Questions, experiences and accomplishments related to Mounjaro and Zepbound prescription medications. HEB pharmacy + savings card. I do not have T2D and my insurance does not cover Mounjaro. Governmental beneficiaries excluded, terms and conditions apply. Program Card Savings Mounjaro the with prescription 3-month or 2-month, 1-month a for $25 as little pay may patients insured commercially, Eligible. I was reading a post the other day about a woman who went to 4 or 5 pharmacies before she found one that would fill it. Now my local cvs does have stock and I called them to see how I could use the savings card. I wish that conversation would go away. Reply. Have your dr’s office call - CVS wouldn’t fill mine even with me having the coupon and print out of it right in front of them and the PA was declined. More plans should add it to their formulary for next year. The posts I saw last week after the new savings card came out seemed to indicate that Eli Lilly raised the price of Mounjaro so the after coupon price is now $550 (which I believe is the same price as Zepbound). 5 mg/15 mg. If you have insurance that does not cover the cost of Mounjaro, does not include Mounjaro on the formulary, or a PA that has been denied by your insurance, you can use the savings card. Thanks! Nick. I have no idea how common this is. You just have to pay for the medication. She claimed it didn't work and wouldn't authorize the purchase. It does take a couple of hours once prescription is in the cart for savings card to process. Unlikely. I’ve heard a lot on this page as well as other sites that Walgreens will not fill a Mounjaro prescription with the savings card. Has anyone been able to use their saving cards from 11/09 and onward with denial? Instructions for Processing a Savings Card. A Lot of times your insurance will automatically apply the card for the first box then not any after… happened to me. When she came back to the phone, I mentioned I needed her name to file a complaint about her attitude. 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. 5 mg/5 mg/7. 5. My card worked tonight, but I had the old coupon. The pharmacy had to send my prescription request to my insurance first and once it was denied, then I was allowed to use the savings card from the Mounjaro website. 0. Hey everyone, I could use some language advice. I just used an old card for the first time the other day (I switched pharmacies). Jul 20, 2023 · Savings are available to get your patients started on Mounjaro. Next week is my 8th and final dose of 2. It's been months but I had issues with it emailing and downloading. Hello! Express Scripts denied prior authorization for Mounjaro, big surprise! However, I tried to use the saving cards that I received on 11/09/22 and was told that I would not be able to use it. I know no one personally with the old savings card who has faced any issues (not t2d, no insurance coverage), self included. I started using the card before changing my last name to my married name and when my doctor initially sent it in they rejected because my last name didn’t match up with the card. Jan 16, 2024 · If your commercial insurance doesn’t cover Mounjaro, you can still benefit from the Mounjaro Savings Card. Assuming you're using mounjaro savings card. My new script for 5mg was sent to pharmacy on Tuesday, and I just picked it up for $25. Previously, to download the savings card, you clicked a button and prompted with this prompt to fill out. It's limited to 6 fills and cannot be reset. 5 (3 refills) to my normal pharmacy (Rite Aid). Good for commercial insurance only, no Medicaid/Medicare, regardless if covered, not covered, not on formulary. If someone can help, please feel Mounjaro is on my OptumRX formulary but does not cover since I don’t have T2D. I take Mounjaro for weight management due to PCOS and insulin resistance. Three months is defined Public-Friendship854. Express Scripts denied prior authorization-Savings card question. Email came in like a couple days later. Your coverage determines the savings card terms and conditions. ashleymichael2009. It was apparently either an insurance courtesy fill or an e-voucher discount was applied. For a 2-month prescription, the savings can be up to $300, and for a 1-month prescription, the savings can be up to $150. Reply reply More replies Feb 15, 2024 · And individuals with commercial insurance may pay as little as $25 for a 1-, 2-, or 3-month supply with a Mounjaro Savings Card. Using savings card for the first time today. Month is defined as 28-days and up to 4 pens. Rough but don’t need to take it much longer so I guess I must make the sacrifice. So if you have no insurance currently, you cannot use the savings card. I own four family pharmacies. but I still wasn't approved through my insurance so I asked her to use the savings card. Lilly is picking up the cost on the backend which encourages prescribers to switch patients over because it’s so cheap. It explains the different expiration dates down in the terms and conditions info. I only post this here because this is likely a sign that supply chain issues are expected to clear up for Novo Nordisk very soon. I've used the coupon for $25 on a few different occasions, most recently january- until I hit my deductible- it was out and just was made available. Q&A. I had $50 in Health Benefits to use up so I ended up paying $0. The savings card post 11/10 (major change in price) leaves those w/o insurance coverage paying around $500 out of pocket per month-if the pharmacy will fill it w/o a diagnosis. The savings card is not available to government beneficiaries. •. I am changing pharmacies and would like to print it out and give them my member#. But the general rule every 23 day. Insurance Coverage. No. Mounjaro w/ savings card filled on 10–3 at Walgreens. This ensures the person’s access to necessary medications while also keeping the individual’s budget in mind. You have to have both your insurance card and savings card listed. Damn hackers! Coupon. A WEEK of them going back and forth. Sensitive-Comment-40. I have the original card (august 4th) and filled and picked up my prescription (2nd month of 7. If your card is not working at the pharmacy, it could be due to an expired card or an error in the card details. that's the million dollar question. You will find both Ozempic and Mounjaro on page 59 and 60 of the 2023 UnitedHealthcare Medicare Advantage formulary under "Blood Glucose Regulators Antidiabetic Agents. Only until June 30th Coverage = approval. I had to switch to Walmart due to availability and my first fill was processed for $25 without the savings card. All of a sudden she found a 2. Prices can change every day. " Jun 6, 2024 · View MOUNJARO savings options available to you including Manufacturer Coupons, Rx Advantage Savings Card, Canadian Prescription Savings or MOUNJARO Patient Assistance Program. You can receive savings of up to $573 for a 1-month prescription. Most on this sub seem to have a good outcome with the original savings card when they transfer the prescription to Walmart. They just don’t post about it. com/savings-resourcesor call 844-805-5807 to get the Mounjaro Savings Card. Prior authorization determines your coverage for the medication. Nov 20, 2023 · Welcome! Log into your account. Anyone in Austin, TX have a pharmacy that has allowed you to use the $25 savings card. 5, I had my follow up with my DR Friday she sent it in. I’ve had mine filled for the past 4 months with no issues using savings card. Hi! I’ve used the savings card for 5 fills, however I have the original card issued in September. May 21, 2024 · A 1-month supply includes 4 pens across 28 days. This is not a new Eli Lilly policy. It is not known if Mounjaro is safe and effective It is true that the steps are, 1) Prescription arrives at pharmacy, 2) Insurance must decline prescription and then 3) Pharmacist enters information into their system with saving card details. I tried two other pharmacies and was getting nowhere. No way am I going to pay over $1000/month now and I'm out of my shots tomorrow. They cover it for treatment of type 2 diabetes. It takes off $500 if it’s the current savings card. Commercial Drug Insurance Required Finally got the savings card to work again after a month of trouble! Backstory: After two successful months of mounjaro the savings card stopped working. No clue why! But my savings card is now on file and I filled on 12/29 with the card for $25. For patients with commercial drug insurance coverage for Mounjaro: Offer good until 12/31/2023 for up to 24 fills or whichever comes first. Archived post. As of today it seems if you go to get a savings card you must confirm you have commercial insurance, 18 years old and older, and you have type 2 diabetes. The pharmacy websites featured on SingleCare list the prices at pharmacies in your area. This information is provided in response to your request. It could only be for new users. Jul 20, 2023 · There is a maximum annual savings of up to $1800, which can be used separately. Curious Jul 13, 2023 · Mounjaro. Download a new card and take the pharmacist through the instructions written on the download that explain to use coordination of benefits coverage type 03 Weis1. I'm pretty new at this (third week) and I didn't try for the savings card for Mounjaro because I am only prediabetic. The card may be used for up to 6 prescription fills per calendar year. I picked up my previous 2 scripts using the savings card I provided that I provided on 8/27. Doctor writes an appeal letter to Ins stating that Mounjaro in one year has had dramatic health benefits and needs to approve it for you. So for anyone having the same experience, download a new one and have them I'm not sure what anyone else's experience is, but honestly, the guide should be: Have your script sent to Walmart Give them the savings card info Pay $25 Take your Mounjaro home. And this only addresses the savings card. I have been depressed and my ED had flared-up during this time. Because it’s a shitty coupon. 5 Mounjaro is ready for pick up. You’d do better on GoodRX at $984. Again, people who have issues (savings card, side effects, pharmacy, etc) are more likely to post. One of the most common issues with Mounjaro Savings Card is an invalid or expired card. There are a lot of ppl still filling the med for 25. So I downloaded a new card (the one asking about T2D) and it worked. your username. I obviously don't know how this will all shake out, but I do know that as consumers, a healthy competition Jun 20, 2023 · The companies are paid back by middlemen who sell the drugs to the pharmacies. lilly. Rules: be nice, no bullying, no discussion of unproven “natural” diabetic drug alternatives, and **no discussion of coupons, please**. Programs are suitable for individuals who want to purchase MOUNJARO without insurance, with insurance or for those who are uninsured. Rather than paying the retail price of around $1000 a month for 4 pens, this Mounjaro savings card allows you to pay only $25 a month. For example, HUMIRA has had a $5 savings card for as long as I remember (at least 8 years but probably much longer) and has been actively avoiding losing exclusivity, keeping biosimilars (kinda like a generic) at bay and patients on their drug. That then opens the $25 cost. Without insurance, the average retail price per fill ranges from $1,000 to $1,200 or more, depending on the pharmacy. The card says 12 fills or June, whichever comes first. That means that your pharmacy has decided not to process savings cards for patients without a T2D diagnosis. mounjaro. A 3-month supply includes up to 12 pens for 84 days. Anyone with commercial insurance can use the copay card which makes Mounjaro $25/month. Mounjaro is not for use in people with type 1 diabetes. First, I can only morally advise this if you have the old savings card without the T2D restriction or if you actually have T2D. Someone is either trying to push you to the savings card issued after November 2022 or is so poorly informed that they believe the old card should no longer be used and is not following the correct steps to use your original savings card. Three months is defined as 84 days and up to 12 pens. -Make sure patient knows that copay savings card MUST be activated before going to pharmacy. I was wondering if someone could help me - kinda desperate here but holding out hope. I successfully used the NEW savings card in early March and now it isnt working. My insurance denied it immediately and sent a letter. Will the new card work or will it not work for non diabetics. Literally from the websites terms and conditions for the savings card. Anyways try email Invalid or Expired Card. I suggest you switch to zepbound which give you 13 fills. * † *For eligible commercially insured patients with Mounjaro coverage. I tried using the savings card originally a couple months ago and it was denied since my Dr The criteria to use the savings card. None of the Eli Lilly savings cards for Mounjaro expired at the end of 2022. 4. I left very frustrated today without the RX. It will take $500 off if your insurance does NOT cover MJ. Patients with commercial drug insurance coverage for Mounjaro may continue to utilize the savings card to pay as little as $25 for a 1-month, 2-month, or 3-month The savings card should currently work even if your insurance doesn’t cover it. That’s the case with my insurance, and since insurance has to pay for a portion it would make sense that the sc would have a similar time frame. Tyia Feb 27, 2024 · Understanding insurance coverage can help one predict potential costs for Mounjaro and learn the insurance claims process more effectively. Some pharmacies can fill at 21 and some at 28. r/Mounjaro. At Walmart the pharmacist saw the tech struggling with the coupon and intervened. $25 Pay as little as Visit www. Yes, I was just at Walmart 15 minutes ago and they told me the same thing. Oct 1, 2022 · On October 1, 2022 – Lilly updated their website for anyone downloading the Mounjaro coupon for the first time. Depending on which card you downloaded, prior to November 2022 or after mid-November 2022, they have an expiration date of either June 2023 or December 2023, with a few limitations that are explained on the card. If you have questions about how to save on your Mounjaro prescription, or if you have additional questions, please contact the Mounjaro patient services support center at 844-805-5807. One month is defined as 28 days and 4 pens. However, the savings cards expire in June if your insurance doesn’t cover your Mounjaro. *GOVERNMENTAL BENEFICIARIES EXCLUDED, TERMS AND CONDITIONS APPLY. Sooner or later you will find one that will fill it. FallRiver1956. com and read all of the fine print. For a 3-month prescription fill, the savings can be up to $450, and there is a separate maximum annual savings of up to $1800 per calendar year. Go to a different pharmacy. This is over $1000 at 4x the stated cost. We want to help. Which was denied, so now I have to attempt the savings card. 5 unit of Mounjaro for me in the fridge/stock area. No knows what happens after the current savings card expires. I know it's stressful, but you'll have to persist to be successful. Offer subject to a monthly cap of $250 and a separate annual 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. My copay was $500, the savings card took $450 off and my cost ended up being $50. The copay card will be good until June 2023. When/if my prescription goes from $25 a month to $1000 I will switch to a more affordable option. It is not known if Mounjaro can be used in people who have had inflammation of the pancreas (pancreatitis). Yes. See Prescribing Information above, if applicable. My insurance added the medication to their formulary with a step-therapy pre-requisite (for a medication irrelevant to weight-loss). I had no issue using the savings card. According to the Mounjaro website, I can get a savings card that takes $575 off the cash price (1 mo supply). I knew this was a possibility based on the little fine print but I wonder if anyone else ran into this and had Tell them to call store 4153 if they are having an issue. Ok. The cost of Mounjaro can be affected by many factors, including: The savings card can only be used if your insurance is paying a portion. Members Online I haven’t posted since before Christmas… from 307 Lbs to 255. I contacted Sequence and changed my pharmacy to Capsule. Walmart came through for both me and my wife. Downloaded a savings card to be approved, but not go to $25. Struggling with your Mounjaro Savings Card? Watch our step-by-step guide to troubleshoot common issues like physical damage, incorrect PIN, expiry, and more. After all of the posts about it not working I was nervous about going and had delayed picking it up. Has anyone had this issue and it not work. If people want to talk about weight loss and say they are using it off label w/o going into detail-sure. Doctors can still write off label prescriptions. Savings card is only good until Dec if your insurance covers your MJ. Still unknown how it will effect current savings card holders. Just went through all of this at Walgreens. I got diagnosed with Type 2 diabetes and my doctor prescribed me mounjaro and recommended I used the savings card. Warnings Mounjaro may cause tumors in the thyroid, including thyroid cancer. which the trials are currently happening. Kroger made an internal policy decision to stop honoring Jan 9, 2024 · The Mounjaro savings card is accepted at nearly 60,000 participating pharmacies across the United States and Puerto Rico, making it incredibly convenient to use. Second, if your pharmacy refuses to run your old savings card (or you have T2D), call the following number, explain that your local pharmacy couldn't process the savings card, and ask them how to submit a claim for reimbursement: 1-844-805-5807 Savings card worked today @Rite Aid. You should go in or call the pharmacy to ask them about adding the savings card and see what they say. com. ago. [deleted] • 1 yr. This is not a new concept. Eli Lilly offers a Mounjaro Savings Card to help eligible individuals afford this medication. It is not known if Mounjaro is safe and effective for use in children under 18 years of age. It took me about ten minutes to test it. Jan 11, 2023 · What You Need to Know About the Mounjaro Savings Card. " They are also both listed later in the formularly in an alphabetical listing, but that does not change the type 2 requirement. CVS, Walmart, Kroger, etc. Please note that it's important to refer to the official terms and conditions provided by the manufacturer (Lilly) for the most accurate and up-to-date information regarding the savings program for Mounjaro. com She said the savings card I had used until now kept coming back as ineligible after trying multiple tiems. I recently got my first prescription of 2. Hi there! It looks like your post is related to the manufacturer’s savings card for Mounjaro. It can be used whether or not your insurance COVERS Mounjaro. All cards issued/downloaded in 2023 expired as of December 31, 2023. To cut down your costs on Mounjaro, use the free Rx card and enjoy your savings. This is good news because it will likely take some pressure off of Lilly and Mounjaro. One month is defined as a period of 28 days and the possession of 4 pens. My CVS let me pick up this week with the old savings card for $25. • Simply download and present the Mounjaro Savings Card to your pharmacist when you pick up your prescription. Mounjaro Savings Card update. My insurance doesn't cover it, but they have a discount deal which does reduce the cost. The secret coupon that is $25. My guess is maybe Lily is deactivating the old ones without that extra checkbox, but who knows. No such policy. There’s a separate limit of $3,438 worth of savings per calendar year. ADMIN MOD. 2 Lbs!!! . † One month is defined as 28 days and 4 pens. Here is a breakdown of everything you need to know about the Mounjaro savings card. I have been trying to use the savings card and have been rejected at 4 pharmacies and told I have to pay full price because I am not TD2. 5 mg/10 mg/12. This advice no longer applies after the changes made to the savings card as of 11/10 and the mandate passed to pharmacies in early December to only use the card for patients with mounjaro. aavanta1. But I got a notification on my app that my 7. mounjaro savings info before October 2022. Ozempic prices begin at $814, while Wegovy starts at $1,212. 98% of questions about expiration dates, how often you can use the discount, and how much of a discount you will receive are explained in detail in the small print. My Walgreen's has been amazing up to this point and said all Walgreen's and other pharmacies require a type 2 diabetes diagnosis to use the savings Jun 2, 2023 · Here is everything you need to know about the new Mounjaro "coupon" or savings card released this week. Patients must have coverage for Mounjaro through their commercial drug insurance coverage to pay as little as $25 for up to 12 pens of Mounjaro. 00 (when even self pay could get this for $25) is only valid for 6 months. Offer subject to a monthly cap of up to $500 and a separate annual cap of up to $3,000. This is what has changed. Mounjaro Savings. mounjaro-pharma. I feel for people who can’t get it but hopefully once it’s approved for weight loss there will be a savings card. $25 for 4 Pens. 5) last night at Rite Aid for $25. Lilly extends coupon offer or offers a new one. *. Here is the link to savings. It is up to the pharmacy. I just got the prescription to move up to 5mg and used the 2024 savings card. If your card inexplicably stops working, do not call Lilly. They go on about their day with no mounjaro related issues. It definitely added a huge spotlight. This summary provides basic information about Mounjaro but does not include all information known about this medicine. Pharmacy should do following: Transmit claim online with RxBIN 018844. You may pay as little as $25 for a 1-month or 3-month prescription with the Mounjaro Savings Card. • Pay as little as $25 for a 1-month or 3-month prescription with the Mounjaro Savings Card*. Yes, my insurance paid for three months and now they need a PA. I was told the issue started on Wednesday and to check every day to see if it has been resolved. ®. This month they decided to say savings card is maxed out and that they will only cover $250. Click here for more information. Amazon Pharmacy does accept the savings card. crglevin. Generally, you can fill every 23 day. The cyberattack is preventing the coupon to process. Maybe. I last filled on 10/26 so I wasn’t even going to try and fill it until around the came time this month. If eligible, you could pay as little as $25 for a 1-month (28 days and 4 pens) or 3-month supply (84 days and up to 12 months) of Mounjaro. your password Hey guys! I need some help understanding the savings card. It’s a system prompt based on your insurance. just a minor set back until it's FDA approved for weight loss. 2. Those with insurance that does not cover Mounjaro can still use the Mounjaro Savings Card for PrincessOfWales. Austin, TX pharmacies for savings card. A community exclusively for type 2 diabetics using Mounjaro, Ozempic, or some of the other drugs that were created for type two diabetes, but increasingly being used for weight loss. Commercially insured patients may be eligible for the Mounjaro Savings Card program 2. For more information, call +1 (213) 986-7896 or +44 7456 419329 www. I have my savings card info, including the original group FCMJDWB, but I don't have an actual download of it. Im not type 2 diabetic and have to pay out of pocket. Dependent-Return-777. Just had the same explanation at Sam’s Club in atlanta. Try wegovy or ozempic. Card savings are subject to a maximum monthly savings of up to $150 per 1-month prescription, $300 per 2-month prescription, or $450 per 3-month prescription fill and separate maximum annual savings of up to $1,800 per calendar year. 5 mg mounjaro. New comments cannot be posted and votes cannot be cast. If you have questions about eligibility or coupon terms, be sure to check Mounjaro. Am I able to use the saving card to get the discount? Not the $25 copay, obviously, but the $400-$500 off retail? I currently use Walmart pharmacy. However, the only card I can find any link to on the website is the $25 final price card for those who have commercial insurance that does cover the drug. Mounjaro costs start at $995 through SingleCare. of Mounjaro* *If you’re eligible and commercially insured with Mounjaro coverage. You won’t be able to fill 10 more times before June, unfortunately. 3. -From there, if patient insured/medication on formulary/covered by Mounjaro is an injectable prescription medicine that is used along with diet and exercise to improve blood sugar (glucose) in adults with type 2 diabetes mellitus. The box doesn't ask if you have type 2 diabetes, it just asks if you have a prescription for Mounjaro for type 2 diabetes (meaning that the drug is indicated for type 2 diabetes). The savings card convo needs to be retired IMO. Mounjaro is a prescription medicine. • 1 yr. Seriously, don’t panic about the savings card. Insurance puts it on Formulary by June 30th. I used 2 different cards. You can Pay as little as $0 per fill. On 11/8 my doctor sent a a refill of 7. Get a free GoodRx coupon Save now with the Mounjaro (tirzepatide) Savings Card. I transferred mine (3rd month) to Walmart because I was driving the pharmacy tech at my hospital nuts with the trying all the different things with the coupon. Additionally, some Telehealth providers are telling people upfront not to choose Walgreens because they won’t fill it. (I went above 300 in my blood sugar once but I have historically approached blood draws like report cards and ever since have been in 'prediabetic' territory, likely due to not wanting to 'fail' on the blood draw. Help! My Savings Card won't work now My Savings card got denied today at Walgreen's. I’m not sure if it went through or not because the price of the mounjaro was $524? Then you can use the Mounjaro savings card. 6. (tirzepatide) injection. I’ve called the Mounjaro help line multiple times and can’t get through to a person. Full Prescribing Information. eazybreazzzy. . Maybe…a long shot. While not all insurance plans cover Mounjaro, it is crucial to explore the possibility of insurance coverage to reduce costs. I downloaded that one to my digital wallet (see image) since it is the only one I Pharmacies don’t pick and choose when to request a PA. Resources may contain information about doses, uses, formulations and populations different from product labeling. One pharmacist finally just overrode the process and just charged me $25. ETA: This post was made back in the summer when the $25 savings card was readily accepted. My copay today was 552$ after the savings card. I tried two different pharmacies. Not all pharmacies are requiring a type 2 diagnoses. Hot-Support-689. I have commercial insurance, and I've used it before. Jun 1, 2023 · The Mounjaro savings program provides patients with commercial drug insurance who do not have coverage for Mounjaro, with savings of up to $575 off off a 1-month prescription fill. It is not known if Mounjaro can be used in people who have had pancreatitis. but in reality if it stops working for non diabetics relax, it's not the end of the world. Is NiceRx a Mounjaro coupon provider? Wegovy Savings Card. First I should say my insurance has rejected my PA for Mounjaro and I do NOT have t2d. Most insurance plans allow 90 day prescriptions to be filled after 2 months. Go to the website, click on the big purple GET SAVINGS CARD button, then agree to the two terms and download/email/text a new card. The last step seems to work best in person at least for our pharmacy. Most of us are relying on the card, unfortunately. ao eb wr cn uq jg sl wt xs gw