Mounjaro on Medicaid: the savings card is barred and your state decides the rest
Medicaid bars you from the Mounjaro savings card. Federal law closes every manufacturer card to a government plan. Eli Lilly publishes no Mounjaro cash price. It sells tirzepatide as Zepbound through LillyDirect at $399 a month at the maintenance dose, according to GLP Chart, checked August 31, 2026. The starter vial is $299 and the top dose $449.
Every route, cheapest first
| Route | What you pay | Who it is open to | Source |
|---|---|---|---|
| Strut Health, cheapest on our chart | from $149 a month | Anyone the program will prescribe for. That price buys compounded semaglutide, a pharmacy-made version that is not FDA-approved and is not Mounjaro. | our reviewRead August 31, 2026 |
| Eli Lilly cash price | $399 a month at the maintenance dose | Anyone with a prescription. No insurance needed. Eli Lilly sells tirzepatide as Zepbound, not Mounjaro, at $399 a month at the maintenance dose. The starter vial is $299 and the top dose $449. | LillyDirectRead August 31, 2026 |
| Mounjaro savings card | You do not qualify | Barred for Medicare, Medicaid, VA, TRICARE and all other federal or state government programs. | Mounjaro savings cardRead August 10, 2026 |
| Your state Medicaid | Depends on your state | Coverage for Mounjaro is set state by state. Your state's page below carries its rule and the date we read the policy. | Medicaid.govRead August 10, 2026 |
A compounded product in this table is not FDA-approved. The FDA does not review it for safety, effectiveness or quality, and its formulation can differ from the approved drug. Confirm the active ingredient and the pharmacy with the prescriber.
Your state decides the rest
Each state page carries that state's rule, its BMI bar and the date we read the policy.
Medicaid GLP-1 rules by state
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Frequently asked questions
Can I use the Mounjaro savings card on Medicaid?
No. The card is barred for Medicare, Medicaid, VA, TRICARE and all other federal or state government programs, and there is no appeal.
What does Mounjaro cost without insurance?
You pay the retail pharmacy list price. Lilly points self-pay patients to LillyDirect instead.
Can I stack a savings card and a pharmacy discount coupon?
No. You use the manufacturer card or a discount coupon on one fill, never both. For anyone with commercial insurance the card almost always wins.
GLP Chart is an independent comparison site, not a pharmacy and not a medical provider. Card and cash terms are read at the manufacturer's own page and dated. They can change on any day, so confirm yours before your next fill. Chart prices are checked every Monday.
