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How Much Is Mounjaro Without Insurance? (2026 Price)

Mounjaro costs $499/mo without insurance at LillyDirect, any dose; list price $1,112.16 a fill. Savings card, Medicare and retail prices, checked Oct 18, 2026.

Cost·5 min read·Published Oct 18, 2026

Nouri Editorial Team

Editorial price check · Prices checked Oct 18, 2026 · Not medical advice

Quick answer: Without insurance, Mounjaro (tirzepatide) costs $499 a month through Eli Lilly's LillyDirect self-pay pharmacy, at every strength from 2.5 to 15 mg. Its list price is $1,112.16 per fill of 4 pens (28 days). Prices checked Oct 18, 2026 on Lilly's own pages.

  • Commercial insurance that covers it: as little as $25 with Lilly's savings card (card pays up to $150 a month; ends Dec 31, 2026).
  • Medicare Part D: $0 to $50 per 28 days for about 8 in 10 patients, by Lilly's figures. The savings card excludes Medicare and Medicaid.
  • Retail pharmacy cash price: over $1,300 (GoodRx average) to about $1,519 (SingleCare) a month, third-party estimates from June 2026.
  • A year at $499: $6,487 for 13 fills of 28 days (our arithmetic).

Mounjaro is FDA-approved for type 2 diabetes, not for weight loss. Zepbound is the same molecule approved for chronic weight management, and costs $299 to $449 a month self-pay.

Mounjaro price table (October 2026)

Every way to pay for Mounjaro, with the source and the date we checked it. Lilly's prices come from Lilly's own pages; the retail row is a third-party estimate and says so.

Mounjaro (tirzepatide) single-dose pen, one fill = 4 pens (28 days). Lilly's prices checked Oct 18, 2026 unless the row says otherwise; retail estimates are third-party and labelled.
How you payWhat you payWho it is for / termsSource
List price (no insurance, no discount) $1,112.16 per fill (4 pens, 28 days) Lilly's list price before any insurance, rebate or discount. Few people pay exactly this; pharmacy cash prices can be higher. Source: Lilly pricing, checked Oct 13, 2026 (Lilly's page blocked our check on Oct 18, 2026)
LillyDirect self-pay $499/month at every strength, 2.5 to 15 mg Lilly's own pharmacy, for anyone with a prescription; no insurance used. One fill = 4 pens. Lilly lists it as "starting at"; taxes and fees may apply. Source: LillyDirect Mounjaro, purchase terms, checked Oct 18, 2026
Savings card, insurance covers Mounjaro As little as $25 for a 1-, 2- or 3-month fill Commercial insurance only. Card pays up to $150 per month ($1,950 a year, 13 fills); you pay the rest of your copay. Ends Dec 31, 2026. Source: Mounjaro savings card terms, checked Oct 18, 2026
Savings card, insurance doesn't cover Mounjaro As low as $499 for a 1-month fill Commercial insurance only. Card pays up to $647 per month ($8,411 a year). Ends Dec 31, 2026. Source: Mounjaro savings card terms, checked Oct 18, 2026
Medicare Part D $0 to $50 per 28-day supply for about 8 in 10 patients, by Lilly's figures Covered on many Part D plans for type 2 diabetes. Lilly says the rest average about $262 (IQVIA data, Oct 2024 to Sept 2025). The savings card does not apply. Source: Lilly Medicare figures, checked Oct 18, 2026
Medicaid Set by your state plan Each state decides coverage and prior authorization rules. The savings card does not apply. Source: savings card eligibility, checked Oct 18, 2026
Retail pharmacy cash price (third-party estimates) About $1,519 per 28 days (SingleCare); over $1,300 a month on average (GoodRx) Estimates from discount-card sites, not Lilly prices. Your pharmacy sets its own cash price; ask before you fill. Source: SingleCare (updated June 3, 2026), GoodRx (updated June 9, 2026), checked Oct 18, 2026

Lilly's list-price page (pricinginfo.lilly.com) showed a bot check to our automated check on Oct 18, 2026; the $1,112.16 figure is the one we verified there on Oct 13, 2026, and the one Lilly's page shows in Google's results today. Other sites quote $1,079.77, an older list price. LillyDirect and the savings card need a prescription for an approved use. The pharmacy's checkout is the final word on price.

Mounjaro price by dose

The price doesn't rise with the dose. LillyDirect lists the same $499 a month for each single-dose pen strength, and the label steps the dose up from 2.5 mg in 2.5 mg increments, at least 4 weeks apart, if more blood-sugar control is needed (Mounjaro prescribing information).

Per fill of 4 single-dose pens. Self-pay from LillyDirect (checked Oct 18, 2026); list price from Lilly pricing (checked Oct 13, 2026).
StrengthLillyDirect self-payList price
2.5 mg/0.5 mL$499$1,112.16
5 mg/0.5 mL$499$1,112.16
7.5 mg/0.5 mL$499$1,112.16
10 mg/0.5 mL$499$1,112.16
12.5 mg/0.5 mL$499$1,112.16
15 mg/0.5 mL$499$1,112.16

Mounjaro cost per year

A fill is 4 weekly pens, so a full year is 13 fills, not 12. Our arithmetic, at today's prices:

  • LillyDirect self-pay: $6,487 for 13 fills, or $5,988 counted as 12 monthly fills (the basis our tirzepatide price table uses).
  • List price: $14,458.08 for 13 fills.
  • Covered, with the savings card: as little as $325 (13 fills at $25) if your copay stays within the card's $150 monthly cap. The card ends Dec 31, 2026, so 2027 terms may differ.

Add the prescriber visit: LillyDirect fills a prescription, it doesn't write one.

Mounjaro with insurance: savings card and coverage

  • Your commercial plan covers Mounjaro: Lilly's Mounjaro Savings Card can bring a 1-, 2- or 3-month fill to as little as $25. It pays up to $150 per 1-month fill ($300 per 2 months, $450 per 3 months) and $1,950 a year, for up to 13 fills.
  • Your commercial plan doesn't cover it: the card brings a 1-month fill as low as $499, paying up to $647 a month and $8,411 a year.
  • The fine print: both offers need a prescription for an approved use and exclude anyone on Medicare, Medicaid, TRICARE, VA or another government program. The card ends Dec 31, 2026.
  • No insurance at all: the card doesn't apply; LillyDirect self-pay ($499) is Lilly's published price. Self-pay purchases can't be billed to insurance or counted toward a deductible (LillyDirect purchase terms).
  • FSA and HSA: LillyDirect lists Mounjaro self-pay as FSA/HSA eligible, varying by plan; prescribed medication can be a medical expense under IRS Publication 502.

Plans that cover Mounjaro usually do so for type 2 diabetes and may require prior authorization. See how to get a GLP-1 covered by insurance.

Does Medicare or Medicaid cover Mounjaro?

Medicare: Mounjaro is covered on many Part D plans for type 2 diabetes. Lilly reports that about 8 in 10 Part D patients pay $0 to $50 for a 28-day supply and the rest average about $262, based on IQVIA data for October 2024 to September 2025 (Lilly's Medicare page). Separately, the Medicare GLP-1 Bridge gives eligible Part D members certain GLP-1 drugs for weight management for a $50 copay, July 1, 2026 to Dec 31, 2027. Medicaid: each state sets its own coverage and prior authorization rules, so check your state plan.

Mounjaro vs Zepbound cost

Mounjaro and Zepbound are the same molecule from the same maker. The approved use is different, and so is the self-pay price.

LillyDirect self-pay, medication only, checked Oct 18, 2026: Mounjaro, Zepbound.
MounjaroZepbound
Active ingredientTirzepatide (Eli Lilly)Tirzepatide (Eli Lilly)
FDA-approved forType 2 diabetes (blood sugar control; lowering heart-attack and stroke risk in adults at high risk)Chronic weight management; sleep apnea in adults with obesity
Self-pay formSingle-dose penSingle-dose vial or KwikPen
2.5 mg$499$299
5 mg$499$399
7.5 to 15 mg$499$449 if refilled within 45 days ($499 to $699 otherwise)

Mounjaro is not FDA-approved for weight loss. For the weight-management product, see Zepbound cost without insurance; for every way to buy tirzepatide, sorted by price, see our tirzepatide price table.

Is there a generic or compounded Mounjaro?

No generic Mounjaro exists; tirzepatide is sold only as Lilly's brands, Mounjaro and Zepbound. Some telehealth companies sell compounded tirzepatide for less. It is compounded, not FDA-approved, and not the same as Mounjaro or Zepbound: the FDA has not reviewed it for safety, effectiveness or quality (FDA's compounding overview). If you are weighing it, our tirzepatide cost comparison lists those prices, labelled, next to Lilly's.

Frequently asked questions

How much is Mounjaro without insurance?

Through LillyDirect self-pay, Mounjaro costs $499 a month at every strength, versus a list price of $1,112.16 per fill of 4 pens, as of Oct 18, 2026. Retail pharmacy cash prices are often higher; discount-card sites estimate $1,300 to $1,519 a month.

How much is Mounjaro per month?

$499 a month through LillyDirect self-pay, as little as $25 with commercial insurance that covers it and Lilly's savings card, or $1,112.16 at list price. One fill is 4 weekly pens, or 28 days.

What is the price of Mounjaro 15 mg?

LillyDirect charges $499 a month for the 15 mg pen, the same as 2.5, 5, 7.5, 10 and 12.5 mg. Lilly's list price is $1,112.16 per fill.

Can I get Mounjaro for $25 without insurance?

No. The $25 price needs commercial insurance that covers Mounjaro plus Lilly's savings card; without insurance, LillyDirect self-pay at $499 a month is Lilly's lowest published price.

How much does Mounjaro cost with insurance?

With commercial coverage and Lilly's savings card, as little as $25 for a 1-, 2- or 3-month fill; the card pays up to $150 a month, so a higher copay leaves you paying the difference. If your plan doesn't cover Mounjaro, the card brings a 1-month fill as low as $499.

Does Medicare cover Mounjaro?

Many Medicare Part D plans cover Mounjaro for type 2 diabetes, and Lilly says about 8 in 10 of those patients pay $0 to $50 per 28-day supply. Lilly's savings card can't be used with Medicare or Medicaid.

What's the difference between Zepbound and Mounjaro?

Both are tirzepatide from Eli Lilly at the same strengths. Mounjaro is FDA-approved for type 2 diabetes and Zepbound for chronic weight management, and they are priced differently.

Is Zepbound cheaper than Mounjaro?

Paying cash, yes: LillyDirect sells Zepbound for $299 to $449 a month and Mounjaro for $499 at every strength, checked Oct 18, 2026.

Is there a generic Mounjaro?

No. Mounjaro (tirzepatide) is available only as the brand from Eli Lilly; compounded tirzepatide is not FDA-approved and is not the same as Mounjaro.

How much is Mounjaro per year without insurance?

About $6,487 at LillyDirect's $499 for 13 fills of 28 days, or $5,988 counted as 12 monthly fills (our arithmetic). At list price, 13 fills come to $14,458.08.

Can you use HSA or FSA money for Mounjaro?

LillyDirect lists Mounjaro self-pay as FSA/HSA eligible, though eligibility may vary by plan. Check with your plan administrator.

Sources and references

  1. LillyDirect: Mounjaro self-pay prices by strength and self-pay purchase terms (checked Oct 18, 2026)
  2. Eli Lilly: Mounjaro pricing information (list price) (checked Oct 13, 2026; bot check on Oct 18, 2026)
  3. Eli Lilly: Mounjaro savings card terms and Medicare figures (checked Oct 18, 2026)
  4. Mounjaro (tirzepatide) prescribing information, DailyMed (Sept 2, 2026 version) (checked Oct 18, 2026)
  5. LillyDirect: Zepbound self-pay prices (checked Oct 18, 2026)
  6. CMS: Medicare GLP-1 Bridge (checked Oct 18, 2026)
  7. SingleCare: How much is Mounjaro without insurance? (updated June 3, 2026) and GoodRx: How much is Mounjaro with and without insurance? (updated June 9, 2026), third-party estimates
  8. FDA: Human drug compounding
  9. IRS Publication 502: Medical and Dental Expenses

Mounjaro® and Zepbound® are registered trademarks of Eli Lilly and Company. Nouri is not affiliated with Eli Lilly. Nouri is a publisher; it does not prescribe or sell any medication. Not medical, financial or tax advice: a licensed prescriber decides whether Mounjaro fits you. Compounded tirzepatide is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness or quality.

Disclosure: Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. No price on this page pays Nouri. Full disclosure.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting or changing any medication or treatment. Licensed providers review patient assessments before making clinical decisions.

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