cover Zepbound, but prior authorization is often required. Your doctor must submit a form proving medical necessity, like a BMI of 30+ or weight-related conditions. Check your plan’s formulary to confirm coverage.
If denied, appeal with a letter of medical necessity. Contact BCBS to understand the appeal process. This can help secure the $25 rate.
Alternative Savings Options
If you’re ineligible for the savings card, other options exist:
- Compounded Tirzepatide: Costs $350–$399 monthly through telehealth providers like Ivim Health.
- Prescription Discount Cards: GoodRx or SingleCare offer savings of $50–$100 monthly.
- LillyDirect Vials: Single-dose vials cost $399 (2.5 mg) or $549 (5–10 mg) monthly.
- HSA/FSA Accounts: Use tax-free dollars for Zepbound if eligible.
These alternatives reduce costs for uninsured or ineligible patients.
Zepbound Cost Comparison
The table below compares Zepbound costs with different payment methods:
| Payment Method | Monthly Cost | Eligibility |
|---|---|---|
| Savings Card (Insured) | $25 | Commercial insurance, covers Zepbound |
| Savings Card (No Coverage) | $550–$650 | Commercial insurance, no Zepbound coverage |
| No Insurance, No Card | $1,060–$1,200 | Anyone with a prescription |
| Compounded Tirzepatide | $350–$399 | Anyone, through telehealth providers |
This helps you choose the most affordable option.
What If Insurance Denies Zepbound?
If BCBS or another insurer denies Zepbound coverage, file an appeal. Your doctor can submit a letter of medical necessity and medical records. Appeals succeed 39–59% of the time, saving thousands annually.
Explore Lilly’s patient assistance programs like Lilly Cares for uninsured patients. Non-profits like NeedyMeds also offer resources. Work with your doctor for the best approach.
Navigating Prior Authorization
Prior authorization requires your doctor to justify Zepbound’s medical necessity. Documentation includes BMI, weight-related conditions, and prior weight loss attempts. This process can take days to weeks.
Check with BCBS or your pharmacy benefits manager for requirements. Follow up regularly to ensure approval. This step is critical for the $25 savings card.
Using LillyDirect for Zepbound
LillyDirect offers home delivery of Zepbound vials. Single-dose vials cost $399 (2.5 mg) or $549 (5–10 mg) for a 4-week supply. The savings card applies automatically for eligible patients.
This option suits those without local pharmacy access. Confirm delivery availability with LillyDirect. It’s a convenient way to use the savings card.
Compounded Tirzepatide as an Alternative
Compounded tirzepatide, the active ingredient in Zepbound, costs $350–$399 monthly through telehealth providers. It’s not FDA-approved and isn’t covered by insurance. Quality varies, so choose reputable providers like Henry Meds.
Discuss compounded options with your doctor. They can assess safety and effectiveness. This is ideal for uninsured patients seeking lower costs.
Maximizing Savings with Pharmacies
Compare prices at pharmacies like Walmart, CVS, or OptumRx. Some offer discounts for 90-day supplies, reducing copays. Use GoodRx or SingleCare to find the lowest local prices.
Always present your savings card at participating pharmacies. Ask pharmacists to check for additional discounts. This ensures you get the best deal.
Lifestyle Support for Zepbound
Zepbound works best with a low-calorie diet and exercise. Savings programs make it affordable, but lifestyle changes drive results. Eat lean proteins, vegetables, and whole grains to boost weight loss.
Aim for 150 minutes of weekly exercise, like walking or strength training. A dietitian can create a plan to complement Zepbound. Consistency maximizes benefits.
Social Media Insights
On Reddit, users share success with the Zepbound Savings Card, often paying $25 monthly with commercial insurance. Some report challenges with prior authorization or denials. Others praise LillyDirect for easy access.
These stories aren’t medical advice but offer practical tips. Always verify with your doctor or BCBS. Community insights can guide your savings strategy.
Long-Term Cost Planning
Zepbound is a long-term treatment, so plan for annual costs. The savings card’s $1,950 annual cap means higher costs after 13 fills. Budget for potential increases if your dose rises.
Explore switching plans during open enrollment for better coverage. Discuss long-term options with your doctor. This ensures affordable access over time.
Summary
This Zepbound coupon guide: how to get this for $25 shows how to save with the Zepbound Savings Card. Eligible patients with commercial insurance can pay $25 monthly, while others may pay $550–$650.
Check eligibility, use the card at pharmacies, and appeal insurance denials if needed.
Alternatives like compounded tirzepatide or discount cards help uninsured patients. Work with your doctor and BCBS to maximize savings and support your weight loss journey.
FAQ
How do I get Zepbound for $25 with the savings card?
With commercial insurance covering Zepbound, enroll online at the Zepbound website. Present the card at a participating pharmacy. You may pay $25 for a 1-month or 3-month supply.
Who is eligible for the Zepbound Savings Card?
You need commercial insurance, a valid Zepbound prescription, and U.S. or Puerto Rico residency. Those with Medicare, Medicaid, or living in California/Massachusetts may not qualify. Check terms online.
What if my insurance denies Zepbound coverage?
Appeal with a letter of medical necessity and medical records. Explore compounded tirzepatide ($350–$399) or Lilly’s patient assistance programs. Contact BCBS for appeal details.
Can I use the savings card without insurance?
No, the savings card requires commercial insurance. Uninsured patients can get Zepbound for $550–$650 via the card or $399–$549 through LillyDirect vials. Compare pharmacy prices for savings.
Are there other ways to save on Zepbound?
Use GoodRx or SingleCare for $50–$100 off monthly. LillyDirect vials cost $399–$549. Compounded tirzepatide or HSA/FSA accounts are also cost-effective options.