1. Use the Official Lilly Savings Card
One Reddit user shared a cautionary story and a life‑changing tip:
“I thought everyone knew about the savings card, but it seems that’s not the case…
I recently had a really sad conversation with a friend who’s been on Zepbound for the past year. His insurance didn’t cover it, so he assumed he had to pay the full $1,200 retail price. Unfortunately, this left him deeply in debt, with bills going to collections and his credit ruined.
The good news is he was able to lose over 100 lbs, but it’s heartbreaking to think this could’ve been avoided.
If your insurance doesn’t cover Zepbound, check out the official Lilly savings card. In most cases, it reduces the cost to $550 – $650 or less: https://zepbound.lilly.com/coverage-savings
This speaks volumes—don’t assume the list price is your only option. The official card offers substantial relief, capped monthly and annually, for those with commercial coverage .
2. Know the Card’s Terms
From Lilly’s site:
- Covers commercial drug insurance holders aged 18+ in the U.S. or Puerto Rico .
- For those with insurance covering Zepbound, the copay can drop to as low as $25/month (up to $150 savings per fill; $1,950 annual max).
- Without coverage, eligible patients save up to $469–$569/month, depending on the year, with annual caps in the $6k–$7k range. Source
3. LillyDirect Vials Offer Lower Out-of-Pocket Pricing
If insurance doesn’t cover pens, consider vials via LillyDirect:
- 2.5 mg vial: ~$349
- 5–10 mg vials: ~$499
- Pens typically run ~$550–$650 after card usage .
Reddit
4. Choose Your Pharmacy Wisely
Budget-conscious users report success at major chains:
“I was able to get mine refilled at Walmart just now! My insurance doesn’t cover it, so I use the savings card that makes it $550.”
— atlbelle Reddit
Note: your mileage may vary based on pharmacy policy.
5. Stack Rewards: Gift Cards + Cashback
Some users use gift cards and credit cards to amplify savings:
- “PSA MAX SAVINGS: you can buy used gift cards for 10%‑15% at sites like CardCash for stores like CVS, Walmart, and Target. All of their cards can be used at the pharmacy.”
- “I use my Citi card for this exact reason. The 5% back softens the $550 blow.”
And if you get a Citi Custom Cash Card, you can get 5% back on those purchases (up to $500 per month).
6. Utilize FSA/HSA Funds
When paying out-of-pocket—even with savings—using FSA or HSA funds can significantly lower your net cost.
✅ Summary: 3-Step Savings Strategy
- Apply the Lilly Savings Card (pens or vials).
- Stack with pharmacy gift‑card discounts and 5% cashback.
- Use FSA/HSA funds for tax‑advantaged payment.
Final Thoughts
With careful planning—a savings card, smart retail choices, credit card rewards, and FSA/HSA usage—Zepbound becomes much more affordable. Don’t settle for full retail pricing; use the tools available to maximize your savings.