According to federal law, LillyDirect Self Pay Pharmacy Solutions cannot accept returns of prescription medications for reuse or resale, even if unopened. This ensures patient safety and medication integrity.
People often think, “If I don't use it, I should be able to return it!” But medication laws are strict because even a sealed vial could have been stored incorrectly or tampered with. Returning medications puts others at risk, and we all want a system that puts safety first.
Before you place your order, we double-check everything (multiple times!) for:
At checkout, you'll see exactly what you're ordering. If anything seems off, stop and reach out before completing your order.
Call or Chat with Gifthealth:
If you believe there's been a mistake or you're unsure about your shipment, don't worry, help is here! Contact Gifthealth immediately. They’ll investigate and make it right if there's been an error.
To avoid issues, double-check:
When in doubt, call before you click.
We’re here to help! The best way to get in touch with us is:
Chat with us - For quick responses and easy communication, please use our chat feature on gifthealth.com. We’re ready and available to assist you!
Give us a call - If you prefer to speak with someone directly, you can always call us at (833) 707-6619. We’re happy to help however you prefer!
Speak with our Virtual Agent- You can also reach our Virtual Agent by calling (833) 707-6619 and selecting option 2. The Virtual Agent can answer most questions about your medication, including prescription status—such as how many refills you have remaining.
No matter how you reach us, we’re here to support you every step of the way!
We’re really sorry to hear you're experiencing side effects. Your health is very important to us! Here's what you can do next:
If you haven’t received a message from us, don’t worry, it likely means we haven’t received your prescription yet. Please allow one full business day for your provider to send it over. Once we receive it, we’ll notify you right away and get things moving!
What do I do next?
First, confirm with your doctor that your prescription was sent to the correct pharmacy.
What happens once Gifthealth receives the prescription?
Still waiting? If you haven’t received a text, your prescription is likely not on file yet.
Action Step: Please contact your healthcare provider to confirm it was sent to the correct pharmacy listed above.
Your healthcare provider can begin sending prescriptions for Zepbound 12.5mg and 15mg vials directly to LillyDirect Self-Pay Pharmacy beginning July 7. We will send you a link to purchase your prescription once the medication is available to order.
You’ll be able to check out in early August. Once checkout is available and you have completed your purchase, your prescription will be shipped promptly. We’ll notify you every step of the way!
You’ll receive text updates throughout the process:
We’re expanding access so more patients can receive the higher doses they need as they progress in their treatment journey.
Both doses are $499 per month through the Zepbound Self-Pay Journey Program. No special coupon needed. The discount is applied automatically when you order within 45 days of your last shipment!
Prescribers can send the script to: LILLYDIRECT SELF PAY PHARMACY SOLUTIONS. To help them find us, here are our identifiers:
A simple way to get your Zepbound at an affordable, predictable price. We’ve made it easy and transparent, no insurance needed:
No text received in 1-2 business days? That likely means we haven’t received the prescription. Check with your provider to confirm it was sent.
If more than 45 days pass after your last delivery, you’ll no longer qualify for the $499 offer. The cost for 12.5mg will be $849 and the 15mg will be $1,049 without the journey program.
Taxes and shipping fees may apply. The injection supply kit is also available for just $5.00 (cash pay) at checkout. We’ll always show you the full cost before checkout.
This is your chance to share your experience with LillyDirect and help shape how we grow and improve. As a thank you, you’ll receive a $15 Visa gift card if you're eligible and complete the survey. Your voice matters, and we want to hear it!
You received this because you’re a LillyDirect user and opted into Market Research when signing up. We value your opinion, and you’ve been selected to take part in this limited-time opportunity!
Totally legit! This is an official initiative by Lilly, conducted by trusted research partners to improve your experience. No spam, no tricks—just your feedback, directly impacting what comes next.
The survey is led by Sago, on behalf of The Link Group and Lilly’s Market Research team. These are well-respected partners chosen to gather meaningful, honest feedback.
Only 20 minutes of your time. It’s designed to be easy, straightforward, and worth it.
A $15 Visa gift card will be sent your way if you're eligible and complete the survey. It’s our way of saying thank you for your valuable time and input!
Only participants who complete the entire survey will receive the reward.
To ensure your gift card, we recommend setting aside time to finish in one sitting with thoughtful responses.
Look out for a survey invitation from one of these trusted senders:
These are safe and verified.
You’ll receive it digitally via Tango, a secure and easy-to-use delivery platform.
Gift cards are distributed after the full survey project wraps up and responses are verified.
The project is expected to close in early July, and gift cards will begin processing shortly after.
If anything seems off or you haven’t received your gift card after the project ends, please contact us at (833) 707-6619 for support.
Zepbound is a once-weekly injectable medication developed by Eli Lilly to help with weight loss and obesity management. While it’s often grouped with GLP-1s, Zepbound is actually more than that. It's important to follow your healthcare provider's instructions carefully.
Zepbound’s active ingredient is Tirzepatide, which is a dual agonist:
Together, this dual mechanism offers greater effectiveness in:
It's important to follow your healthcare provider's instructions carefully.
Zepbound is typically injected into the subcutaneous tissue (fat layer) of your abdomen or thigh. Choose a different site for each injection.
Each prescription includes an injection supply kit, which contains:
Cost of the kit: The injection supply kit is available for just $5.00 (cash pay) at checkout.
Yes! Zepbound should be stored in the refrigerator, but do not freeze it.
Mild discomfort at the injection site is common. If you experience severe pain, redness, or swelling, contact your healthcare provider.
Your healthcare provider will prescribe the frequency of injections based on your specific condition. Be sure to follow their instructions closely.
No! Always use a new needle for each injection to avoid infection. Please watch the video on how to inject Zebound vials here.
Talk to your healthcare provider to see if a higher dose — such as 5mg, 7.5mg, 10mg, 12.5mg or 15mg — is appropriate for you. Dose changes should always be medically supervised.
If your dose is being increased, we’ll need a new prescription from your provider before we can process the change.
No, there is currently no generic version of Zepbound or any similar GLP-1 medications on the market.
Yes, but Zepbound vials are only available through LillyDirect, powered by Gifthealth Pharmacy.
Simple and straightforward: Ask your provider to e-prescribe to:
"LILLYDIRECT SELF PAY PHARMACY SOLUTIONS"
Once received, you’ll get a text message from (833) 432-4322.
If you don’t get a text in 1-2 business days, double-check with your provider. That’s your default signal to follow up.
We get it. Choosing the right option can be overwhelming. Here's a simple comparison to help:
Great question! The label shows “2ml (4 vials) or qty 2” because each vial contains 0.5ml of medication. With 4 vials, the total volume adds up to 2ml. Here’s the math: 0.5ml x 4 vials = 2ml. This is standard labeling used by pharmacies to show the total volume of medication, not just the number of vials. You’re not alone in wondering. Many patients are curious when they see this label. That’s why we’re here to break it down and make it crystal clear!
Quick tip: When in doubt, remember: total volume is what’s listed on the label, but your dose is based on what's in each vial. If you ever have questions about your prescription, dosage, or instructions, we’re always here to help!
On May 1, 2025, CVS Health announced that its pharmacy benefits manager, CVS Caremark, will remove Zepbound from preferred coverage on certain plans starting July 1, 2025.Important: Not all plans are affected—this change applies only to select insurance plans.
Call CVS Caremark directly to check your coverage. Ask:
You’ll usually find the CVS Caremark phone number on the back of your insurance card.
You can continue to receive Zepbound as usual until July 1, 2025. After that date, some patients may need to explore alternate options depending on their specific plan.
Visit: zepbound.lilly.com/access for helpful information and next steps.
No action is needed. If your plan still covers Zepbound, you can stay on your current treatment as usual.
Pro tip: Don’t wait until your refill is denied. Call your insurance now to get ahead of any changes and avoid interruptions in care.
Formularies are reviewed annually or semi-annually, so there is a possibility of future inclusion, but it’s not guaranteed.
Often, plan updates are included in the fine print of annual benefits notices. These changes are legal, even if they feel sudden or unexpected.
You're not alone—many patients were surprised. Mid-year changes rarely come with personalized alerts. That’s why we’re here to support you through it.
Some plans allow a one-time short-term override. We recommend calling your insurance directly to ask if this is an option under your plan.
Quick tip: Write down the name of your plan, call the number on the back of your insurance card, and ask about Zepbound coverage or override options.
No problem, here’s what to do:
Have a landline? You can complete your checkout directly at gifthealth.com/zepbound
LillyDirect Self Pay, powered by Gifthealth Pharmacy, does not offer a payment plan option at this time. Full payment is required at the time of checkout. You may be able to use your HSA or FSA if your insurance allows it. Be sure to check with your insurance provider for eligibility.
LillyDirect Self Pay, powered by Gifthealth Pharmacy, operates on a self-pay, cash-only basis. Coupons are not accepted for vial prescriptions.The vials are already priced at the lowest available cost, with no coupon needed.
Unfortunately, split payments are not available at this time. Full payment is required at checkout to process your order.
If your prescription has been fully processed, you’ll receive a secure payment link via text message.
Didn’t get a text? No worries, you can still check out directly by visiting:gifthealth.com/zepbound.
To begin checkout:
Having trouble?
If the link isn’t working or you’re not receiving a call, try the following:
Still not working?
If you’re still having trouble and have not received any communication (no text, call, or email), this could mean:
What we’ve already done:
Our team has contacted your provider with the specific issue, if applicable.
Next steps:
Reach out to your provider directly to confirm that the prescription was sent to LillyDirect and is accurate.
Zepbound 2.5mg/0.5mL: $349 total ($87.25 per vial)
Zepbound 5mg, 7.5mg, 10mg, 12.5mg or 15mg: $499 total ($124.75 per vial)
Discounted price applies if filled within 45 days of your last fill. Patients will always receive 4 vials per order, which provides a 28-day supply. All purchases are cash only. No insurance or coupons are accepted.
Expect to pay around $349–$499 out of pocket for a 1-month supply for the Zepbound vials, depending on your prescribed strength. Autoinjector is $650 for the non-covered benefit. Please visit https://lillydirect.lilly.com/pharmacy/zepbound for more information.
Zepbound vials are not eligible for insurance and are only available through a cash-only program fulfilled by Gifthealth under LillyDirect Self Pay Pharmacy Solutions.
Want to try using your insurance?
Ask your prescriber to send a prescription for the auto-injector version of Zepbound instead. Have them send it to: LillyDirect Pharmacy Solutions (not the self-pay program). LillyDirect Pharmacy Solutions may be able to process your prescription through insurance. You may be able to use your HSA or FSA if your insurance allows it — be sure to check with your insurance provider for eligibility.
Some patients choose to pay the self-pay price or explore manufacturer savings programs if eligible. If you're open to alternatives, we’re happy to talk through what’s possible.
You can also visit https://lillydirect.lilly.com/pharmacy/zepbound for more information.
Yes! While some exclusions can’t be appealed, we can support you by providing appeal templates or coordinating with your provider if needed.
For questions or support, call 1-800-LillyRx (1-800-545-5979).
Select Option 1 for Zepbound, then Option 5.
No. Zepbound is dispensed as a monthly supply only, not by individual dose.
Not at this time. The vial program is self-pay only, and manufacturer savings cards are not accepted.
As of July 1st, CVS Caremark removed Zepbound (tirzepatide) from its list of covered drugs. These changes usually stem from internal cost-control decisions or shifts in contract negotiations.
We understand the frustration. Unfortunately, insurance plans follow their own formularies, not doctor recommendations. Your doctor’s expertise is important, but coverage is controlled by your insurer’s rules.
Your employer may also play a part in determining whether Zepbound is covered by your insurance.
In certain states, we are allowed to substitute the auto-injector for the vial. We’ll check to see if this is possible for you—and if not, we’ll work directly with your doctor to seamlessly obtain a new prescription.
Chat with us: For quick responses and easy communication, please use our chat feature on gifthealth.com. We’re ready and available to assist you!
Give us a call: If you prefer to speak with someone directly, you can always call us at (833) 707-6619. We’re happy to help however you prefer!
Or visit https://lillydirect.lilly.com/pharmacy/zepbound for more information.
Quick tip: A short call or message to your provider often resolves this same day.
LillyDirect and Gifthealth are working to reduce packaging waste by designing smaller, eco-friendly shipments, all while keeping your medication safe. Until then, reuse and responsible disposal are great ways to help the planet.
Insulated box
Reusable ice packs
Bubble wrap
Cardboard box
Why it matters
We understand how frustrating this can be. Here are the most common reasons a package may be returned:
What happens next?
What to expect:
It’s normal for your medication to feel slightly warm or cold upon arrival. We use high-quality insulated packaging to protect temperature-sensitive medications and ensure they arrive safe and ready to use.
Still concerned? Here's what to do: If you think your package may have been left outside too long or exposed to extreme temperatures, reach out to us directly. Our team can verify the delivery time frame to ensure it was received appropriately. If needed, we’ll connect you with a pharmacist to complete a temperature assessment of the product for added peace of mind. Please chat with us at gifthealth.com, we’re here to help!
Yes, Gifthealth is a URAC-accredited pharmacy, meaning we meet high standards for safety, quality, and care in handling your medication. LillyDirect and Gifthealth use specialized, temperature-controlled packaging designed to keep medications safe, even in warmer climates.
What’s included in my shipment?
When will my medication ship?
How is my package shipped?
Your package will be shipped via UPS. Once it ships, you’ll receive a text message with a tracking link so you can follow it in real time.
No, we do not accept self-prescribed medications from providers. Why not?
What happens if a self-prescribed script is sent?
Our team will not be able to process the order and will follow up with a request for a valid prescription from another licensed provider. This can cause delays in treatment, so we always recommend coordinating with a fellow provider ahead of time. What you can do. If you're a provider in need of treatment, simply reach out to your licensed healthcare professional to write and submit your prescription on your behalf. This ensures the fastest and safest processing of your order. Still have questions? Reach out to our support team, we’re happy to help!
Your prescription may have been rejected due to missing or incorrect information. Don’t worry, this is a common issue and can be quickly resolved!
Here are the most common reasons:
What we’ve already done: We’ve notified your healthcare provider and shared the specific issue that needs to be corrected.
What you can do:
We understand how important it is to stay updated on your medication. Here’s what to expect:
Our Promise: We’ll keep you informed at every step to make the process as smooth and stress-free as possible!
Gifthealth operates under LillyDirect Self Pay Pharmacy Solutions. This program is for Zepbound vials only and is cash pay. Zepbound auto-injectors are fulfilled by a different program: LillyDirect Pharmacy Solutions (not Gifthealth).Not sure which one you're using? Check with your prescriber to confirm whether your prescription is for vials or auto-injectors, as they are filled through separate pharmacies.
To get started: Your doctor must send a prescription to our pharmacy. In their e-prescribing system, they should search for: LILLYDIRECT SELF PAY PHARMACY SOLUTIONS to help them find us. Here are our identifiers:
What happens after the prescription is sent?
Once we receive the prescription from your doctor:
What will I see at checkout?
You’ll be able to view both the price and the strength of your medication. Any applicable discounts will be automatically applied, no need to enter a code!
Yes, your prescription can be called in or faxed to our pharmacy. However, the fastest and most reliable option is for your provider to electronically send the prescription to: LILLYDIRECT SELF PAY PHARMACY SOLUTIONS. Here are our identifiers:
Here is the Fax Form. Electronic prescribing reduces delays and helps us begin processing your order as quickly as possible.
No, Zepbound vial prescriptions cannot be transferred to a local pharmacy. Zepbound vials are only available at Gifthealth Pharmacy through the LillyDirect Self Pay Pharmacy Solutions program.
What if I want the auto-injector?
The auto-injector version of Zepbound can be sent to your local pharmacy or fulfilled through LillyDirect Pharmacy Solutions (separate from the self-pay program). To switch from the vial to the auto-injector, you’ll need a new prescription from your prescriber.
