Wegovy pill vs Foundayo cost: both from $149 a month, $299 at the top
As of October 19, 2026, both weight-loss GLP-1 pills start at $149 a month self-pay. The Wegovy pill costs $149, $199 or $299 by strength; Foundayo costs $149 to $299 on LillyDirect, with temporary prices on two strengths through December 31, 2026 and an on-time-refill price on the top two.
| Item | Wegovy pill | Foundayo |
|---|---|---|
| Active ingredient | Oral semaglutide (Novo Nordisk) | Orforglipron (Eli Lilly) |
| Lowest strength | $149 (1.5 mg) | $149 (0.8 mg) |
| Next strengths | $199 (4 mg) | $149 (2.5 mg) and $199 (5.5 mg), temporary to Dec 31, 2026 |
| Top strengths | $299 (9 and 25 mg) | $299 (9 mg); $299 for 14.5/17.2 mg with on-time refills, else $349 |
| "Month" | 30 tablets | 30 days |
| Commercial insurance | As little as $25 (max savings $100/mo) | As little as $25 for a 1–3 month fill |
| Medicare GLP-1 Bridge | $50 | $50 |
Which GLP-1 pill is cheaper without insurance?
At the lowest strengths they tie at $149 a month[1][2]. Through December 31, 2026, Foundayo 2.5 mg is temporarily $149 and 5.5 mg $199; their regular prices are $199 and $299[2]. The Wegovy pill’s 4 mg strength is $199 and its 9 and 25 mg strengths are $299[1]. Foundayo’s 14.5 and 17.2 mg strengths are $299 only while refills are completed within 45 days; otherwise $349[2].
What does a year cost?
Twelve months at $149 is $1,788 for either pill; at $299 it is $3,588[1][2]. If Foundayo’s temporary prices end on schedule, a year of 5.5 mg at the regular $299 would also be $3,588. Arithmetic only; your prescriber chooses the strength.
Are they covered by insurance or Medicare?
Both manufacturers offer commercial savings cards down to $25[1][2], and both pills are covered at $50 a month under the Medicare GLP-1 Bridge for eligible Part D enrollees[3].
Questions people ask
Is the Wegovy pill or Foundayo cheaper?
Both start at $149 a month and top out at $299 with current pricing. Foundayo’s 2.5 and 5.5 mg prices are temporary through December 31, 2026, and its top two strengths need on-time refills to stay at $299.
Are the Wegovy pill and Foundayo the same medicine?
No. The Wegovy pill is oral semaglutide from Novo Nordisk; Foundayo is orforglipron from Eli Lilly.
Does Medicare cover GLP-1 pills?
Under the Medicare GLP-1 Bridge, eligible Part D enrollees pay $50 a month for the Wegovy pill or Foundayo, 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.
- 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
- Foundayo coverage and savings (self-pay terms) . Eli Lilly and Company. Checked .https://foundayo.lilly.com/coverage-savings
- 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/
- Foundayo on LillyDirect (self-pay prices by dose) . Eli Lilly and Company. Checked .https://www.lilly.com/lillydirect/foundayo