Is Mounjaro still on shortage?

FDA officially declared the tirzepatide shortage RESOLVED in October 2024. This triggered the 503A compounding wind-down — compounded tirzepatide must cease within 60 days of FDA shortage resolution declaration. Regional supply intermittency persists at some doses (5mg, 7.5mg are most common gaps). If your pharmacy is out, check: another local pharmacy, LillyDirect cash-pay ($549/month maintenance), telehealth compounders before their wind-down deadline. Brand Mounjaro is the most reliable supply path post-shortage.

Does Cigna cover Mounjaro? Coverage, PA, and cash-pay (2026)

About Cigna

How Cigna handles GLP-1s

Cigna covers GLP-1s through Express Scripts pharmacy benefits. Step therapy is more common than other major insurers.

Prior authorization

What Cigna requires for Mounjaro

T2D + Ozempic trial. A1C ≥ 7.0.

Step therapy

Ozempic first-line. Mounjaro requires documented Ozempic failure (intolerance or insufficient A1C reduction).

When coverage fails

Cash-pay route

Savings card $25/mo.

Editorial notes

Cigna Mounjaro step therapy is the friction point. Document Ozempic outcome before requesting.

Other drugs on Cigna

Cigna Wegovy →
Cigna Zepbound →
Cigna Ozempic →
Cigna Saxenda →

Mounjaro on other insurers

Aetna Mounjaro →
Blue Cross Blue Shield Mounjaro →
UnitedHealthcare Mounjaro →
Humana Mounjaro →
Kaiser Permanente Mounjaro →
Anthem Mounjaro →

Editorial summary, not legal or medical advice. Insurance formularies change quarterly. Verify with your specific plan member services before relying on any single source. Copay ranges reflect typical commercial plans; your plan may differ.