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Is Zepbound 5mg available? What You Need to Know About Availability and Supply

3 min read

As of late 2024, the U.S. Food and Drug Administration (FDA) declared the national shortage of tirzepatide, the active ingredient in Zepbound, resolved after months of intermittent supply issues. This positive development addresses the pressing patient question: Is Zepbound 5mg available? While the national supply has stabilized, local pharmacy stock and access methods can still vary, making it crucial to understand current purchasing options.

Quick Summary

Availability for Zepbound 5mg has stabilized after previous shortages, with the FDA declaring the issue resolved in late 2024. Patients can acquire the medication in either prefilled pens through retail pharmacies and mail-order services, or as lower-cost single-dose vials via LillyDirect. Supply at local pharmacies can still fluctuate, so patients should check with their pharmacy or explore alternative fulfillment options.

Key Points

  • National Shortage Resolved: The FDA officially declared the shortage of tirzepatide, Zepbound's active ingredient, resolved in late 2024, indicating improved national supply.

  • Local Stock Varies: Despite the national resolution, local pharmacy inventories can still fluctuate due to high demand, so checking stock is advisable.

  • Two Format Options: Patients can get Zepbound 5mg in convenient pre-filled pens through standard pharmacies or as lower-cost single-dose vials via LillyDirect.

  • Pens vs. Vials: Pens are eligible for insurance and savings cards, while vials are a cash-only, lower-priced option available through LillyDirect only.

  • Strategic Refills: To avoid potential disruptions, consider requesting a 90-day supply and exploring online fulfillment options offered by the manufacturer or partner pharmacies.

  • Consult Your Provider: Always speak with your healthcare provider about managing your dose and navigating availability issues, as they can offer alternatives or guidance.

In This Article

Zepbound Supply Update: The End of the Tirzepatide Shortage

The story of Zepbound's availability has been a turbulent one, marked by periods of high demand and limited supply throughout 2024. However, Eli Lilly, the manufacturer, made significant strides to ramp up production capacity, including opening new facilities. These efforts culminated in the FDA officially resolving the tirzepatide shortage in late 2024, a major turning point for patients seeking uninterrupted access to their medication.

Why Was Zepbound 5mg Affected by Shortages?

The demand for Zepbound and its counterpart Mounjaro (both containing tirzepatide) significantly outpaced initial production capacity. The 5mg dose, which is the first step-up from the initial 2.5mg starting dose, was particularly impacted by these shortages. For patients, this meant potential delays in their treatment regimen, as skipping dosages to the next available strength is not recommended due to increased risk of side effects. The logistical challenges of producing the specialized pre-filled injector pens also contributed to the supply chain pressures.

Current Availability Options for Zepbound 5mg

Today, patients can access Zepbound 5mg through two primary formats: the familiar pre-filled pens and the recently introduced single-dose vials.

Pens:

  • Available through most retail and online pharmacies with a valid prescription.
  • Eligible for commercial insurance coverage and the manufacturer's savings card program, which can significantly reduce the cost for eligible patients.
  • Convenient and easy to use, with the pen and needle integrated into a single device.

Vials:

  • Available exclusively through the LillyDirect self-pay pharmacy channel.
  • Offered at a significantly lower cash price compared to the pens, making it a more affordable option for those without insurance coverage.
  • Require patients to use a separate needle and syringe for administration.

How to Secure a Zepbound 5mg Prescription

Despite the resolution of the national shortage, local pharmacy stock can still fluctuate. Here are actionable steps for patients to secure their prescription:

  • Check Local and Online Pharmacies: Use online tools or call ahead to verify if your specific 5mg dose is in stock at local pharmacies. Many pharmacies have real-time inventory systems. Online pharmacies like Amazon Pharmacy also carry Zepbound.
  • Explore Mail-Order Fulfillment: The LillyDirect Pharmacy Solutions program and partner pharmacies offer direct-to-consumer services, ensuring a consistent supply delivered to your home.
  • Request Longer Supplies: If your insurer allows, request a 90-day supply instead of a 30-day one. This can help prevent gaps in treatment, especially if minor supply disruptions reoccur.
  • Discuss Options with Your Provider: Your healthcare provider is your best resource. If a specific dose remains hard to find, they can help you navigate alternatives or confirm the appropriate course of action for your treatment.

Zepbound 5mg Pens vs. Vials: A Comparison

To help patients make an informed choice, here is a comparison of the key differences between Zepbound pens and vials for the 5mg dose.

Feature Zepbound 5mg Pens Zepbound 5mg Vials
Administration Prefilled autoinjector pen Requires separate needle and syringe
Availability Retail and online pharmacies, plus mail-order Exclusively through LillyDirect and partners
Cost List price higher; often covered by insurance with manufacturer savings card Lower cash price, e.g., $499/month (with offer)
Insurance Eligible for commercial insurance coverage Not eligible for insurance coverage; cash-only
Savings Card Eligible for Lilly Savings Card program Not eligible for manufacturer savings programs

Conclusion: Looking Forward with Greater Availability

The availability of Zepbound 5mg and other tirzepatide dosages has significantly improved since the challenging supply period of 2024. Thanks to increased manufacturing and the introduction of new formats like the vials, access is more reliable than ever. The resolution of the shortage has also impacted the market for compounded versions, as the FDA restricts compounding once a drug is fully available. While patients may still experience some localized supply issues, the resources and options now available—including checking pharmacy stock, using mail-order services, and consulting healthcare providers—provide a clear path toward consistent treatment. This stability marks a significant step forward for individuals relying on Zepbound for weight management and other approved conditions.

Frequently Asked Questions

Yes, Zepbound 5mg is now generally available at local pharmacies, but stock can vary. It is recommended to call your pharmacy or use an online inventory tool to confirm availability before attempting to fill your prescription.

Pens are pre-filled, easy-to-use autoinjectors, while vials require using a separate needle and syringe for administration. Vials are a cash-only, lower-cost option available exclusively through LillyDirect and are not eligible for insurance coverage or savings cards.

No. When the FDA resolves a drug shortage, it lifts the allowance for compounding pharmacies to create versions of that drug. Compounded tirzepatide is no longer widely allowed as of early 2025.

If your pharmacy is out of stock, you can check other local pharmacies, use an online fulfillment service like LillyDirect or Amazon Pharmacy, or request a 90-day supply if your plan allows it.

Coverage depends on your specific insurance plan. While Zepbound pens may be covered, the vials are a cash-only option and not eligible for insurance. You can also utilize the manufacturer's savings card for pens if you have commercial insurance.

A typical Zepbound prescription for the 5mg dose consists of four single-use injections, providing a one-month supply when taken once weekly.

No, the 5mg dose is typically the first step-up from the 2.5mg starting dose, which is used for the first four weeks to help the body adjust to the medication.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.