Savings Are Available To Help Get Your Eligible Patients Started On Mounjaro
Eligible, commercially insured patients may pay as little as $25 for a 1-month, 2-month, or 3-month prescription with the Mounjaro Savings Card Program.
One month is defined as 28 days and 4 pens. Two months is defined as 56 days and 8 pens. Three months is defined as 84 days and up to 12 pens.
Terms and Conditions
For patients with commercial drug insurance coverage for Mounjaro: Offer good until 12/31/2023 for up to 15 fills or whichever comes first. Patients must have coverage for Mounjaro through their commercial drug insurance coverage and a prescription consistent with FDA-approved product labeling to pay as little as $25 for up to 12 pens of Mounjaro. Offer subject to a monthly cap of $150 and a separate annual cap of $1,800. Lilly may reduce or eliminate the payments provided by the Mounjaro Savings Card Program, including if a patient's commercial drug insurance plan imposes additional requirements which limits or prevents the patient from receiving coverage, only allows partial coverage, or at Lilly's discretion determines the patient is effectively uninsured because such coverage does not provide a material level of financial assistance for the cost of an Mounjaro prescription, or does not apply Mounjaro Savings Card Program payments to satisfy the patient's co-payment, deductible, or coinsurance for Mounjaro.
For patients with commercial drug insurance who do not have coverage for Mounjaro through their commercial drug insurance: Offer good until 06/30/2023 for up to 7 fills or whichever comes first. Patients must have commercial drug insurance without Mounjaro coverage and a prescription consistent with FDA-approved product labeling to obtain savings of up to $500 off your monthly fill for 4 pens of Mounjaro. Offer subject to a monthly cap of up to $500 and a separate annual cap of up to $3,000.
Patient is responsible for any applicable taxes, fees, or amounts exceeding monthly or annual caps. This offer is invalid for Patients without commercial drug insurance or whose prescription claims for Mounjaro are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE®/CHAMPUS, or any State Patient or Pharmaceutical Assistance Program. Offer void where prohibited by law and subject to change or discontinue without notice. Card activation is required. Subject to additional terms and conditions, which can be found at www.mounjaro.com/savings-resources.
The services provided by this Program include information on Mounjaro as well as future Lilly product updates and activities. This information will be sent to you through email to support your journey with Diabetes. When you click 'Submit' you certify that you are at least 18 years of age and a US resident, consent to use of your personal information, for Lilly and its agents to use, disclose, and/or transfer the personal information you supply to provide support related to your condition and treatment to administer this program, to analyze and/or measure program performance and program effectiveness for future enhancements, to personalize and improve your experience, including creating a preference profile, which may use data previously provided to Lilly for your participation in various other Lilly programs, and agree to receive requests for feedback on your experience with the related products, offerings, and program, requests to participate in market research and/or medical research.
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