Foundayo Savings Card: How to Lower Your Cost

Who is eligible for the Foundayo savings card

Eli Lilly offers a manufacturer savings card for Foundayo (orforglipron) designed to reduce what eligible patients pay at the pharmacy. Not everyone qualifies. Lilly sets specific eligibility requirements that determine who can use the card.

To be eligible, you generally must:

• Have commercial insurance — You must have private or employer-sponsored drug coverage. The savings card works alongside your commercial insurance to reduce your copay.
• Be 18 years of age or older
• Be a resident of the United States
• Have a prescription for an FDA-approved use of Foundayo

Note: PEAK accepts Anthem, Cigna, Aetna, UnitedHealthcare, Sentara, and TRICARE. We do not accept Medicare or Medicaid.

How the Foundayo savings card works

The Foundayo savings card functions as a secondary payer after your insurance processes the claim. Your insurance pays its portion of the medication cost first. The savings card then covers part or all of the remaining copay or coinsurance, up to the card’s monthly and annual limits.

The result is that your final out-of-pocket cost is whatever remains after both your insurance and the savings card have been applied — often significantly less than what you would pay with insurance alone.

How much you can save

Eligible commercially insured patients may pay as low as $25 per month for Foundayo when using the savings card. This applies when your insurance plan covers Foundayo and you meet all eligibility requirements.

Important details about the savings amounts:

• Monthly and annual caps apply — The savings card is subject to both monthly and annual savings limits. Once you reach the cap for a given period, you will be responsible for the remaining copay.
• Terms may change — Manufacturer savings programs are updated periodically. Eligibility requirements, savings amounts, and program duration can change at any time. Always verify current terms through your provider or the Eli Lilly website before relying on specific program details.

How to activate the savings card

Activating the Foundayo savings card is straightforward. The exact steps may vary depending on how the program is structured when you enroll.

Common activation methods include:

1. Lilly’s website. Visit the Foundayo section of Eli Lilly’s website and look for the savings card page. You will typically need to provide basic information and confirm eligibility. You may receive a digital card with a BIN, PCN, and group number to present at the pharmacy.
2. Your provider’s office. PEAK can help you enroll in the savings program during your appointment. We provide the card details or activate the card on your behalf as part of our cost navigation process.
3. At the pharmacy. Your pharmacist may be able to apply the savings card at the point of sale. Bring any card details you have received — physical or digital — and ask the pharmacy to run it as a secondary payer after your insurance processes.

What the savings card does not cover

The Foundayo savings card has important limitations. Understanding these upfront helps you avoid surprises at the pharmacy.

• Government insurance — As noted above, patients on Medicare, Medicaid, TRICARE, VA benefits, or other federal or state programs are not eligible. This exclusion is legally required.
• Costs beyond the savings cap — Once you reach the monthly or annual savings limit, the card stops providing additional discounts for that period. You will pay whatever your insurance leaves as a copay.
• Non-FDA-approved uses — The savings card requires a prescription for an FDA-approved use of Foundayo. Off-label use may not be eligible.
• Provider visit fees — The savings card applies to the medication itself. It does not cover office visit fees, lab work, or other clinical services. At PEAK, the initial provider visit is $199 self-pay and follow-ups are $135.

LillyDirect self-pay pricing

For patients who prefer self-pay or whose insurance does not cover Foundayo, Eli Lilly offers direct-purchase pricing through LillyDirect, its direct-to-patient pharmacy service. These prices are separate from the savings card and have their own terms.

Current LillyDirect pricing for Foundayo:

Foundayo is an oral tablet taken once daily, which means there are no injection supplies or administration costs. For patients who want to avoid injections, this can be a meaningful practical advantage in addition to the competitive self-pay pricing.

Medicare Part D pricing

Eligible Medicare Part D enrollees may pay $50 per month for Foundayo beginning July 1, 2026. This is part of broader Medicare drug pricing changes and is separate from the manufacturer savings card.

What PEAK does to help

Navigating savings programs, insurance approvals, and pricing options takes time and knowledge. At PEAK, our team handles cost navigation as part of your care — not as an afterthought.

Here is what we do:

1. Verify your insurance before your first visit. We check whether your plan covers Foundayo, what your copay structure looks like, and whether prior authorization is required.
2. Activate the savings card. We enroll eligible patients in the Eli Lilly savings card, help activate it, and ensure it is applied at the pharmacy.
3. Submit prior authorizations. If your plan requires prior authorization for Foundayo, our team handles the paperwork and follows up until a decision is made.
4. Explore all options if needed. If Foundayo is not covered or remains too expensive after savings programs, we evaluate alternatives — including other covered GLP-1 medications like Zepbound or Wegovy, appeal strategies, and LillyDirect self-pay options.
5. Provide a clear cost estimate. Before you fill your first prescription, we give you a transparent picture of what you will pay. No surprises.

Frequently asked questions

Clinical references

• Eli Lilly and Company. Foundayo savings card terms. lilly.com. Accessed April 2026.
• Eli Lilly and Company. LillyDirect self-pay pricing. lillydirect.com. Accessed April 2026.
• Centers for Medicare & Medicaid Services. Medicare Part D drug pricing updates. cms.gov. 2026.

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