Ozempic vs Wegovy cost: both $349 a month self-pay, different top doses
As of October 19, 2026, Novo Nordisk charges self-paying patients $349 a month for standard doses of both the Ozempic pen (0.25–1 mg) and the Wegovy pen (0.25–2.4 mg), and $199 for a new patient’s first two fills of either. The top strengths differ: Ozempic 2 mg is $499 and Wegovy HD 7.2 mg is $399.
| Item | Ozempic | Wegovy |
|---|---|---|
| Active ingredient | Semaglutide (Novo Nordisk) | Semaglutide (Novo Nordisk) |
| FDA-approved use | Type 2 diabetes | Weight management; cardiovascular risk reduction |
| Standard self-pay | $349 (0.25, 0.5, 1 mg) | $349 (0.25–2.4 mg) |
| New-patient intro | $199, first 2 fills of 0.25/0.5 mg | $199, first 2 fills of 0.25/0.5 mg |
| Top strength | $499 (2 mg) | $399 (Wegovy HD 7.2 mg) |
| Pill version | From $149 (1.5 mg) | $149–$299 (1.5–25 mg) |
| Commercial insurance | As little as $25 (up to 48 months) | As little as $25 (max savings $100/mo) |
| Medicare GLP-1 Bridge | Not included (Part D may cover for diabetes) | $50 (pen and pill) |
| TrumpRx listing | $199 (orig. $1,028) | $199 (orig. $1,349) |
Is Ozempic cheaper than Wegovy without insurance?
At standard strengths they cost the same: $349 a month through NovoCare Pharmacy or each drug’s savings offer, and $199 for a new patient’s first two fills of 0.25 or 0.5 mg through December 31, 2026[1][2]. At the top strength, Wegovy HD 7.2 mg ($399) is $100 a month less than Ozempic 2 mg ($499).
What does a year cost?
Twelve monthly fills at $349 are $4,188 for either, or $3,888 with two $199 intro fills[2][1]. Twelve months of Ozempic 2 mg are $5,988; of Wegovy HD, $4,788. Arithmetic only.
Which is covered by insurance or Medicare?
Both savings offers can bring the cost to as little as $25 with commercial coverage[3][2]. Ozempic is a diabetes medicine, so plans and Medicare Part D often cover it for type 2 diabetes; Wegovy for weight loss is covered by Medicare only through the GLP-1 Bridge at $50 a month for eligible enrollees[4].
Is cost the only difference?
No. Ozempic is approved for type 2 diabetes and is not approved for weight loss[3]; Wegovy is approved for weight management and cardiovascular risk reduction[2]. Which one is appropriate is your prescriber’s call.
Questions people ask
Is Ozempic or Wegovy cheaper?
Self-pay, both are $349 a month at standard doses and $199 for a new patient’s first two fills. Ozempic 2 mg is $499; Wegovy HD 7.2 mg is $399.
Are Ozempic and Wegovy the same drug?
Both contain semaglutide from Novo Nordisk, but they are separate products with different approved uses and dose ranges.
Does Medicare cover Ozempic or Wegovy?
Part D plans can cover Ozempic for type 2 diabetes. Wegovy for weight reduction is covered at $50 a month for eligible enrollees under the Medicare GLP-1 Bridge (July 1, 2026 to December 31, 2027).
Sources
Every price above links to one of these pages. We loaded each one and saved a copy on the date shown.
- Ozempic savings offer and self-pay prices (pen and pill) . Novo Nordisk (NovoCare). Checked .https://www.novocare.com/diabetes/products/ozempic/savings-offer.html
- Wegovy savings offer and self-pay prices (pen, HD pen and pill) . Novo Nordisk (NovoCare). Checked .https://www.novocare.com/obesity/products/wegovy/savings-offer.html
- Ozempic cost and coverage . Novo Nordisk. Checked .https://www.ozempic.com/savings-and-resources/save-on-ozempic.html
- What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge . KFF, published May 11, 2026. Checked .https://www.kff.org/medicare/what-to-know-about-the-balance-model-for-glp-1s-in-medicare-and-medicaid/
- TrumpRx.gov — listed GLP-1 prices ("Lowest Presidential Deal") . U.S. Government (TrumpRx.gov). Checked .https://trumprx.gov/