{"id":628976,"date":"2024-07-16T17:29:23","date_gmt":"2024-07-16T21:29:23","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628976"},"modified":"2026-01-16T13:07:59","modified_gmt":"2026-01-16T18:07:59","slug":"does-united-healthcare-cover-mounjaro","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-united-healthcare-cover-mounjaro\/","title":{"rendered":"Does United Healthcare cover Mounjaro?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\"><span style=\"font-weight: 400;\">Mounjaro (tirzepatide)<\/span><\/a><span style=\"font-weight: 400;\"> is a brand-name prescription drug approved to treat Type 2 diabetes in adults. It\u2019s given as a weekly subcutaneous injection to help manage glucose levels, but since no generic version is available, it may be costly for some. If you\u2019ve been prescribed Mounjaro, you may wonder: Does United Healthcare (UHC) cover Mounjaro? Many UHC plans may include it, but coverage depends on the prescription drug benefit plan, the drug\u2019s formulary tier, and specific cost-sharing rules.<\/span><\/p>\n<h2 id=\"does-united-healthcare-cover-mounjaro\"><span style=\"font-weight: 400;\">Does United Healthcare cover Mounjaro?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">United Healthcare may cover Mounjaro for Type 2 diabetes. However, there are important details to keep in mind.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">First, you need prescription drug coverage as part of your insurance plan. And even if you do have prescription drug coverage, it may or may not cover Mounjaro. If it does cover Mounjaro, the cost will depend on your prescription drug list (PDL) or formulary\u2014a list of drugs organized into tiers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mounjaro is typically a <\/span><a href=\"https:\/\/www.uhcprovider.com\/content\/dam\/provider\/docs\/public\/resources\/pharmacy\/commercial-pdl-jan-2025.pdf\"><span style=\"font-weight: 400;\">Tier 2 or 3 medication<\/span><\/a><span style=\"font-weight: 400;\">. While it\u2019s not as accessible as a Tier 1 drug, it\u2019s also not as costly as a Tier 5 drug.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition, coverage for Mounjaro may have certain requirements and limits, such as the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/prior-authorization\/\"><span style=\"font-weight: 400;\">Prior authorization<\/span><\/a><span style=\"font-weight: 400;\">: Your healthcare provider may need to provide a detailed explanation to your insurance company explaining why you need Mounjaro.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/quantity-limits\/\"><span style=\"font-weight: 400;\">Quantity limits<\/span><\/a><span style=\"font-weight: 400;\">: There may be restrictions on the amount of Mounjaro you can receive at one time. This means you could be limited in how much of the medication you can get with each prescription refill.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/step-therapy\/\"><span style=\"font-weight: 400;\">Step therapy<\/span><\/a><span style=\"font-weight: 400;\">: You might need to try other medications first before your insurance will pay for Mounjaro. For example, some insurance companies might prefer you use a less expensive drug, such as metformin, before covering Mounjaro. If that doesn\u2019t work, then they\u2019ll reassess whether to cover Mounjaro.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Remember, the exact coverage and copays can vary based on the specific health plan. Always check with United Healthcare or your employer\u2019s benefits administrator for the most accurate information.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Mounjaro with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tMounjaro 5 mg\/0.5 mL (4 pens)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$872.48<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$872.48<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro#blog-cta\" class=\"coupon-see-all-btn\">See Mounjaro prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t<\/span><\/p>\n<h3 id=\"does-united-healthcare-cover-mounjaro-for-weight-loss\"><span style=\"font-weight: 400;\">Does United Healthcare cover Mounjaro for weight loss?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">United Healthcare plans may cover Mounjaro if it\u2019s prescribed for Type 2 diabetes. Health insurance plans generally don\u2019t cover Mounjaro for weight loss, as this would be an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label use<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The active ingredient in Mounjaro, tirzepatide, is available under the brand name <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/zepbound-tirzepatide-fda-approval\/\"><span style=\"font-weight: 400;\">Zepbound<\/span><\/a><span style=\"font-weight: 400;\"> for weight loss. Zepbound can be used for long-term weight management when combined with a low-calorie diet and increased physical activity. It is FDA approved for adults who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a BMI of 30 or higher (obesity)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a BMI of 27 or higher (overweight) along with at least one medical condition related to weight, like high blood pressure, high cholesterol, Type 2 diabetes, sleep apnea, or heart disease<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Like most health insurance plans, United Healthcare plans generally don\u2019t <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-insurance-plans-cover-weight-loss-medication\/\"><span style=\"font-weight: 400;\">cover weight-loss medications<\/span><\/a><span style=\"font-weight: 400;\">. In many cases, Mounjaro may be excluded from your prescription drug list or formulary if you\u2019re taking it for weight loss.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, an insurance plan may cover other weight-loss drugs, such as Saxenda (liraglutide) or Wegovy (semaglutide). If your insurer covers <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/saxenda-vs-wegovy\/\"><span style=\"font-weight: 400;\">Wegovy or Saxenda<\/span><\/a><span style=\"font-weight: 400;\"> but they\u2019re unavailable, your healthcare provider may be able to ask for a formulary exception to get Mounjaro approved as a substitute.<\/span><\/p>\n<h2 id=\"how-much-does-mounjaro-cost\"><span style=\"font-weight: 400;\">How much does Mounjaro cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you don\u2019t have insurance coverage or your insurance company denies your claim for Mounjaro, you may have to pay the retail cost of the medication. Without insurance, the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/mounjaro-without-insurance\/\"><span style=\"font-weight: 400;\">average retail price<\/span><\/a><span style=\"font-weight: 400;\"> for a one-month supply of Mounjaro is around $1,527. However, most people don\u2019t end up paying the full list price for their prescription medications.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The retail cost of Mounjaro can depend on the quantity you buy and where you buy it. In many cases, you may be able to use manufacturer coupons or other savings options to reduce the cost of Mounjaro.\u00a0<\/span><\/p>\n<h2 id=\"how-to-check-whether-your-united-healthcare-plan-covers-mounjaro\"><span style=\"font-weight: 400;\">How to check whether your United Healthcare plan covers Mounjaro\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You can find out if your UnitedHealthcare plan covers Mounjaro in a few different ways. Here are some potential ways to see if Mounjaro is covered.\u00a0<\/span><\/p>\n<h3 id=\"look-at-your-insurance-plan-s-formulary\"><span style=\"font-weight: 400;\">Look at your insurance plan\u2019s formulary<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the first things you can do to check coverage for medications is check your plan\u2019s formulary or <\/span><a href=\"https:\/\/www.uhc.com\/member-resources\/pharmacy-benefits\/prescription-drug-lists\/non-exchange-commercial-fully-insured-pdls\"><span style=\"font-weight: 400;\">prescription drug list<\/span><\/a><span style=\"font-weight: 400;\">. This list can usually be found on United Healthcare&#8217;s website or in your plan documents. Search for Mounjaro in the list to see its coverage status.<\/span><\/p>\n<h3 id=\"contact-united-healthcare-directly\"><span style=\"font-weight: 400;\">Contact United Healthcare directly<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You can also call United Healthcare\u2019s customer service phone number to speak with someone about your drug coverage. The phone number for pharmacy benefits is usually listed on your member ID card. When you call, have your member ID ready so they can quickly check whether Mounjaro is covered under your plan.<\/span><\/p>\n<h3 id=\"check-online-resources\"><span style=\"font-weight: 400;\">Check online resources<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You can also log in to your United Healthcare account online. The account dashboard generally has a section for pharmacy or prescription benefits. Here, you may be able to search for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/obesity-and-health-insurance\/\"><span style=\"font-weight: 400;\">specific medications<\/span><\/a><span style=\"font-weight: 400;\"> like Mounjaro to see whether your specific plan covers it and, if so, how much it will cost.<\/span><\/p>\n<h3 id=\"speak-to-your-pharmacist\"><span style=\"font-weight: 400;\">Speak to your pharmacist<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your pharmacist can check whether your United Healthcare plan covers Mounjaro. They can explain how much it might cost and if there are any ways to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-lower-drug-prices\/\"><span style=\"font-weight: 400;\">save money<\/span><\/a><span style=\"font-weight: 400;\">. Since pharmacists have access to your insurance details, they can verify coverage and answer questions.<\/span><\/p>\n<h3 id=\"check-regularly-for-coverage-updates\"><span style=\"font-weight: 400;\">Check regularly for coverage updates<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Drug coverage can change, so it&#8217;s important to check regularly. United Healthcare may also periodically mail or email notices about changes in coverage.<\/span><\/p>\n<h2 id=\"how-to-save-on-mounjaro\"><span style=\"font-weight: 400;\">How to save on Mounjaro<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If your insurance doesn&#8217;t cover Mounjaro or out-of-pocket costs are too high, there are several ways to save. These methods include discount cards, savings programs, and assistance options that may help reduce costs.<\/span><\/p>\n<h3 id=\"use-a-singlecare-discount-card\"><span style=\"font-weight: 400;\">Use a SingleCare discount card<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A SingleCare discount card can offer savings on Mounjaro prescriptions. You can visit the SingleCare website and search for <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\">. The price comparison tool allows you to see prices at various pharmacies and pick the most affordable option.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mounjaro prices start at around $896 at Publix with SingleCare, depending on the pharmacy you choose. Once you find the best price, print or download the discount card and show it to the pharmacy. Remember that prices can change, so it&#8217;s a good idea to check often.<\/span><\/p>\n<p><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/resources\/diabetes\"><span style=\"font-weight: 400;\">Diabetes Coupons &amp; Discount Diabetic Supplies<\/span><\/a><\/p>\n<h3 id=\"use-a-mounjaro-savings-card-from-the-manufacturer\"><span style=\"font-weight: 400;\">Use a Mounjaro savings card from the manufacturer<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The Mounjaro Savings Card from the manufacturer, Eli Lilly and Company, may help reduce costs for eligible patients who have commercial health insurance. If eligible, you could pay a reduced cost for a one-month or three-month prescription.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The savings card may have annual limits, so it\u2019s important to check the terms and conditions. You can call the manufacturer or check their site for more information.\u00a0<\/span><\/p>\n<h3 id=\"use-medicare-extra-help\"><span style=\"font-weight: 400;\">Use Medicare Extra Help<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have Medicare and your plan covers Mounjaro for Type 2 diabetes, the <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/drug-costs\"><span style=\"font-weight: 400;\">Medicare Extra Help program<\/span><\/a><span style=\"font-weight: 400;\"> may lower what you pay. This program helps with costs like Part D premiums, deductibles, and copays.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some people qualify automatically, such as those with full Medicaid, help from the state for Part B premiums, or Supplemental Security Income. Others may need to apply to see if they\u2019re eligible for the program.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/does-medicare-cover-mounjaro\/\"><b>Does Medicare cover Mounjaro?<\/b><\/a><\/p>\n<h3 id=\"compare-prices-at-pharmacies\"><span style=\"font-weight: 400;\">Compare prices at pharmacies<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Prices for Mounjaro can vary between pharmacies. Comparing prices can help you find the best deal. Although you can call local pharmacies individually to ask what the current price is, it might be quicker to use <\/span><a href=\"https:\/\/www.singlecare.com\/drug-price-look-up-tool\"><span style=\"font-weight: 400;\">SingleCare\u2019s drug price look-up tool<\/span><\/a><span style=\"font-weight: 400;\"> or its <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\"><span style=\"font-weight: 400;\">Mounjaro coupon<\/span><\/a><span style=\"font-weight: 400;\"> page to view a list of local pharmacies with current Mounjaro costs.\u00a0<\/span><\/p>\n<h3 id=\"consult-a-healthcare-provider-for-potential-alternatives\"><span style=\"font-weight: 400;\">Consult a healthcare provider for potential alternatives<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Healthcare providers can give advice and recommend different medications if cost is a concern. They might prescribe a different, less expensive medication that works similarly to Mounjaro, such as a different <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/glp-1-agonists\"><span style=\"font-weight: 400;\">GLP-1 agonist<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><small><i><span style=\"font-weight: 400;\">The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of<\/span><\/i><i><span style=\"font-weight: 400;\">1\/16\/2026<\/span><\/i><i><span style=\"font-weight: 400;\">. Prices vary by pharmacy. Visit our Mounjaro <\/span><\/i><i><span style=\"font-weight: 400;\">coupon page for updated Mounjaro <\/span><\/i><i><span style=\"font-weight: 400;\">prices near you.<\/span><\/i><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mounjaro (tirzepatide) is a brand-name prescription drug approved to treat Type 2 diabetes in adults. It\u2019s given as a weekly subcutaneous injection to help manage glucose levels, but since no generic version is available, it may be costly for some. If you\u2019ve been prescribed Mounjaro, you may wonder: Does United Healthcare (UHC) cover Mounjaro? Many [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":628977,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,10298,21067,608],"coauthors":[8669],"class_list":["post-628976","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-diabetes","tag-glp-1-drugs","tag-health-insurance","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does United Healthcare cover Mounjaro?<\/title>\n<meta name=\"description\" content=\"United Healthcare may cover Mounjaro if it is prescribed for Type 2 diabetes, but not for weight loss.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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