Is Mounjaro covered by PBS in Australia? 2026 cost + pathway guide

The Health Desk · Editorial team, aged care + dental + plastic surgery + dermatology + weight-loss + psychology · Updated 14 May 2026 · How we rank · Editorial standards

Short answer: No. Mounjaro (tirzepatide) is not on the Pharmaceutical Benefits Scheme in Australia as of 2026, for either type 2 diabetes or weight loss. Expect $450–$580/month at retail pharmacy, or $400–$550/month via a telehealth weight-loss program.

Key takeaways

  • Mounjaro (tirzepatide) is NOT on the PBS in Australia in 2026, for any indication.
  • Expect $450-$580/month at retail pharmacy, or $400-$550/month via telehealth bundle.
  • Trials show ~20% weight loss vs ~15% for semaglutide, strongest efficacy of the GLP-1 class.
  • Dual GIP/GLP-1 agonist (vs single-agonist semaglutide), different mechanism.
  • PBAC submissions pending; future listing possible but not imminent.

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What is Mounjaro and how is it different from Ozempic and Wegovy?

Mounjaro is the brand name for tirzepatide, a once-weekly injectable medication originally developed by Eli Lilly for type 2 diabetes. Unlike Ozempic and Wegovy (which contain semaglutide and act only on GLP-1 receptors), Mounjaro is a dual agonist, it activates both GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 receptors simultaneously.

This dual-receptor activation appears to produce stronger metabolic effects. Head-to-head trial data (SURMOUNT and SURPASS programs) consistently shows different weight-change range in trials and HbA1c reduction with tirzepatide than with semaglutide at maximum doses. For weight loss specifically, the SURMOUNT-1 trial reported average weight reduction of approximately 20% over 72 weeks at the 15mg dose, compared to roughly 15% for semaglutide 2.4mg.

In short: Mounjaro is widely considered the TGA-approved GLP-1-class medication currently available in Australia, bu. It is also the most expensive, and is not PBS-subsidised.

Why isn’t Mounjaro on the PBS?

The Pharmaceutical Benefits Advisory Committee assesses every PBS submission against clinical effectiveness and cost-effectiveness. As of 2026, Mounjaro is not listed for either indication. Reasons typically cited in PBAC outcomes for similar medications include:

  • Budget impact. A drug with a large eligible population, taken long-term, at $450+/month creates substantial Federal budget exposure.
  • Comparator pricing. The PBAC weighs Mounjaro against PBS-subsidised alternatives (Ozempic at $31.60/month for diabetes). To list, Mounjaro typically needs to demonstrate cost-effectiveness at an acceptable incremental price.
  • Established alternatives. For T2D, multiple effective subsidised alternatives already exist (Ozempic, metformin, sulfonylureas, DPP-4 inhibitors). PBAC submissions need to demonstrate Mounjaro adds material clinical value over these.

Eli Lilly has lodged applications. Outcomes are published on the Department of Health website after each quarterly PBAC meeting. Until a listing is approved, Mounjaro remains entirely private cost.

What you’ll pay for Mounjaro in 2026

Pathway Monthly cost What’s included
Retail pharmacy + GP $450–$580 Medication only; GP consult fees separate
Telehealth bundle $400–$550 Medication + consultations + coaching all-inclusive
Specialist (endocrinologist) $500–$700+ Initial specialist consult $250–$450; medication retail price

Dose escalation costs the same per month as maintenance doses (manufacturer pricing is dose-flat). Compare your real cost in our GLP-1 switch cost calculator.

Mounjaro vs Ozempic vs Wegovy: which to choose?

If cost is the priority and you have type 2 diabetes meeting Authority Streamlined criteria, PBS-subsidised Ozempic at $31.60/month is materially cheaper than any other option, by a factor of 14. Check your PBS eligibility here.

If you don’t qualify for PBS Ozempic and are paying privately for weight loss, the comparison is:

Drug Cost/month (private) Trial weight loss Mechanism
Mounjaro (tirzepatide) $450–$580 ~20% (72 weeks, 15mg) Dual GIP/GLP-1
Wegovy (semaglutide 2.4mg) $420–$530 ~15% (68 weeks, 2.4mg) GLP-1 only
Ozempic off-label (semaglutide 1mg) $380–$450 ~10–12% (1mg dose cap) GLP-1 only

Side effects and tolerability

Mounjaro's side effect profile is similar to other GLP-1 medications, predominantly gastrointestinal (nausea, vomiting, diarrhoea, constipation). Trial discontinuation rates for gastrointestinal side effects in SURMOUNT-1 were approximately 4-7% depending on dose. Slow titration (typically 2.5mg → 5mg → 7.5mg → 10mg → 12.5mg → 15mg over 5-6 months) significantly reduces side effect severity.

Less common but serious risks include pancreatitis, gallbladder disease, and (rare) medullary thyroid carcinoma, Mounjaro is contraindicated in patients with personal or family history of medullary thyroid carcinoma or MEN 2 syndrome. Your prescriber should screen for these before commencing therapy.

Realistic prescription pathway

For Australians wanting Mounjaro in 2026, the typical pathway is:

  1. BMI assessment + comorbidity review. Your GP confirms BMI ≥30, or ≥27 with comorbidity (typically using off-label Mounjaro for the patient who would qualify for Wegovy if it were preferred).
  2. Baseline blood work. HbA1c, lipid profile, liver function, renal function. Thyroid history reviewed.
  3. Telehealth or in-person consult. Compare bundled telehealth pricing vs your existing GP relationship; telehealth often saves $50-$100/month all-in.
  4. Private prescription. Filled at any Australian pharmacy. No PBS Authority involved.
  5. Ongoing monitoring. Reputable programmes include monthly check-ins, dose escalation review, and periodic blood work. Avoid clinics that simply ship medication without monitoring.

When PBS listing might change the picture

If Mounjaro is approved for PBS listing in the future, it would most likely be:

  • Initially for type 2 diabetes only (mirroring the existing Ozempic Authority Streamlined approach)
  • With strict clinical criteria (HbA1c thresholds, prior therapy requirements)
  • At a substantially lower government-negotiated price than current retail

A PBS listing for weight loss (without diabetes) is unlikely in the near term given the PBAC has not yet listed Wegovy for the same indication. Watch quarterly outcomes statements for updates.

Related coverage

Common questions

Frequently asked questions

Is Mounjaro on the PBS in Australia in 2026?

No. Mounjaro (tirzepatide) is not listed on the Pharmaceutical Benefits Scheme as of 2026 for either type 2 diabetes or weight loss. Eli Lilly has lodged applications with the Pharmaceutical Benefits Advisory Committee; outcomes remain pending. Patients pay the full private price of approximately $450-$580 per month.

Why is Mounjaro not on the PBS when Ozempic is?

Ozempic was listed on the PBS for type 2 diabetes when it became commercially available in Australia under specific Authority Streamlined criteria. Mounjaro is newer, more expensive, and demonstrates similar (sometimes greater) glycaemic efficacy than Ozempic, making the cost-effectiveness case for the PBAC harder to win at current pricing. A future listing remains possible but is not currently approved.

How does Mounjaro compare to Wegovy and Ozempic for weight loss?

Trial data consistently shows Mounjaro produces different average weight-change ranges in trials than semaglutide. The SURMOUNT-1 trial reported approximately 20% body weight loss at 72 weeks with tirzepatide 15mg, versus approximately 15% for semaglutide 2.4mg over comparable timeframes. Mounjaro is dosed up to 15mg weekly compared to Wegovy 2.4mg or Ozempic 1.0mg.

Can I get Mounjaro on private health insurance?

No. Australian private health insurance does not cover prescription medications under any tier. Mounjaro is paid entirely out of pocket regardless of insurance level. Some bariatric surgery packages bundle short-term post-operative GLP-1 medication under hospital cover, but this is the exception.

Is Mounjaro available in Australia in 2026?

Yes. Mounjaro received TGA approval and is available through Australian pharmacies and registered telehealth providers. Supply has at times been constrained globally due to high demand, but Eli Lilly has scaled manufacturing capacity. Check availability with your prescriber or pharmacy before committing to a programme.

How is Mounjaro different from semaglutide drugs (Ozempic/Wegovy)?

Mounjaro contains tirzepatide, a dual agonist that activates both GIP and GLP-1 receptors, whereas Ozempic and Wegovy contain semaglutide, which activates only GLP-1. The dual-agonist mechanism appears to produce stronger appetite suppression and metabolic effects, contributing to different weight-change range in trials in head-to-head comparisons.

Can a telehealth clinic prescribe Mounjaro?

Yes. Major Australian telehealth weight-loss platforms (Juniper, Pilot, Mosh) now offer Mounjaro programmes. Bundled monthly cost typically ranges $400-$550 all-inclusive including consultation and coaching, often $30-$80/month cheaper than retail pharmacy with a private GP.

Will Mounjaro be approved for PBS in 2026 or 2027?

Unknown. Eli Lilly's submissions to the PBAC are confidential until the meeting outcomes are published. The PBAC meets quarterly (March, July, November). Watch the Department of Health website for outcomes statements. Most analysts expect any PBS listing for tirzepatide would initially be restricted to type 2 diabetes with strict criteria, similar to the current Ozempic Authority Streamlined.