Lilly 45 day refill policy
I use Zepbound vials from Lilly Direct. My provider prescribes it so that I can get multiple shots per vial. Lilly Direct requires you to refill within 45 days to maintain the $449 pricing, which I’ve been doing. However, I’ve built up a supply of vials and don’t really need to refill for awhile.
I spoke with Lilly Direct/Gift Health today because my provider had given them a fresh prescription last week. Because it would, technically, be my first fill on a new prescription, I inquired how long I could wait to actually fill it if I didn’t want to right away. I learned that Lilly tracks your refills by tracking you as a person, not based on whether your fill is a new fill or a refill. Once you start vials at 7.5mg or more, they look to make sure you have a fill every 45 days or you lose the pricing - even if your provider sends in a new prescription. (My 45 days is coming up next week, so I have to fill the new prescription.)
They did confirm there is a one-time courtesy override if you exceed 45 days, but it was clear it was only once. And they did not say, but the implication was that it still needed to be a reasonable amount of time after the 45 days.
The question I didn’t feel comfortable asking, but that I’m sure others have experience with, is how long you must wait after your last fill before you can be considered a ‘re-start’ and get the lower pricing again? For example, if you use Lilly Direct and go off the meds for a few months and then want to start again and get a new prescription, were you successful in getting the lower pricing again? I’m trying to determine what the waiting period is before your record clears and they will let you start over.