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reduced cash price for those whose plan denies coverage Eligibility excludes government insurance (Medicare, Medicaid, TRICARE) Without insurance and without the coupon, retail cash prices in 2026 are approximately: Eli Lilly's Zepbound Self-Pay Pharmacy program, launched in 2024, offers single-dose vials at reduced cash prices for patients paying without insurance (approximately $499-650 per month depending on dose)