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Mounjaro Patient Assistance: Understanding Eligibility and Savings Options
Mounjaro Patient Assistance: Understanding Eligibility and Savings Options
For U.S. patients prescribed Mounjaro (tirzepatide) for type 2 diabetes or weight management, the Mounjaro Savings Card Program offers a helpful way to lower out-of-pocket costs. However, not all patients qualify, and those without coverage can still explore other cost-saving options. This guide provides an overview of Mounjaro’s patient assistance program, eligibility requirements, and potential alternatives, including purchasing Mounjaro from Canada.
Mounjaro Savings Card Eligibility and Coverage
The Mounjaro Savings Card Program, offered by Eli Lilly, provides significant savings for patients who meet specific criteria. Here’s a breakdown of eligibility and how the savings work:
Eligibility Criteria for the Mounjaro Savings Card
To qualify for the Mounjaro Savings Card, patients must:
- Be prescribed Mounjaro for an FDA-approved use.
- Be enrolled in a commercial drug insurance plan.
- Not be enrolled in government-funded programs such as Medicaid, Medicare, TRICARE®, VA, or other state prescription drug assistance programs.
- Be a U.S. resident or Puerto Rican resident aged 18 or older.
How the Savings Work
1. For Patients with Insurance Coverage for Mounjaro:
- Patients with commercial drug insurance that covers Mounjaro can pay as little as $25 for a 1-, 2-, or 3-month supply, up to four pens for each 28-day period.
- Monthly savings are capped at $150, with a maximum annual savings of $1,950.
- The card can be used for up to 13 fills per year, with savings ending on December 31, 2025.
2. For Patients with Insurance Without Mounjaro Coverage:
- Patients with commercial drug insurance that does not cover Mounjaro can still save up to $473 on a 1-month prescription.
- Annual savings are capped at $3,311, with savings available up to seven times per year, expiring on June 30, 2025.
Important Terms
The program is restricted to those with commercial insurance only, excluding those in government programs. Additionally, patients whose insurance participates in alternate funding programs (AFPs) that modify coverage based on manufacturer savings programs are not eligible.
Alternatives for Patients Looking to Save
For patients who cannot qualify for the Mounjaro Savings Card and are exploring other ways to manage costs, there are additional options to consider:
Telehealth Consultations for Alternative Medications:
- Some telehealth providers may offer prescriptions for alternative GLP-1 receptor agonists like Ozempic or Wegovy, which may have broader insurance coverage.
Generic and Biosimilar Options:
- While Mounjaro itself does not yet have a generic equivalent, exploring other medications within the same drug class may offer more affordable choices with similar effectiveness.
How To Order Mounjaro From Canada
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Securely upload your prescription, email it to support@overthebordermeds.com, or have your prescriber fax it to 1-833-209-3704.
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Experience the convenience of purchasing Mounjaro directly from our Canadian online pharmacy. By shopping with us, you’ll enjoy significant savings, on the same brand-manufactured medication.
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Our team is here to support you every step of the way. If you have any questions or need assistance, we are just a call or email away.
What if You Don’t Qualify for the Mounjaro Savings Card?
For those who don’t meet the eligibility requirements, such as patients enrolled in Medicaid or Medicare, purchasing Mounjaro at U.S. prices can be a significant financial burden. Fortunately, there are cost-saving alternatives available for these individuals.
Consider Buying Mounjaro from Canada
Many U.S. patients are turning to Canadian pharmacies to access Mounjaro at a much lower cost than in the United States. While U.S. insurance typically does not cover prescriptions from Canada, the savings often outweigh this limitation, especially for patients without access to assistance programs.
How It Works:
- Using a U.S. Prescription: Patients can use their U.S. prescription to buy Mounjaro from a licensed Canadian pharmacy, often at a price that is substantially lower than the U.S. cost.
- Potential Savings: Canadian pricing for Mounjaro can be up to 50% lower than in the U.S. due to Canada’s regulated pricing structure.
- Quality Assurance: Canadian pharmacies are regulated by Health Canada, ensuring patients receive genuine, safe medications.
Frequently Asked Questions
1. Can I use my U.S. prescription to buy Mounjaro in Canada?
Yes, many licensed Canadian pharmacies accept U.S. prescriptions, allowing patients to access Mounjaro at lower prices.
2. Is the Mounjaro Savings Card available for patients with Medicaid or Medicare?
No, the Mounjaro Savings Card is only available to patients with commercial drug insurance and excludes those enrolled in government-funded programs.
3. How much can I save with the Mounjaro Savings Card if my insurance covers Mounjaro?
Patients with commercial insurance coverage for Mounjaro can save up to $150 per month, with an annual maximum savings of $1,950.
4. How much can I save with the Mounjaro Savings Card if my insurance doesn’t cover Mounjaro?
For patients whose insurance does not cover Mounjaro, the card offers savings of up to $473 per month, with an annual cap of $3,311.
5. What is the maximum number of fills allowed under the Mounjaro Savings Card Program?
The savings card can be used up to 13 times per year for patients with coverage and up to seven times per year for those without coverage.
6. Is buying from a Canadian pharmacy safe?
Yes, licensed Canadian pharmacies are regulated by Health Canada, ensuring that medications like Mounjaro meet quality and safety standards.
7. What are the expiration dates for the Mounjaro Savings Card?
Savings end on December 31, 2025, for those with Mounjaro coverage and June 30, 2025, for those without coverage.
Conclusion
For U.S. patients facing high costs for Mounjaro, the Mounjaro Savings Card offers valuable assistance, but eligibility criteria can limit access for those without commercial insurance. For patients who don’t qualify, exploring options to purchase Mounjaro from Canada can be a practical alternative, offering significant savings without sacrificing quality. By understanding available programs and cost-saving alternatives, patients can find the most affordable way to access this essential medication for diabetes and weight management. For more details, visit the official Mounjaro website.