Diabetes & Blood Sugar · Weight Management / GLP-1
Mounjaro Assistance Programs & Grants in Utah
Assistance information last verified: August 2026
Assistance for Mounjaro on Medicare is limited right now. Lilly Cares does not cover Mounjaro, the savings card excludes Medicare, and the type 2 diabetes charity funds at TotalAssist and HealthWell were closed to new applicants when we checked. What remains: Lilly's $499-a-month self-pay price through LillyDirect (open to Medicare enrollees paying cash), Medicare Extra Help, and fund notifications for when a diabetes fund reopens. Financial assistance may be available through charitable foundations, manufacturer programs, Medicare's Extra Help program, or other assistance resources. Availability and eligibility change frequently — the information on this page was verified in August 2026.
Can I get help paying for Mounjaro?
Assistance for Mounjaro on Medicare is limited right now. Lilly Cares does not cover Mounjaro, the savings card excludes Medicare, and the type 2 diabetes charity funds at TotalAssist and HealthWell were closed to new applicants when we checked. What remains: Lilly's $499-a-month self-pay price through LillyDirect (open to Medicare enrollees paying cash), Medicare Extra Help, and fund notifications for when a diabetes fund reopens.
- Manufacturer patient assistance: Mounjaro is not on the Lilly Cares medication list (Trulicity is).
- Mounjaro Savings Card: excludes Medicare, Medicare Part D, Medicare Advantage and Medigap.
- LillyDirect self-pay: Mounjaro starting at $499 a month; Medicare enrollees may buy it self-pay, but the cost does not count toward Part D out-of-pocket costs.
- Charitable grants: Mounjaro is on the TotalAssist and HealthWell type 2 diabetes fund lists, but both funds were closed to new applicants.
- Medicare GLP-1 Bridge: not for Mounjaro and not for people with type 2 diabetes. Extra Help can cut a covered brand copay to about $12.65 if you qualify.
2 of the 7 programs we checked for Mounjaro were accepting applications when verified in August 2026.
About Mounjaro (tirzepatide)
Mounjaro is a once-weekly injectable GIP/GLP-1 receptor agonist for type 2 diabetes. Lilly states plainly that Mounjaro is not a weight-loss drug — the same molecule is sold for weight management as Zepbound, and the two are treated differently by Medicare.
Approved uses
- Improving blood sugar in adults and children 10 and older with type 2 diabetes, along with diet and exercise
Manufacturer: Eli Lilly and Company
Why Mounjaro can be expensive on Medicare
Lilly lists Mounjaro at $1,112.16 for a 28-day supply. Part D plans usually place it on a high brand tier with prior authorization confirming a type 2 diabetes diagnosis, so the monthly copay or coinsurance can be large until you reach the $2,100 annual cap. Mounjaro has not been selected for Medicare price negotiation, and the manufacturer's patient assistance program does not cover it.
Medicare coverage context
Medicare Part D covers GLP-1 medicines such as Mounjaro when prescribed for type 2 diabetes, not for weight loss alone. The Medicare GLP-1 Bridge ($50 a month, July 1, 2026 – December 31, 2027) does not include Mounjaro and excludes people with type 2 diabetes. CMS lists Mounjaro under its BALANCE Model, but says that model is not launching in Medicare in 2027. Tirzepatide has not been selected for Medicare drug price negotiation for 2026, 2027 or 2028.
Check typical Part D coverage · Estimate your drug costs · Compare Part D plans in Vernal
Mounjaro assistance options at a glance
Every program we checked, what kind of help it is, whether people with Medicare can use it, and its status when we verified it. A medication being listed by a program is not the same as the program accepting applications.
About the income limits below: Income limits can differ between assistance programs even when both describe their eligibility as the same percentage of the federal poverty level. The dollar limits shown here come from each program's own published income table, and each program decides which year's poverty guidelines that table is built from and when it takes effect. Treat the figures as belonging to the program they are listed under — they are not interchangeable, and only the program can tell you which table it is applying to your application today.
| Program | Type of help | People with Medicare | Status (August 2026) |
|---|---|---|---|
| Lilly Cares Foundation Patient Assistance Program | Manufacturer patient assistance | with conditions | No program found |
| Mounjaro Savings Card | Commercial copay / savings card | not eligible | Accepting applications |
| LillyDirect — Mounjaro self-pay | Manufacturer self-pay pricing | may apply | Accepting applications |
| Medicare GLP-1 Bridge ($50 a month, CMS demonstration) | Government program | not eligible | No program found |
| TotalAssist — Type 2 diabetes (T2DM) fund | Charitable grant | may apply | Closed to new applicants |
| HealthWell Foundation — Type 2 Diabetes fund | Charitable grant | may apply | Closed to new applicants |
| Good Days | Charitable grant | not stated | No program found |
| Medicare Extra Help (Part D Low-Income Subsidy) | Government program | may apply | Accepting applications |
Manufacturer programs from Eli Lilly and Company
A patient assistance program (free or low-cost drug by income) is not the same as a copay card (a commercial discount that usually excludes Medicare). Both are listed so you can see which one applies to you.
Manufacturer patient assistance
Lilly Cares Foundation Patient Assistance Program
Lilly Cares Foundation
Status: Mounjaro is not on the Lilly Cares available-medications list (checked August 26, 2026). Lilly Cares publishes no explicit exclusion statement — only the list, which omits Mounjaro and Zepbound.
Lilly's patient assistance foundation provides its listed medicines free to eligible patients. Mounjaro is not listed; Lilly points people whose medication is not listed to the Medicine Assistance Tool.
If you have Medicare: For the medicines Lilly Cares does cover, Medicare Part D enrollees may apply if household adjusted gross income is at or below 300% or 400% of the federal poverty level (by medication group) and they are not on Medicaid, full Extra Help or VA benefits. None of that applies to Mounjaro, because it is not covered.
Who may qualify
- Not applicable to Mounjaro — the program's listed medicines only
How to apply
Not applicable to Mounjaro. For a listed Lilly medicine (for example Trulicity), the patient signs the patient section, the prescriber completes the prescriber section, and the application is submitted online, by fax or by mail.
Commercial copay / savings card
Mounjaro Savings Card
Eli Lilly and Company
Status: Active for commercially insured patients; card expires December 31, 2026.
A commercial copay offer: as little as $25 per fill for commercially insured patients whose plan covers Mounjaro, or as low as $499 a month for commercially insured patients without coverage.
If you have Medicare: Lilly's terms require that you are not enrolled in any state, federal or government-funded healthcare program, including Medicaid, Medicare, Medicare Part D, Medicare Advantage, Medigap, DoD, VA and TRICARE.
Who may qualify
- Commercial prescription insurance
- Not enrolled in any government-funded healthcare program
How to apply
Commercially insured patients activate the card on mounjaro.lilly.com. Not applicable to Medicare beneficiaries.
Manufacturer self-pay pricing
LillyDirect — Mounjaro self-pay
Eli Lilly and Company
Status: Self-pay price "starting at $499/month" for every strength of the single-dose pen on August 26, 2026 (taxes and fees may apply).
Lilly's direct-to-patient pharmacy channel. It replaces insurance rather than working with it, so compare the $499 price against what your Part D plan would charge — especially once you are near the $2,100 cap.
If you have Medicare: The purchase terms allow people with Medicare Part D to buy self-pay, but you agree not to seek reimbursement from any insurer or government program and not to count the amount toward your Part D true out-of-pocket (TrOOP) costs.
What it can cover: A cash price starting at $499 a month for Mounjaro single-dose pens (2.5 mg to 15 mg).
Who may qualify
- A valid Mounjaro prescription
- Willing to pay cash outside your insurance
How to apply
Your prescriber sends the prescription to LillyDirect; you pay online and the medicine is delivered.
Charitable grants for Mounjaro
Mounjaro is on the type 2 diabetes fund lists at both TotalAssist and HealthWell, but on August 26, 2026 both funds were closed to new applicants, and Good Days has no diabetes program. No currently open charitable fund covering Mounjaro was found. Sign up for fund alerts — and remember that Extra Help does not depend on a fund balance.
Charitable grant
TotalAssist — Type 2 diabetes (T2DM) fund
Patient Advocate Foundation · Type 2 diabetes (T2DM) · Type 2 diabetes health equity
Status: Both type 2 diabetes funds were closed to new applicants on August 26, 2026. Mounjaro (tirzepatide) is on the approved-medication list.
Patient Advocate Foundation's TotalAssist (launched July 1, 2026, combining PAF Co-Pay Relief and the PAN Foundation) lists Mounjaro under its type 2 diabetes funds. A listing is not an open fund. Sign up to be notified the moment it reopens — there is no waitlist or queue.
If you have Medicare: These funds require government insurance (Medicare, Medicaid or TRICARE).
What it can cover: When open: $1,500 guaranteed award, $2,000 maximum, for eligible out-of-pocket costs.
Who may qualify
- Confirmed type 2 diabetes diagnosis
- Government-insured coverage (Medicare, Medicaid or TRICARE) that covers your qualifying expenses
- Household income at or below 500% of the federal poverty level, adjusted for your regional cost-of-living index
- Confirmed diagnosis matching the fund, and in treatment (or starting within 60 days, or treated in the past 6 months)
- Legal U.S. resident receiving treatment in the U.S. or a U.S. territory
What the application asks for
- Contact information and Social Security number (or alien number)
- Annual household income (for pre-screening; proof of income due within 30 days of approval)
- Health insurance carrier, plan type, policy ID and group number; Medicare supplement or secondary insurance if you have one
- Copay or coinsurance amounts
- Your provider's name and contact information, diagnosis (exact date if within 6 months), prescribed medications and treatment plan
How to apply
Sign up for fund notifications at totalassist.org/notify. When the fund opens: You (the patient) apply online — it takes about 15 minutes and you learn immediately whether you are approved — or call 866-512-3861, Monday–Friday 8:30am–5:30pm ET. Patient Advocate Foundation verifies your diagnosis and treatment plan directly with your provider and verifies income automatically; you have 30 days after approval to provide proof of income.
Charitable grant
HealthWell Foundation — Type 2 Diabetes fund
HealthWell Foundation · Type 2 Diabetes
Status: "Temporarily closed to new patients due to lack of sufficient funding" on August 26, 2026. Mounjaro and tirzepatide are on the fund's medication list. HealthWell has no obesity or weight-management fund.
HealthWell's Type 2 Diabetes fund lists Mounjaro. HealthWell states that closed funds reopen as funding is replenished and offers real-time alerts for the fund.
If you have Medicare: HealthWell requires insurance that covers part of the drug; Medicare qualifies.
What it can cover: When open: up to $1,000 as a pharmacy card; household income up to 300% of the federal poverty level.
Who may qualify
- Insurance (including Medicare) that covers part of the cost of Mounjaro
- Household income up to 300% of the federal poverty level (adjusted for household size and cost of living)
- Type 2 diabetes diagnosis verified by your provider
What the application asks for
- Some form of health insurance (Medicare qualifies) that covers part of the cost of the drug — discount cards do not count
- Social Security number (used to prevent duplicate applications)
- Diagnosis verified by a physician's, nurse practitioner's or physician assistant's signature
- Treatment in the United States
How to apply
When a fund is open, apply online or by phone; your provider verifies the diagnosis by signature. When a fund is closed, sign up for that fund's real-time alerts — HealthWell says replenished funds reopen "as quickly as possible."
Charitable grant
Good Days
Good Days
Status: Good Days lists no diabetes or obesity program (checked August 26, 2026).
An honest negative: we looked, and there is no Good Days program for type 2 diabetes.
If you have Medicare: Not applicable — no matching program.
How to apply
Not applicable.
Other government routes
Medicare and state programs that lower prescription costs for people with limited income and resources.
Government program
Medicare GLP-1 Bridge ($50 a month, CMS demonstration)
Centers for Medicare & Medicaid Services
Status: Running July 1, 2026 – December 31, 2027 — but Mounjaro is not an eligible drug. The Bridge covers Foundayo, Wegovy and the Zepbound KwikPen for weight management only.
Included here because people ask about it: the $50-a-month Medicare GLP-1 program does not apply to Mounjaro. If you take Mounjaro for type 2 diabetes, your route is regular Part D coverage.
If you have Medicare: Part D enrollees with type 2 diabetes are excluded from the Bridge entirely — Medicare's guidance says their drug plan should already cover a GLP-1 for diabetes.
Who may qualify
- Not applicable to Mounjaro
How to apply
Not applicable to Mounjaro.
How to apply for Mounjaro assistance
The written steps are complete on their own; the video above will walk through the same process when it is published.
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Step 1 — Find the applicable assistance program
For Mounjaro on Medicare there is no manufacturer patient assistance program and no open charity fund as of our check, so the realistic order is: confirm your Part D coverage, check Extra Help, then weigh the LillyDirect self-pay price.
- Confirm your Part D plan covers Mounjaro for type 2 diabetes and whether prior authorization is needed — the diagnosis is the key to coverage.
- Limited income and resources → Medicare Extra Help through Social Security.
- High copay and not near the $2,100 cap → compare LillyDirect's $499 self-pay price against your plan cost (it will not count toward your cap).
- Type 2 diabetes → sign up for TotalAssist and HealthWell diabetes-fund alerts; both were closed when checked.
-
Step 2 — Check whether applications are currently open
Mounjaro is listed by TotalAssist and HealthWell, but a listing does not mean funding is available. On the day we checked, both type 2 diabetes funds were closed and Lilly Cares did not list Mounjaro at all.
- TotalAssist: totalassist.org/funds shows "Open" or "Closed" for the Type 2 diabetes (T2DM) fund.
- HealthWell: the Disease Funds page shows the Type 2 Diabetes fund status; closed funds reopen as money is replenished.
- Lilly Cares: check the available-medications list — if Mounjaro is ever added, this page will change.
-
Step 3 — Check eligibility
For the routes that were open:
- Extra Help: income below about $23,940 a year (one person) or $32,460 (couple) and countable resources limited to $18,090 or $36,100 in 2026; automatic if you have Medicaid, SSI or a Medicare Savings Program.
- LillyDirect self-pay: a valid Mounjaro prescription; Medicare enrollees may buy self-pay but must not seek reimbursement or count the cost toward TrOOP.
- TotalAssist (when open): government insurance covering Mounjaro; income at or below 500% FPL, cost-of-living adjusted; type 2 diabetes in treatment.
- HealthWell (when open): insurance covering part of the drug; income up to 300% FPL; provider-verified diagnosis.
-
Step 4 — Gather your information
Have these ready so you can act quickly when a fund opens — TotalAssist applications are decided instantly, and closed funds reopen without a queue.
- Medicare card and your Part D / Medicare Advantage drug-plan card (carrier, plan type, policy ID, group number).
- Your Mounjaro prescription: strength and dose, plus your prescriber's name, phone and address.
- Type 2 diabetes diagnosis and the date of diagnosis if within the past 6 months.
- Household size and annual household income, with proof (tax return, Social Security or pension statements, pay stubs).
- Your copay or coinsurance amount for Mounjaro.
- Social Security number (TotalAssist and HealthWell both ask for it).
-
Step 5 — Complete the application
Who fills out what:
- Extra Help: you (or someone helping you) apply through Social Security — online, by phone at 1-800-772-1213, or in person. It is free.
- LillyDirect: your prescriber sends the prescription to LillyDirect; you complete the purchase online.
- TotalAssist (when open): you apply online in about 15 minutes; Patient Advocate Foundation verifies your diagnosis with your provider and verifies income automatically.
- HealthWell (when open): you apply online or by phone; your provider verifies the diagnosis by signature.
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Step 6 — Submit and wait for a determination
What to expect:
- Extra Help: Social Security notifies you by mail; if approved, your Part D plan applies the lower copays.
- TotalAssist: an instant decision when you submit; proof of income due within 30 days.
- HealthWell: a decision after your provider verifies the diagnosis; assistance is issued as a pharmacy card.
-
Step 7 — If the program is closed or you don't qualify
Do not stop at "closed":
- Sign up for TotalAssist and HealthWell fund alerts — there is no waitlist, so being notified first matters.
- Ask your doctor whether a covered alternative (for example Trulicity, which Lilly Cares does cover for eligible Medicare patients) is appropriate, or request a formulary exception or tier reduction.
- Apply for Extra Help even if you think you earn too much — the limits are higher than many people expect.
- Use the Medicare Prescription Payment Plan to spread this year's costs over monthly payments.
- Compare Part D plans in the fall — GLP-1 tiers and prior-authorization rules differ a lot between plans.
- Call Vernal Medicare — we'll check every route above with you, free.
What you'll need
Only items the programs above actually ask for. Gather these before you start.
- Medicare card and your Part D or Medicare Advantage drug-plan card — plan name, member ID and group number
- Prescription details — medication name, strength and dose; prescriber name, office phone and address
- Diagnosis and date of diagnosis — TotalAssist needs the exact date if diagnosed within the past 6 months
- Household size and annual household income — and proof — tax return, Social Security or pension statements, or pay stubs
- Copay or coinsurance amount for Mounjaro — TotalAssist asks for it
- Social Security number — TotalAssist and HealthWell
- Bank, retirement and pension statements — Extra Help application (resources)
Could Medicare Extra Help reduce your Mounjaro costs?
Extra Help is not a grant for Mounjaro. It is a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription — so it is worth checking even when a charitable fund is closed, because it does not depend on fund balances.
With no manufacturer patient assistance for Mounjaro and the diabetes funds closed, Extra Help is the one route that is open year-round — and unlike the $499 self-pay price, it works inside your Part D plan and counts toward your cap.
In 2026, people with full Extra Help generally pay no more than $12.65 for a covered brand-name drug. Income must be below about $23,940 a year for one person ($32,460 for a couple) and countable resources under $18,090 ($36,100 for a couple). Apply free through Social Security — online, by phone at 1-800-772-1213, or in person — and never pay anyone to apply for you.
Extra Help explained (Utah) · Check if you might qualify · Medicare Savings Programs · All help paying for Medicare
Government program
Medicare Extra Help (Part D Low-Income Subsidy)
Medicare / Social Security Administration
Status: Year-round federal program (figures for 2026)
Not a grant for one drug — a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription.
If you have Medicare: For people with Medicare Part D or a Medicare Advantage drug plan who have limited income and resources.
What it can cover: Part D premium and deductible (often to $0) and reduced copays — generally no more than $12.65 for a covered brand-name drug in 2026 with full Extra Help.
Who may qualify
- Income below 150% of the federal poverty level — about $23,940 a year for one person or $32,460 for a married couple in 2026.
- Countable resources (savings, investments — not your home or car) limited to $18,090 for an individual or $36,100 for a married couple living together in 2026 (Medicare.gov figures, which include a burial-expense allowance).
- Automatic if you have Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program.
What the application asks for
- Social Security number and Medicare number
- Income (Social Security, pensions, wages) for you and a spouse you live with
- Value of savings, investments and other countable resources
How to apply
You (or someone helping you) apply free through Social Security — online, by phone, or at a Social Security office. There is never a fee to apply.
Key terms on this page
- Patient assistance program (PAP)
- A manufacturer program that provides its medication free or at low cost to people who meet income and insurance rules. Many PAPs accept Medicare Part D enrollees; each sets its own criteria.
- Copay card / savings card
- A manufacturer discount for commercially insured patients. Federal anti-kickback rules mean these cards generally cannot be used with Medicare, Medicaid or other government insurance.
- Charitable copay grant
- Money from a nonprofit foundation (for example HealthWell or Patient Advocate Foundation) that pays eligible copays or coinsurance for a specific diagnosis. A drug can be listed while the fund is closed to new applicants.
- Federal poverty level (FPL)
- A federal income measure that assistance programs use as a yardstick — "300% of FPL", "500% of FPL". The percentage is a rule, but the dollar figure behind it comes from a table each program publishes itself, built on a chosen year of the HHS poverty guidelines. Two programs can quote the same percentage in the same year and still list different dollar limits; compare each program against its own table, not against another program.
- Medicare Extra Help
- The Part D Low-Income Subsidy: a Medicare program that lowers or eliminates Part D premiums, deductibles and copays for beneficiaries with limited income and resources. You apply through Social Security.
- Maximum Fair Price (MFP)
- The price Medicare negotiated for a selected drug under the Medicare Drug Price Negotiation Program. It applies to Part D plans, not to the pharmacy cash price, and it lowers what plans and enrollees pay for that drug.
Related medication assistance guides
Frequently Asked Questions
Can Medicare help pay for Mounjaro?
Is there a Mounjaro patient assistance program?
Can I use the Mounjaro savings card with Medicare?
Does the $50-a-month Medicare GLP-1 program cover Mounjaro?
What is the LillyDirect $499 price, and can I use it with Medicare?
Is there a charitable grant for Mounjaro right now?
Can my doctor's office apply for me?
What happens if the fund is closed?
Sources
- Mounjaro (tirzepatide) — official site — Eli Lilly and Company (2026-08-26)
- Mounjaro FAQ (list price) — Eli Lilly and Company (2026-08-26)
- Lilly Cares — available medications — Lilly Cares Foundation (2026-08-26)
- Lilly Cares — how to apply and eligibility — Lilly Cares Foundation (2026-08-26)
- Mounjaro savings and coverage — Eli Lilly and Company (2026-08-26)
- LillyDirect — Mounjaro self-pay — Eli Lilly and Company (2026-08-26)
- LillyDirect — Mounjaro purchase terms — Eli Lilly and Company (2026-08-26)
- Weight-loss drugs — Medicare coverage — Medicare.gov (2026-08-26)
- Medicare GLP-1 Bridge: GLP-1 drugs for $50 a month (fact sheet) — Medicare.gov (2026-08-26)
- Medicare GLP-1 Bridge — CMS (2026-08-26)
- CMS BALANCE Model — CMS (2026-08-26)
- Selected drug list for initial price applicability year 2028 — CMS (2026-08-26)
- Help with drug costs (Extra Help) — Medicare.gov (2026-08-26)
- HealthWell Type 2 Diabetes fund — HealthWell Foundation (2026-08-26)
- TotalAssist fund list and status — Patient Advocate Foundation (2026-08-26)
- Get notified when a fund opens — TotalAssist — Patient Advocate Foundation (2026-08-26)
- Special Advisory Bulletin: Pharmaceutical Manufacturer Copayment Coupons — HHS Office of Inspector General (2026-08-26)
Having trouble figuring out your prescription costs?
If you live in Vernal or the Uintah Basin, Vernal Medicare can help you understand your Medicare prescription coverage and where to look for Mounjaro assistance — free, no pressure. We don't award grants or decide eligibility; the programs above do. We help you find and apply to the right ones.