Eligibility Requirements
Covered Medications
The following medications are covered by Mounjaro Savings (via Lilly):
How to Apply
- Speak with your healthcare provider about Mounjaro Savings (via Lilly). Your doctor, nurse, or social worker can help determine if you qualify.
- Gather required documents: proof of income (tax return, pay stubs, or Social Security statement), valid prescription, and proof of U.S. residency.
- Submit your application online or by mail. Visit the program website below or call the program hotline for assistance.
- Wait for approval (typically 2 to 6 weeks). Once approved, medications will be shipped to your provider's office or a designated pharmacy.
Check If You Qualify
Use our free Assistance Finder tool to check eligibility for Mounjaro Savings (via Lilly) and other programs that may help reduce your medication costs.
Open Assistance FinderSources and standards behind this page
Drug coverage in the United States is governed by published rules rather than by any one insurer's summary, and the sources below are the primary ones. They are linked so a reader can check a claim without taking this page's word for it.
- FDA Orange Book publishes the therapeutic-equivalence ratings that decide whether a generic may be substituted for a brand-name drug.
- FDA generic drug facts sets out what "generic equivalent" means and what a manufacturer must prove.
- CMS prescription drug coverage defines the rules a Medicare drug plan formulary must follow and how it may change mid-year.
- Medicare.gov drug coverage (Part D) states what a Part D plan is required to offer a member.
- CMS prescription drug appeals documents the coverage-determination and exception process when a drug is denied.
- Medicare Plan Compare is the official tool for checking what a specific plan charges for a specific drug at a specific pharmacy.
- Drugs@FDA is the federal database of approved drug products, which establishes whether a covered product exists and in what form.
- DailyMed carries the current FDA labeling for every marketed drug product, including approved strengths and forms.
- MedlinePlus drug information is the National Library of Medicine's consumer reference for what a medication is and how it is used.
- FTC report on pharmacy benefit managers documents how the middlemen between an insurer and a pharmacy shape what a plan actually covers.
- National Library of Medicine maintains the drug and health databases the sources above draw on.
This page describes how coverage and formularies work. It is not medical advice, and a reader's own plan documents and prescriber decide what applies to them.
Frequently Asked Questions
Yes. Lilly Cares sets income limits by medication group rather than one figure (300%, 400% or 500% of the Federal Poverty Level depending on the group), and Medicare Part D enrollees are eligible as well as uninsured patients. Check which group Mounjaro falls into before assuming you are over the limit. Your healthcare provider must submit the application with proof of income.
Yes, commercially insured patients with a Mounjaro prescription for type 2 diabetes may qualify for the Mounjaro savings card, which can reduce copays to as low as $25 per month.
Many commercial insurance plans cover Mounjaro for type 2 diabetes. Coverage for weight management may be limited. Check with your insurer, and use the savings card or PAP if coverage is denied.
Related Resources
- Compare pharmacy prices for Mounjaro on RxGrab
- Mounjaro supplement guide on Health Britannica
- Check drug interactions for Mounjaro on OmniRx
- Browse all patient assistance programs
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