Semaglutide cost in October 2026: from $149 a month self-pay
As of October 19, 2026, semaglutide is sold as three Novo Nordisk products and as compounded versions. Without insurance the Wegovy pill costs $149 to $299 a month, Wegovy pens $349 ($199 intro) and Ozempic pens $349 to $499. Compounded semaglutide is advertised from $60. Source: Novo Nordisk (NovoCare).
Every semaglutide product and its price
| Product | Status | Published prices |
|---|---|---|
| WegovyWeekly injection pen (0.25–2.4 mg) and Wegovy HD pen (7.2 mg) | FDA-approved for weight management in adults and children 12+ with obesity, and to reduce the risk of major cardiovascular events in adults with heart disease and obesity or overweight[1] | |
| Wegovy pillOnce-daily tablet: 1.5, 4, 9 or 25 mg | FDA-approved, with diet and exercise, to reduce the risk of major cardiovascular events in adults with heart disease and obesity or overweight, and for weight loss in adults[1] | |
| OzempicWeekly injection pen (0.25, 0.5, 1 or 2 mg) and a once-daily Ozempic pill | A prescription GLP-1 used to improve blood sugar in adults with type 2 diabetes[3]. It is not approved for weight loss. | |
| Compounded semaglutideUsually a weekly injection from a vial; some programs also sell tablets or drops | Not FDA-approved. Not a generic of Wegovy or Ozempic. |
Compounded, not FDA-approved. Compounded drugs are made by state-licensed pharmacies or outsourcing facilities. They are not FDA-approved, are not generic versions of Wegovy, Ozempic, Zepbound or Mounjaro, and the FDA has not reviewed them for safety, effectiveness or quality.
Why does semaglutide cost different amounts?
Each product has its own approval and price. Wegovy pens and the Wegovy pill are semaglutide for weight: FDA-approved for weight management in adults and children 12+ with obesity, and to reduce the risk of major cardiovascular events in adults with heart disease and obesity or overweight[1] Ozempic is semaglutide for diabetes: A prescription GLP-1 used to improve blood sugar in adults with type 2 diabetes[3]. It is not approved for weight loss. Novo Nordisk sells all three to self-pay patients through NovoCare Pharmacy and its savings offers[1][4].
Compounded semaglutide is made by state-licensed pharmacies or outsourcing facilities, is not FDA-approved and is not a generic of Wegovy or Ozempic. The 7 telehealth programs we track advertise it from $60 to $297 a month, usually with a membership or plan term[5][6].
What is the cheapest way to get semaglutide?
The lowest published price for each route, from the product pages:
- Commercial plan that covers it: as little as $25 for Wegovy[1] and $25 for Ozempic[3].
- Medicare: $50 a month for eligible patients through the Medicare GLP-1 Bridge[2].
- No coverage, brand-name: $149 a month for the Wegovy pill at 1.5 mg; $199 for a new patient's first two Wegovy pen fills, then $349[1].
- Compounded: advertised from $60, membership extra; it is not an FDA-approved product.
Compare every route, including tirzepatide and orforglipron, on cheapest GLP-1.
Is Ozempic or Wegovy cheaper?
At the starting doses they cost the same self-pay: $349 a month, with the same $199 new-patient price for the first two low-dose fills. Ozempic's 2 mg pen is $499[4]. They are approved for different uses, so the choice is your prescriber's, not a price decision. The full breakdown is on Ozempic vs Wegovy cost.
Prices are what manufacturers and programs publish. Your prescriber decides which product and dose fit you; GLP Observer compares prices only.
Questions people ask
How much does semaglutide cost per month without insurance?
From $149 for the Wegovy pill at 1.5 mg; Wegovy pens are $349 ($199 for a new patient's first two low-dose fills); Ozempic pens are $349–$499 (checked October 19, 2026).
Is there a generic semaglutide?
No program we track sells an FDA-approved generic semaglutide. Compounded semaglutide is not a generic of Wegovy or Ozempic and is not FDA-approved.
How much is compounded semaglutide?
The 7 programs we check advertise it from $60 to $297 a month; the median lowest price is $99. It is not FDA-approved.
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
- Wegovy cost and coverage (incl. Medicare GLP-1 Bridge note) . Novo Nordisk. Checked .https://www.wegovy.com/coverage-and-savings/save-on-wegovy.html
- Ozempic cost and coverage . Novo Nordisk. Checked .https://www.ozempic.com/savings-and-resources/save-on-ozempic.html
- Ozempic savings offer and self-pay prices (pen and pill) . Novo Nordisk (NovoCare). Checked .https://www.novocare.com/diabetes/products/ozempic/savings-offer.html
- Henry Meds programs (plan prices; page dated December 3, 2025) . Henry Meds. Checked .https://henrymeds.com/legal/programs