With the Zepbound savings card, you pay as little as $25 a month if your commercial insurance covers the Zepbound single-dose pen. The card takes off up to $100 a month and $1,300 a calendar year, so you pay $25 only if your copay is $125 or less. If your plan doesn't cover Zepbound, the card brings a month of pens to as low as $499, and a KwikPen to $299 to $449, by dose. With no insurance or on Medicare, you can't use this card, but Eli Lilly's separate KwikPen Self-Pay Savings Card gives the same KwikPen prices. Both cards end on December 31, 2026. Terms checked October 6, 2026.
Eli Lilly's Zepbound (tirzepatide) savings card is what most people mean by a Zepbound coupon or coupon card. It can bring a month down to as little as $25, but only for some people. What you pay depends on your insurance, the form you're prescribed and, for the KwikPen, your dose. Lilly also runs a second card for people paying cash, and this page covers both.
What the Zepbound savings card is
It's Lilly's main savings card, and its terms list no fee for it. The full name is a mouthful: the "Zepbound Single-Dose Pen and Single-Patient-Use KwikPen Savings Card Program". It covers the single-dose pen (the autoinjector) and the KwikPen (one pen that holds 4 weekly doses). Not vials.
You need commercial insurance to use it, meaning private insurance, not a government plan. That's true even for the prices that apply when your plan doesn't cover Zepbound.
Lilly also runs a second, separate card: the Zepbound KwikPen Self-Pay Savings Card. It's for people paying cash for the KwikPen, including people with no insurance and people on Medicare or another government plan. It gives the same "as low as" KwikPen prices as the table below, for up to 11 fills a calendar year, and it also ends on December 31, 2026. What you pay with it can't be claimed from insurance or counted toward a deductible.
If you fill through LillyDirect, Lilly's own pharmacy service, it applies any savings you qualify for, and its pharmacy partner contacts you to confirm your details. At any other pharmacy, you give the pharmacy your card's details.
Who qualifies for the savings card
From Lilly's savings card terms
Can you use the Zepbound savings card?
You need all of the first three. Any of the last three rules you out.
Commercial drug insurance
Private insurance, not a government plan. For the KwikPen part of the card, your plan must not cover the KwikPen.
A prescription for the single-dose pen or the KwikPen
Prescribed "for an approved use consistent with FDA approved product labeling", in the words of the terms.
18 or older, in the US or Puerto Rico
You must be at least 18 and a resident of the United States or Puerto Rico.
Medicare, Medicaid or another government plan
Including Part D, Medicare Advantage, Medigap, TRICARE, the VA, DoD and state drug assistance programs. The self-pay KwikPen card is open to you instead.
A prescription for vials
The card covers the single-dose pen and the KwikPen only. Vials are sold only through LillyDirect, at its self-pay prices.
No insurance at all
This card can't help. Lilly's KwikPen Self-Pay Savings Card or LillyDirect's self-pay prices can.
That's about qualifying for the card, not for Zepbound itself, which is your prescriber's call. Our GLP-1 eligibility checker covers the BMI requirements.
What you pay with the card, with or without coverage
The card does three things, depending on what your commercial plan covers. Find your row:
| Your situation | What you pay | Limits |
|---|---|---|
| Your commercial plan covers the single-dose pen | As little as $25 for a 1-month, 2-month or 3-month fill. | Up to $100 off a 1-month fill, $200 off a 2-month fill and $300 off a 3-month fill. Up to $1,300 off per calendar year, and up to 13 fills a year. |
| Your commercial plan doesn't cover the single-dose pen | As low as $499 for a 1-month fill (4 pens, 28 days). | Up to 13 fills a calendar year. |
| Your commercial plan doesn't cover the KwikPen | For a 1-month fill (1 KwikPen, 28 days), as low as $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5 mg, 10 mg, 12.5 mg or 15 mg. | The $449 needs each refill within 45 days of the last delivery. Otherwise it's $499 at 7.5 mg, or $699 at 10 mg, 12.5 mg or 15 mg. Up to 11 fills a calendar year. |
A 1-month fill is 28 days and up to 4 pens. A 2-month fill is 56 days and up to 8 pens, and a 3-month fill is 84 days and up to 12 pens.
The KwikPen prices in the last row are the same as LillyDirect's own self-pay prices: the card lets you pay them at another pharmacy. And in Lilly's words, "2.5 mg is a starting dose and is not approved as a maintenance dose."
Your plan's coverage decides your row, and coverage changes. If your plan uses CVS Caremark, Zepbound went back on select Caremark commercial formularies (its lists of covered drugs) on October 1, 2026. Each employer plan still decides, so check with your plan before you pay the no-coverage price.
The monthly and yearly caps, worked through
On a 1-month fill, the card takes off at most $100. So you pay $25 only if your copay is $125 or less ($125 minus $100 = $25). With a higher copay, you pay your copay minus $100. Your plan can tell you what your copay is.
From Lilly's savings card terms
Two copays, worked through
A 1-month fill of single-dose pens that your plan covers
Your copay is $90
The card takes off $65, which is under its $100 limit. $90 minus $65 = $25, so you pay $25.
Your copay is $300
The card takes off its full $100. $300 minus $100 = $200, so you pay $200.
The yearly cap is separate. The card takes off no more than $1,300 per calendar year, over up to 13 fills. If your copay is the same at every 1-month fill, a year looks like this:
| Over 13 fills | $90 copay | $300 copay |
|---|---|---|
| The card takes off | 13 × $65 = $845 | 13 × $100 = $1,300 |
| You pay | 13 × $25 = $325 | 13 × $200 = $2,600 |
With the $300 copay, the 13th fill uses up the $1,300 yearly cap exactly. The card ends on December 31, 2026, so this shows how the caps work over a calendar year, not what's left of 2026.
Zepbound KwikPen savings card: the 45-day rule
The KwikPen price comes with a timing rule. At 7.5 mg and up, the $449 price holds only if you refill "within 45 days of the delivery/received date" of your last one. Miss it, and the regular price applies: $499 at 7.5 mg, or $699 at 10 mg, 12.5 mg or 15 mg.
That's $499 minus $449 = $50 more at 7.5 mg, and $699 minus $449 = $250 more at the top three doses. Each KwikPen lasts 28 days, so refilling on your usual schedule keeps you inside the window. If your prescriber pauses your doses, follow that rather than the refill date.
The same rule applies to Lilly's self-pay KwikPen card and to LillyDirect's self-pay prices for vials and the KwikPen. Lilly calls it the Zepbound Journey Program.
How to get the Zepbound savings card
You enroll online, on Lilly's Zepbound savings page.
From Lilly's savings card terms
Getting the Zepbound savings card
- Enroll
Use the "Get your savings card" link on Lilly's Zepbound savings page. For the self-pay KwikPen card, pick your insurance type there, then the "Other pharmacy" option.
- Activate it
The terms say "Card activation is required." The main card also needs a HIPAA authorization, your permission to share prescription data.
- Use it
Give the card details to your retail pharmacy. At LillyDirect, its pharmacy partner applies any savings you qualify for.
No insurance, or on Medicare?
The main card isn't for you. Lilly's KwikPen Self-Pay Savings Card and LillyDirect's self-pay prices are, and on Medicare Part D, the GLP-1 Bridge may be.
Vials: no savings card
The card doesn't cover vials, and vials are sold only through LillyDirect, at its self-pay prices, the same as the KwikPen's (listed under Zepbound coupon without insurance, below). A month is 4 vials, and you buy needles and syringes separately.
Medicare, Medicaid, TRICARE and VA
If you're on any government-funded plan, including Medicare, Medicaid, TRICARE and the VA, you can't use the main card. You can still pay cash for the KwikPen with Lilly's KwikPen Self-Pay Savings Card, or buy from LillyDirect at its self-pay prices. What you pay that way can't count toward a deductible or out-of-pocket costs. On TRICARE or through the VA, ask your plan what it covers.
Medicare Part D: the GLP-1 Bridge
Medicare has its own program. The Medicare GLP-1 Bridge runs from July 1, 2026 to December 31, 2027. If you qualify, you pay a flat $50 a month for the Zepbound KwikPen. Zepbound single-dose pens and vials aren't included.
You need to be 18 or older, on Part D, prescribed it for weight management and not already getting a GLP-1 through your Part D plan. You also need one of these (your BMI when you started a GLP-1 counts):
- A BMI of 35 or more
- A BMI of 30 or more, with heart failure with preserved ejection fraction, uncontrolled high blood pressure despite two medicines, or chronic kidney disease stage 3a or higher
- A BMI of 27 or more, with prediabetes, a past heart attack or stroke, or symptomatic peripheral artery disease
Your prescriber has to get approval first (prior authorization), through one central processor. The $50 doesn't count toward your Part D deductible or your yearly out-of-pocket limit ($2,100 in 2026), and Extra Help doesn't apply.
If you have moderate-to-severe sleep apnea, type 2 diabetes or MASH (fatty liver disease with liver scarring), you can't use the Bridge, even for weight management. Contact your Part D plan instead. It may already cover a GLP-1 for you.
Medicare open enrollment runs from October 15 to December 7, 2026. The Bridge sits outside Part D plans, so the $50 is the same whichever drug plan you pick. If your only Medicare coverage is a private fee-for-service plan, a cost plan or PACE, you don't qualify.
Medicaid
Coverage is state by state. As of January 2026, 13 state Medicaid programs covered GLP-1s for obesity, according to KFF, and several states have cut coverage since. Check with your state's program.
Zepbound coupon without insurance
Without insurance, the main card can't help. You have two ways to pay Lilly's self-pay prices instead. LillyDirect sells vials and the KwikPen with no card needed: $299 a month at 2.5 mg (a 4-week starting dose), $399 at 5 mg and $449 at 7.5 mg and up if you refill within 45 days. At other pharmacies, Lilly's KwikPen Self-Pay Savings Card brings the KwikPen to the same prices, for up to 11 fills a calendar year. Single-dose pens have no self-pay price.
Our Zepbound cost guide has the full table by dose and what a year adds up to. Our US GLP-1 price page has the list and self-pay prices for Zepbound, Wegovy and Foundayo.
When the Zepbound savings card expires
Both of Lilly's cards end on December 31, 2026. In the terms' own words: "Card expires and savings end on 12/31/2026." Lilly can also change or end either card at any time. If you're reading this in 2027, check Lilly's savings page before you count on any figure here.
Frequently asked questions
Is the Zepbound savings card free?
How much is Zepbound with the savings card?
Can I use the Zepbound savings card if my insurance doesn't cover Zepbound?
Is there a Zepbound coupon without insurance?
Can I use the Zepbound savings card with Medicare?
Does the Zepbound savings card work for vials?
Is there a Zepbound KwikPen savings card?
Is there a LillyDirect savings card?
Is there a Zepbound coupon for 2026?
How do I get the Zepbound savings card?
General information from Lilly's published terms, not medical or financial advice. Your prescriber decides your dose and which form you use, so never change either to save money. For the dose steps, see the Zepbound dosage schedule.
View sources (7)
- Zepbound savings card: full terms and enrollment, Eli Lilly (read October 6, 2026)
- Zepbound self-pay prices, LillyDirect, Eli Lilly (read October 6, 2026)
- CVS Caremark to put Zepbound back on formulary and add Foundayo, Managed Healthcare Executive, May 28, 2026
- Medicare GLP-1 Bridge, Centers for Medicare & Medicaid Services
- Medicare GLP-1 Bridge prior authorization form, Centers for Medicare & Medicaid Services
- Medicare GLP-1 Bridge fact sheet (CMS Product No. 12234), Medicare.gov
- Medicaid coverage of and spending on GLP-1s, KFF
