Instructions for using the Mounjaro Savings Card

October 26, 2022

The retail price for Mounjaro is over $1000 per month. This section is meant to help you get Mounjaro for just $25 per month through a limited time coupon.

The first step is to get the coupon. You can get a unique coupon here.

Instructions to use the coupon

Printable instructions for your pharmacist to use the coupon (this is important).

After you have your coupon and prescription, you're ready to use it at your preferred pharmacy. We highly recommend either CVS, Walgreens, Rite Aid, or Walmart as they have the system to actually use the coupon.

Many pharmacists are not familiar with how to use this new coupon, but even if they aren't, it is definitely possible. Here are instructions for exactly what to say to your pharmacist.

(It is easier to print out the coupon above, which also has instructions to hand to your pharmacist)

Instructions for your local pharmacist

CVS Pharmacy

Dear CVS Pharmacist,

I have a prescription for Mounjaro from my doctor, and commercial insurance. I would like to use the Mounjaro savings card, which is valid through the drug manufacturer (Eli Lilly) even with an insurance denial. To use:

  • The Savings Card must be adjudicated as a Secondary Payer. Please enter both the Primary and Secondary Insurance coordination of benefits (bill the Primary Insurance first in order to get to the secondary)
  • If the Primary Insurance returns a Managed Care restriction (eg step-edit, prior auth, or NDC block), then:
  • Click “BYPASS” (BP) and submit
  • If you are not familiar with how to BYPASS, please contact a manager or colleague to ask how to use the BYPASS option in your system

Walgreens Pharmacy

Dear Walgreens Pharmacist,

I have a prescription for Mounjaro from my doctor, and commercial insurance. I would like to use the Mounjaro savings card, which is valid through the drug manufacturer (Eli Lilly) even with an insurance denial. To use:

  • The Savings Card must be adjudicated as a Secondary Payer.
  • If the Primary Insurance returns a Managed Care restriction (eg step-edit, prior auth, or NDC block), remove TPR exception by cashing out claim in IC+, then:
  • Please “SUBMIT DIRECT LINK (SDL)”
    • Open SDL
    • Submit to Primary Insurance
    • After Primary Insurance Rejects, click CANCEL
    • Select the Secondary Plan ID
    • Click C.O.B.
    • Verify the Primary BIN is populated
    • Make sure the OCC number is 03
    • Click OK and SUBMIT
  • If you are not familiar with how to SUBMIT DIRECT LINK (SDL), please contact a manager or colleague to ask how to use the BYPASS option in your system

Rite Aid Pharmacy

Dear Rite Aid Pharmacist,

I have a prescription for Mounjaro from my doctor, and commercial insurance. I would like to use the Mounjaro savings card, which is valid through the drug manufacturer (Eli Lilly) even with an insurance denial. To use:

  • The Savings Card must be adjudicated as a Secondary Payer.
  • Please enter both the Primary and Secondary Insurance.
  • If the Primary Insurance rejects for a Prior Authorization, you will need to contact Support Desk for an override to process the COB claim with OCC 03
  • If the Primary Insurance rejects for “70 NDC not covered” click the “Continue Bill” button and submit the Secondary Card text provided in the savings card

Walmart Pharmacy

Dear Walmart Pharmacist,

I have a prescription for Mounjaro from my doctor, and commercial insurance. I would like to use the Mounjaro savings card, which is valid through the drug manufacturer (Eli Lilly) even with an insurance denial. To use:

  • Submit Primary Insurance and MOUNJARO Savings Card (first submission)
  • If the Primary Insurance rejects due to NDC not covered or PA required:
    • Highlight the primary in the payment section of the resolution screen
    • Delete the primary insurer
    • Press F10
    • Select OCC03 for “Other Coverage Exists, This Claim is Not Covered.”
    • Hit accept from the F10 screen
    • Submit from the resolution screen
  • If you are not familiar with how to do this, please contact a manager or colleague to ask how to use this option in your system.

Before using the Mounjaro Savings Card, you must:

  • Be a resident of the United States or Puerto Rico who is 18 years of age or older.
  • Have commercial health insurance and NOT be enrolled in a federal or state government-funded prescription program such as Medicaid, Medicare Part D, Medigap, DoD, VA, TRICare/CHAMPUS or any state patient or pharmaceutical assistance program
  • Have a Mounjaro prescription from your doctor for Type II Diabetes

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