How long does the Lilly Savings Card last?

The Lilly Savings Card requires annual enrollment. You'll need to re-enroll each year at zepbound.lilly.com. Benefits reset on January 1 of the enrollment year, and Lilly may adjust the discount terms year to year (though the $25 floor has been stable since launch).

What if my insurance denies Zepbound coverage?

First, appeal. Your prescriber can submit a prior authorization request with clinical justification (BMI, comorbidities such as sleep apnea, prior weight-loss attempts). About 64% of commercial plans require prior authorization before covering Zepbound. If the appeal is denied, your options are: use the Savings Card at the non-covered rate (saves up to $650/month at retail pharmacies), use LillyDirect Multi-Dose KwikPen ($299 to $449/month depending on dose), or discuss alternative medications your plan does cover (like Wegovy if it's on your formulary).

Can I get Zepbound for free through Lilly Cares?

Yes, if you qualify. Lilly Cares Foundation Patient Assistance Program provides free or reduced Zepbound to income-qualified uninsured U.S. patients. The program can cover up to 12 months of medication based on financial need and medical necessity. Income requirements are typically tied to Federal Poverty Level thresholds and adjust annually. Apply at lillycares.com.

Zepbound · Tirzepatide

Zepbound Cost 2026: What You'll Actually Pay

Name: Zepbound Cost 2026: What You'll Actually Pay
Creator: GLP1 Clinics

List price, insured price, and cash pay compared month by month.

BBB AccreditedMedically reviewed byDr. Golsa Gholampour, MDLast verified2026-04-19

Find your cheapest option See all coupons

Quick answer

Zepbound list price is $499 to $1,086.37 per month depending on formulation and dose. Most patients pay between $25 and $449 per month out of pocket. With commercial insurance that covers Zepbound, the Lilly Savings Card brings the cost down to $25 per month. Without insurance, LillyDirect Self Pay costs $299 to $449 per month. Medicare, Medicaid, Tricare, VA, and DOD plans are not eligible for the Savings Card, but Medicare Part D coverage begins rolling out in July 2026.

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Section 1

What you pay, by scenario

The four most common payment paths, with the typical monthly cost and what it takes to qualify.

Commercial insurance + Zepbound covered

$25/mo

Lilly Savings Card applies at retail pharmacy. Up to 13 fills per year. Month defined as 28 days.

Commercial insurance + Zepbound not covered

Up to $650/mo savings

Savings Card still provides a discount at the retail pharmacy. File a formulary exception appeal first if possible.

Uninsured, cash pay

$299 to $449/mo

LillyDirect Self Pay for single-dose vials or the new Multi-Dose KwikPen. Mail delivery, prescription required.

Medicare, Medicaid, Tricare, VA

Not eligible for coupons

Federal plans are excluded from manufacturer Savings Cards by law. Income-qualified patients may access Lilly Cares PAP. Medicare Part D obesity coverage begins rolling out July 2026.

Section 2

LillyDirect Self Pay price by dose

Cash-pay pricing across all six Zepbound dose strengths. Current promotional pricing, and what the regular rates revert to if the promotion ends.

Section 3 · Original data

Telehealth Zepbound pricing by state

Aggregated from our directory of NPI-verified telehealth providers prescribing tirzepatide. For uninsured patients, telehealth is almost always cheaper than retail Self Pay. These numbers show what clinics in each state actually publish.

GLP1 Clinics Directory Data · 2026-04-28

Telehealth Zepbound pricing across 21 states

Aggregated from 767 telehealth clinics in our directory that prescribe zepbound. Median monthly program low is $499; cheapest published low is $499 in Pennsylvania.

Telehealth program pricing by state: clinic count, lowest monthly, and median monthly low.
State	Clinics in directory	Lowest monthly	Median monthly low
Massachusetts	30	$199/mo	$499/mo
Pennsylvania	30	$499/mo	$499/mo
Texas	150	$499/mo	$499/mo
California	95	$499/mo	$499/mo
New York	60	$499/mo	$499/mo
Minnesota	14	$499/mo	$499/mo
Michigan	23	$499/mo	$499/mo
Florida	89	$499/mo	$499/mo
Washington	20	$499/mo	$499/mo
Arizona	62	$499/mo	$499/mo
Nevada	19	$499/mo	$499/mo
Indiana	23	$499/mo	$499/mo
New Mexico	17	$499/mo	$499/mo
Georgia	19	$499/mo	$499/mo
Illinois	32	$499/mo	$499/mo

Showing top 15 states by lowest available zepbound program price. States with fewer than 3 qualifying telehealth clinics are excluded. Pricing reflects published monthly program ranges from clinic listings; actual out-of-pocket cost depends on insurance, dose, and discounts. Snapshot generated 2026-04-28 from the GLP1 Clinics directory.

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GLP1 Clinics. (2026). Telehealth Zepbound Pricing by State. https://www.glp1clinics.org/zepbound/cost

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According to GLP1 Clinics (2026)

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<a href="https://www.glp1clinics.org/zepbound/cost">Telehealth Zepbound Pricing by State</a> — GLP1 Clinics (2026)

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[Telehealth Zepbound Pricing by State](https://www.glp1clinics.org/zepbound/cost) — GLP1 Clinics (2026)

Section 4

Why are there two prices?

Editor's note

Eli Lilly launched the Zepbound Self Pay Journey Program on February 23, 2026. It discounts the 7.5mg, 10mg, 12.5mg, and 15mg doses to $449 per month, matching the 5mg rate. Without the promotion, those higher doses revert to the regular $499 to $699 range. Lilly has not published an end date for the program, but pricing pages should be re-verified quarterly. We update this page against Lilly's own pricinginfo.lilly.com on the schedule below.

Section 5

Recent pricing news

Three events in the last 5 months changed the Zepbound pricing landscape.

February 23, 2026
New multi-dose KwikPen launched
Eli Lilly launched a new single-patient-use KwikPen device containing 4 doses in one pen. Available through LillyDirect cash-pay at $299 to $449 depending on dose — the cheapest current self-pay option for higher doses.
December 1, 2025
Vial pricing reduced
Eli Lilly cut LillyDirect single-dose vial prices. Previous range $349-$499 lowered to current $299-$699 range depending on dose.
November 6, 2025
In progress
Most-Favored-Nation (MFN) pricing framework announced
Federal framework tying U.S. GLP-1 prices to the lowest prices paid in comparable countries. Expected impact: Zepbound could drop to ~$346/month on a government discount platform launching in early-to-mid 2026. Medicare copays capped at $50/month for eligible enrollees as part of this framework.
Status: Announced, implementation in progress. Not yet reflected in point-of-sale pricing.

Section 6

Frequently asked

The cost questions we see most. Full FAQ on the coupon page.

For most people without manufacturer-covered insurance, the cheapest path is the new LillyDirect Multi-Dose KwikPen launched in February 2026. Prices are $299 for 2.5mg, $399 for 5mg, and $449 for 7.5mg through 15mg. This is cheaper than the older single-dose vials for any dose above 5mg. If your commercial insurance covers Zepbound, the Lilly Savings Card at $25/month is still the lowest option. Income-qualified uninsured patients may also access Lilly Cares PAP for free or reduced cost.

Section 7