How Much Does Semaglutide Cost?
Semaglutide costs anywhere from about $150 to over $1,000 per month depending on which version you get and where you get it. Brand-name Wegovy or Ozempic without insurance runs $1,000–1,350/month at retail pharmacies, while cash-pay telehealth programs — using either manufacturer direct-pricing deals or compounded semaglutide — typically land between $150 and $500/month.
Monthly prices hide fees and intro rates — calculate the real 12-month cost →
Semaglutide Prices by Provider
Sorted by lowest starting price — the tracked range runs $49 to $1399/mo.
Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.
| Provider | Score | Product | Price/mo | Includes | |
|---|---|---|---|---|---|
| Noom | 60 | Noom Microdose GLP-1 Rx | $49–$179 $49 first 4-week supply (limited-time) | ● Consults○ Labs● Shipping | Visit |
| Fridays | 55 | Branded Wegovy (Pill or Pen) | $98 $49 first month; $98/mo on prepaid annual plan | ● Consults● Labs● Shipping | Visit |
| Hims & Hers | 78 | Branded Wegovy (oral/injectable) | $149–$299 Wegovy pill from $149/mo | ● Consults○ Labs● Shipping | Visit |
| Ro | 77 | Branded Wegovy Pill (oral semaglutide) | $149–$299 4mg dose $149/mo limited-time (reg. $199) | ○ Consults○ Labs● Shipping | Visit |
| Sesame Care | 74 | Oral Wegovy Program | $149 | ● Consults○ Labs● Shipping | Visit |
| LifeMD | 68 | Branded Wegovy (oral/injectable) | $149–$349 Wegovy pill from $149/mo; pen $199 first 2 fills; program fee $39 first month (then $149/mo) | ○ Consults○ Labs● Shipping | Visit |
| Ivim Health | 58 | Compounded Semaglutide (12-month plan) | $150–$175 First month membership free | ● Consults○ Labs● Shipping | Visit |
| Shed | 67 | Compounded Semaglutide (injectable) | $159–$199 $159/mo on 12-month plan, $179/mo on 6-month | ● Consults○ Labs● Shipping | Visit |
| Mochi Health | 67 | Compounded Semaglutide (All Doses) | $178 $39 first month membership (vs $79); current promo: med $60/mo (reg. $99) | ● Consults○ Labs● Shipping | Visit |
| Direct Meds | 74 | Compounded Semaglutide (sublingual) | $179–$249 | ● Consults○ Labs● Shipping | Visit |
| MEDVi | 71 | Compounded Semaglutide (Injectable) | $179–$299 $179 first month | ● Consults○ Labs● Shipping | Visit |
| TrimRx | 52 | Compounded Semaglutide (Oral/Sublingual) | $179–$329 $179 first month (reg. $329 after) | ● Consults○ Labs● Shipping | Visit |
| Remedy Meds | 69 | GLP-1 Microdose Plan | $189 | ● Consults○ Labs● Shipping | Visit |
| Eden | 64 | Compounded Semaglutide (Injectable) | $198 First month $138 ($99 med + $39 membership); membership $99/mo after | ● Consults○ Labs● Shipping | Visit |
| Male Excel | 62 | Semaglutide Weight Loss | $499 First month $299 (save $200) | ● Consults○ Labs● Shipping | Visit |
| eMed | 67 | GLP-1 Weight Management Program | $649–$1399 $99/mo program fee + medication cost ($550–$1,300/mo) | ● Consults● Labs● Shipping | Visit |
Brand-name pricing (Wegovy, Ozempic)
Novo Nordisk's list prices put brand-name semaglutide over $1,000/month at retail. Two things bring that down: insurance coverage (mainly for type 2 diabetes) and manufacturer cash-pay programs. Novo's direct-to-patient pricing and its partnerships with telehealth platforms have brought branded options — including the oral Wegovy pill — down to roughly $150–300/month cash for many patients, which is why several major platforms now lead with branded rather than compounded medication.
Compounded semaglutide pricing
Compounded semaglutide from telehealth providers typically costs $150–350/month. It contains the same active ingredient but is prepared by compounding pharmacies rather than Novo Nordisk and is not individually FDA-approved. Watch for two pricing patterns: intro rates that rise sharply after the first month, and dose-based pricing that climbs as you titrate up. A provider with flat, dose-agnostic pricing can cost less by month six than one with a cheaper headline rate.
What insurance covers
Insurance coverage for semaglutide is split by indication. Ozempic is often covered for type 2 diabetes with a prior authorization. Wegovy for weight loss is covered by some commercial plans and excluded by many others; Medicare does not cover medications prescribed solely for weight loss. If your plan covers it, insurance is almost always the cheapest path — check before paying cash.
How to Pay Less for Semaglutide
- ✓Check insurance coverage first — a covered prescription with a copay beats every cash option.
- ✓Compare branded cash programs against compounded: manufacturer direct pricing has narrowed the gap substantially.
- ✓Ask about dose-agnostic pricing — flat-price programs save money as your dose escalates.
- ✓Count what's bundled: a program including provider visits and labs can beat a cheaper medication-only price.
- ✓The oral Wegovy pill's cash price is often lower than injectable brand pricing if a pill fits your routine.
Semaglutide Cost — Frequently Asked Questions
Why is compounded semaglutide so much cheaper than Ozempic or Wegovy?
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Compounding pharmacies don't bear the drug developer's research and marketing costs and don't set monopoly pricing — they prepare the medication from the active pharmaceutical ingredient. The trade-off is regulatory: compounded semaglutide is not individually FDA-approved, so pharmacy quality and sourcing transparency matter more.
What does semaglutide cost per year?
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Cash-pay telehealth programs run roughly $1,800–6,000/year depending on branded vs. compounded, your maintenance dose, and what's bundled. Brand-name at full retail without insurance would exceed $12,000/year — which almost nobody pays, thanks to insurance, savings programs, or telehealth pricing.
Does the price go up as my dose increases?
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At some providers, yes — semaglutide doses typically escalate over 16–20 weeks, and dose-tiered pricing can raise your monthly cost 30–60% by maintenance dose. Other providers charge one flat price at any dose. This single policy difference can swing annual cost by over $1,000, so check it before enrolling.
Are there hidden costs beyond the medication?
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Potentially: membership or program fees, initial and ongoing lab work, provider visit fees, and shipping. Our comparison table marks what each provider bundles. When comparing, compute the true first-year total rather than the advertised monthly rate.
Want the full picture — how semaglutideworks, side effects, and who it's not for?
Read the Semaglutide Guide