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Walmart pharmacies become first retail pickup for LillyDirect Zepbound rollout

Walmart and Eli Lilly announced in mid November that nearly 4,600 Walmart pharmacies would serve as the first retail pickup option for LillyDirect self pay single dose vials of Zepbound, with in store availability beginning in mid November. The move expands fulfillment options for patients, and it creates new operational demands for frontline pharmacy teams including workflow changes, training needs, and potential increases in counter traffic.

Marcus Chen2 min read
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Walmart pharmacies become first retail pickup for LillyDirect Zepbound rollout
Walmart pharmacies become first retail pickup for LillyDirect Zepbound rollout

Walmart and Eli Lilly disclosed in a November 13 announcement that Walmart pharmacies would be the first retail pickup location for LillyDirect self pay single dose vials of Zepbound, also known as tirzepatide. The rollout, reported between November 12 and November 14, made the vials available for in store pickup by mid November and offered an alternate channel to LillyDirect home delivery for customers who hold a valid prescription.

The arrangement covers nearly 4,600 Walmart pharmacies nationwide. LillyDirect pricing cited in coverage lists the starter 2.5 milligram dose at 349 dollars per month, while higher doses are listed at 499 dollars per month. Access to the higher dose pricing is tied to LillyDirect self pay Journey Program requirements. Customers retain the choice between home delivery through LillyDirect or collecting single dose vials at a Walmart pharmacy.

For Walmart pharmacy associates, the partnership introduces several operational implications. Pharmacies will need to integrate LillyDirect routing into their prescription fulfillment workflows, which may mean new steps for routing, receiving, storing, and handing over single dose vials. Pharmacy technicians and pharmacists are likely to encounter increased pickup interactions, and stores should prepare for potential upticks in foot traffic at pharmacy counters as patients opt for retail pickup.

Training and operational adjustments will be central to the transition. Staff will need to learn any new scanning or documentation processes associated with LillyDirect shipments, and pharmacy teams may need refreshed guidance on counseling patients who pick up the vials at store locations. The arrangement being LillyDirects first retail pickup partnership positions Walmart pharmacies as an accessible option for patients choosing the self pay channel, but it also places responsibility on frontline teams to ensure smooth pickups and accurate patient education.

From a staffing perspective the development could affect scheduling and workload in stores. Pharmacy managers may need to reassess coverage at peak pickup times, adjust technician assignments, and coordinate with store leadership on lobby and checkout flow to reduce wait times. The change is operational rather than an immediate change to broader corporate policy, yet it has practical consequences for day to day pharmacy operations.

The announcement reflects growing interest from drug manufacturers in routing self pay prescriptions through retail pharmacies. For Walmart pharmacy employees the new partnership brings both the opportunity to serve more patients and the need to adapt processes to manage a new fulfillment stream efficiently.

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