Is Mounjaro covered by the NHS?
Yes, but phase 1 of the rollout (since June 2025) is restricted to people with a BMI ≥ 40 and four weight-related comorbidities. If eligible, you only pay the £9.90 prescription charge in England (free in Scotland, Wales and Northern Ireland). Everyone else relies on the private market, where prices for the same dose can differ by £80-100 between online pharmacies — always check whether consultation, needles and delivery are included. Check your BMI with our calculator.
Why do prices vary so much between countries?
Three reasons: coverage status (France and Switzerland reimburse, Spain refused in late 2025), different packaging (monthly multidose pens in Europe, weekly vials in Colombia), and Lilly’s pricing strategy (up to +170% UK increase in September 2025, US Medicare deal at ~$245 expected mid-2026).
Frequently asked questions
How much is Mounjaro without insurance in the US?
Zepbound (same tirzepatide, obesity label) self-pay: $299-699/month depending on dose and format; from $25/month with covering commercial insurance.
Are these prices up to date?
Verified August 2026 against official sources. Subscribe to alerts to be notified of changes (Portugal decision pending, US Medicare mid-2026).