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Novo Nordisk also offers a patient assistance program that provides Ozempic at no cost. To be eligible, you must be a U.S. citizen or legal resident with a total household income at or below 400% of the federal poverty line.

Obamacare subsidy income limits for 2024 Household sizeMin. incomeTypical max. income 2 $19,720 $78,880 3 $24,860 $99,440 4 $30,000 $120,000 5 $35,140 $140,5601 more row • Jan 2, 2024

To find out if Zepbound is covered by your insurance, call and ask about your formulary drug benefits and copay or check the website. Your plan phone number is located on the back of your insurance card. Eli Lilly also offers a $25 copay savings card for patients with commercial insurance.

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.

For patients with commercial drug insurance coverage for Zepbound: You must have commercial drug insurance that covers Zepbound ®(tirzepatide) and a prescription consistent with FDA-approved product labeling to pay as little as $25 for a 1-month, 2-month, or 3-month prescription fill of Zepbound.

It's possible, however, to obtain stand-alone drug plans in the non-Medicare market, although they're usually prescription discount plans rather than insurance (here's an explanation of how that works).

The card savings can be used for up to 13 prescription fills over a calendar year, which means a maximum savings of up to $7,319 per calendar. That means you can use the Zepbound saving card even if your insurance doesn't cover the medication. The Zepbound coupon without insurance also expires on December 31, 2024.

Before approving Zepbound coverage, most insurance plans will require what's known as a prior authorization (PA) form—a coverage request your doctor submits on your behalf with information required by your insurer.