CRITICAL UPDATES SEE BELOW THE ARTICLE
Eli Lilly has just released the 2025 version of the Zepbound Savings Card, which brings some notable changes for both existing and new users. Here’s a breakdown of what’s new, what’s staying the same, and how these changes may affect you if you’re a Zepbound user with commercial insurance.
Key Changes in the 2025 Zepbound Savings Card
If you’re currently benefiting from a Zepbound Savings Card, here’s a quick comparison of the major changes for 2025:
2024 Zepbound Savings Card Terms Recap
Save $463/mo off of the retail price of Zepbound
2024 maximum savings cap of $2,315
Up to 5 refills
Expires 12/31/24
2025 Zepbound Savings Card Terms Overview
The new 2025 savings card terms show a few differences depending on whether or not your insurance covers Zepbound.
1. For Patients WITH Insurance Coverage for Zepbound:
• Monthly Savings: Up to $150 per month for a 1-month prescription, $300 for a 2-month prescription, or $450 for a 3-month prescription.
• Annual Savings Cap: Up to $1,950 per year
• Refills Allowed: Maximum of 13 fills per year.
• Expiration Date: December 31, 2025.
2. For Patients WITHOUT Insurance Coverage for Zepbound grandfathered in on the pay as little as $550 card:
• Monthly Savings: Up to $563 per month.
• 6 Month Savings Cap: Increased to $3,941
• Refills Allowed: Up to 7 fills per calendar year.
• Expiration Date: June 30, 2025.
3, For patients WITHOUT Insurance Covered on the Post 8/28/24 pay as little as $650 card:
• Monthly Savings: Up to $463 per month.
• 6 Month Savings Cap: $3,241
• Refills Allowed: Up to 7 fills per calendar year.
• Expiration Date: June 30, 2025.
What This Means for You
Existing Users
If you’ve been using the 2024 Zepbound Savings Card and plan to renew for 2025, your savings eligibility and cap may change based on your insurance coverage:
• With Insurance Coverage: You save $150 per fill, with a max annual benefit of $1,950.
• Without Insurance Coverage: Essentially those who were on the old pay as little as $550 card, you are grandfathered in through June 2025. For those who are currently on the pay as little as $650 card (or for those new to the program) you will retain those benefits. Note that both versions of this card expire on June 30, 2025, meaning you may need to reapply mid-year for continued support.
New Users
For those just starting Zepbound in 2025, the savings card offers similar structures, depending on your insurance coverage status. Carefully review the terms to understand your monthly costs and any limitations on fills or annual savings caps.
Potential Issues at the Pharmacy
If you’re an existing Zepbound user, a few common issues might arise with the new card:
1. Pharmacy System Updates: Some pharmacies may automatically update your card details. Always verify that the savings card number matches your current one, especially if your out-of-pocket costs appear higher.
2. Reaching Savings Cap or Refill Limit: If you hit the refill or savings cap early, this could increase your costs before the end of the year.
3. Switching Pharmacies: Moving to a new pharmacy may disrupt your card’s application. In these cases, contact Zepbound support for help transferring your existing benefits.
Conclusion: Better or Worse?
Essentially the new 2025 cards represent status quo for those currently enrolled.
This information is provided by OnThePen.com for educational purposes. For the most accurate and up-to-date details on the Zepbound Savings Card, please visit zepbound.com.
UPDATED 10.28.24 4:35 PM CENTRAL to include the latest terms of the 2024 card
UPDATED 10.31.24 1:29 PM CENTRAL to include new Lilly guidance on the two versions of the non-covered copay card.