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At first glance, Mounjaro might look pretty pricey, but its out-of-pocket costs can vary drastically based on insurancecoverage, discounts, pharmacy location, and more. Without help from a health insurance plan, Medicare Part D, or Medicaid, the drug’s list price is $1,069.08 per 30-day supply (a pack of four pens).
Health insurancecoverage and Medicare prescription drug plans might cover a substantial portion of the price. However, a patient’s out-of-pocket costs are also based on “whether they have satisfied their deductible and what kind of copays or co-insurance their policy carries along with it,” says Michael O.
If you don’t see your prescription covered, you may need prior authorization from the Medi-Cal program to get it paid for. It’s also important to find a participating pharmacy that accepts Medi-Cal coverage before you have your prescriptionfilled. Starting from July 1, 2022, all monthly premiums were lowered to $0.00.
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