An injection pen of Zepbound, Eli Lilly’s weight reduction drug, is displayed in New York Metropolis on Dec. 11, 2023.
Brendan McDermid | Reuters
Eli Lilly on Tuesday launched increased doses of its weight reduction drug Zepbound in single-dose vials at as a lot as half its traditional month-to-month record worth to achieve extra sufferers with out insurance coverage protection for the blockbuster injection, similar to these with Medicare.
It expands the corporate’s effort to spice up the U.S. provide of Zepbound as demand soars, and to make sure eligible sufferers are safely accessing the true remedy as an alternative of cheaper compounded variations.
Eli Lilly is now providing increased doses of Zepbound in single-dose vials by way of a “self-pay pharmacy” part on its direct-to-consumer web site, LillyDirect, which started offering lower doses of the drug in vials in August. Eligible sufferers recognized by a health-care supplier with weight problems alone or together with obstructive sleep apnea — Zepbound’s newly approved use — pays for these vials themselves on the positioning.
The corporate is promoting 7.5 milligram and 10 milligram vials of Zepbound for $499 per 30 days when sufferers fill their first prescription, and any time they refill inside 45 days of their earlier supply. In any other case, these two doses will value $599 and $699, respectively.
Additionally on Tuesday, Eli Lilly stated it’s reducing the worth of each of the lower-dose vials of Zepbound by $50. The two.5 milligram vial will now value $349, and the 5 milligram vial will now be priced at $499, in keeping with a launch.
Sufferers should use a syringe and needle to attract up the drugs from a single-dose vial and inject themselves. That differs from single-dose autoinjector pens, the presently obtainable type of all Zepbound doses, which sufferers can immediately inject beneath their pores and skin with the clicking of a button.
Eli Lilly has stated these vials will make more of the medication available as a result of they’re simpler to fabricate than autoinjector pens, which value roughly $1,000 per 30 days earlier than insurance coverage.
Sufferers usually begin remedy with a 2.5 milligram dose for 4 weeks, then progressively enhance the quantity per week and later take so-called upkeep doses to maintain the burden off. Eli Lilly doesn’t presently provide the highest doses of Zepbound — 12.5 milligrams and 15 milligrams — in single-dose vials.
The cheaper price factors for every of the single-dose vials will profit sufferers who’re prepared to pay for Zepbound themselves and are enrolled in Medicare or employer-sponsored well being plans that don’t cowl weight problems remedies.
“We’re, within the absence of full protection for individuals affected by weight problems like different persistent ailments, we’re simply attempting to fill that room and supply a extra inexpensive answer, significantly for the Medicare inhabitants as a result of none of our affordability options could be utilized to them,” stated Patrik Jonsson, president of Eli Lilly diabetes and weight problems, in an interview.
Medicare beneficiaries are additionally not eligible for Eli Lilly’s financial savings card applications for Zepbound. Jonsson stated “in a perfect world,” the Trump administration will enact a proposed rule from the Biden administration to have Medicare cowl weight problems medicines. Secretary of the U.S. Division of Well being and Human Companies Robert F. Kennedy Jr. has been skeptical of weight reduction medication.
Some individuals turned to compounding pharmacies that make even cheaper copies of Zepbound as a result of the branded remedy has been too pricey and was in scarcity till latest months. The U.S. Meals and Drug Administration has since declared the Zepbound scarcity over, nonetheless, which is able to quickly bar many compounding pharmacies from making these variations of the drug.
Jonsson stated Eli Lilly is “not worth competing with the compounders,” including that the corporate doesn’t imagine “there may be nonetheless a marketplace for the mass compounding anymore.”
He stated Tuesday’s announcement helps to make sure that sufferers “do not depend on knockoffs that aren’t authorized by the FDA for security, efficacy and high quality.”
Progress of Zepbound vial launch
Eli Lilly declined to say what number of sufferers are ordering vials from LillyDirect to date, however Jonsson stated “the uptake has been actually good.”
He stated Zepbound prescriptions crammed by way of LillyDirect’s self-pay pharmacy, which provides the single-dose vials, possible account for a low- to mid-single-digit proportion of the broader weight problems market.
Round 10% of recent sufferers within the weight problems market who begin a remedy are utilizing Zepbound by way of LillyDirect’s self-pay pharmacy, Jonsson added. He stated launching vials of the 7.5 milligram and 10 milligram doses will add to that quantity.
LillyDirect, which launched in January 2024, connects individuals with an impartial telehealth firm that may prescribe sure medication if the sufferers are eligible. The location additionally provides a home-delivery possibility if the prescribed remedy is Eli Lilly’s, tapping a third-party on-line pharmacy to fill prescriptions and ship them on to sufferers.
In December, direct-to-consumer health-care startup Ro stated its platform may also provide single-dose vials of Zepbound by way of a new partnership with Eli Lilly.