How Much Does Semaglutide Cost?

Novo Nordisk offers savings cards for both Wegovy and Ozempic. Eligible commercially insured patients can pay as little as $0/month for Wegovy and $25/month for Ozempic. Check NovoCare.com for current terms — eligibility and caps change.

Employer-sponsored health plans are more likely to cover Wegovy than individual marketplace plans. Call the number on your insurance card and ask specifically about Wegovy (NDC codes 0169-4245, 0169-4246). Prior authorization is usually required.

When legally available, compounded semaglutide from licensed pharmacies is significantly cheaper. The legal landscape in 2026 is shifting — ask your clinic whether they still offer it and under what exemption.

In-person clinics often include the medication cost in a monthly program fee, which can be more predictable than pharmacy pricing. Use GLPFinders to compare providers in your area.

How much does Wegovy cost per month without insurance?

Wegovy has a list price of $1,349/month as of 2026. Without insurance or a manufacturer savings card, that's what you'd pay out of pocket. Novo Nordisk's savings program can reduce this to as low as $0/month for eligible commercially insured patients, but the eligibility criteria are strict.

How much does Ozempic cost per month without insurance?

Ozempic lists at around $935–$1,000/month without insurance. It's approved for type 2 diabetes, not weight loss, so insurance coverage for off-label weight loss use is rare. Novo Nordisk also offers a savings card for Ozempic that caps costs at $25/month for eligible patients.

How much does compounded semaglutide cost?

Compounded semaglutide from licensed 503A and 503B pharmacies typically runs $150–$400/month depending on dosage and the clinic. It's the same active ingredient as Wegovy and Ozempic but pharmacy-prepared rather than manufactured by Novo Nordisk. As of early 2026, the FDA has declared the semaglutide shortage resolved and begun enforcement against pharmacies compounding it outside specific exemptions — so availability is tightening. Ask your clinic directly.

Does insurance cover semaglutide for weight loss?

It depends on your plan. Commercial insurance coverage for Wegovy has improved but remains inconsistent — some plans cover it with prior authorization, many still exclude it. Employer-sponsored plans are more likely to cover it than individual marketplace plans. Coverage for Ozempic used off-label for weight loss is rare. If your plan doesn't cover it, a manufacturer savings card or compounded alternative are the main options.

Does Medicare cover semaglutide?

Medicare Part D started covering Wegovy in March 2024, but only for patients with established cardiovascular disease — not for obesity alone. This covers roughly 3.6 million Medicare beneficiaries who qualify. Coverage for Ozempic under Part D is available for diabetes. The Inflation Reduction Act caps insulin costs but semaglutide doesn't fall under that cap.

What is the cheapest way to get semaglutide?

The cheapest legal option is usually compounded semaglutide from a licensed clinic when available ($150–$400/month). For branded Wegovy, the Novo Nordisk savings card is the best bet for commercially insured patients. GoodRx and similar discount programs typically don't apply to brand-name GLP-1 medications. Some patients use telehealth platforms that offer compounded versions at lower rates, though in-person clinics often provide closer monitoring.

Are there generic versions of semaglutide available?

No FDA-approved generic semaglutide exists as of 2026. Novo Nordisk's patents on semaglutide extend through the late 2020s. Compounded semaglutide is not the same as a generic — it's pharmacy-prepared and not FDA-approved. An oral form of semaglutide (Rybelsus) is available for diabetes at a lower price point than injectable versions, but it's less commonly used for weight loss.