The index
| Option | What you get | Starting dose, per month | Higher and maintenance doses, per month | Membership fee | Source |
|---|---|---|---|---|---|
| Compounded semaglutide through Gabriel | Compounded weekly medication; a licensed clinician reviews each request | $89 to $96 (0.25 or 0.5 mg) | $93 to $107 (1 mg), $101 to $110 (1.5 mg), $116 (2 to 2.4 mg) | None on a free account; from $87 a month for the medication with Core ($49) or $84 with Plus ($89) | Gabriel's published prices |
| Compounded tirzepatide through Gabriel | Compounded weekly medication; a licensed clinician reviews each request | $135 (2.5 mg) | $155 (5 mg), $167 (7.5 mg), $178 (10 or 12.5 mg), $225 (15 mg) | None on a free account; from $131 a month for the medication with Core ($49) or $128 with Plus ($89) | Gabriel's published prices |
| Zepbound (tirzepatide), vial or KwikPen | Brand weekly injection from LillyDirect; a month is 28 days; needles extra | $299 (2.5 mg) | $399 (5 mg); $449 (7.5 to 15 mg) with a refill within 45 days, otherwise $499 (7.5 mg) or $699 (10 to 15 mg) | None | Lilly |
| Mounjaro (tirzepatide), single-dose pen | Brand weekly pen from LillyDirect | $499 | $499 at every dose | None | LillyDirect |
| Foundayo (orforglipron), pill | Brand daily pill from LillyDirect; a month is 30 days | $149 (0.8 mg) | $149 (2.5 mg) and $199 (5.5 mg), reduced through December 31, 2026; $299 (9 to 17.2 mg; 14.5 and 17.2 mg need a refill within 45 days) | None | LillyDirect |
| Wegovy (semaglutide), pen | Brand weekly pen from NovoCare Pharmacy; a month is a box of 4 pens | $199 for a new patient's first two fills at 0.25 or 0.5 mg, through December 31, 2026; then $349 | $349 (1 to 2.4 mg); Wegovy HD 7.2 mg $399 | None | NovoCare |
| Wegovy (semaglutide), pill | Brand daily pill from NovoCare Pharmacy; 30 tablets | $149 (1.5 mg) | $199 (4 mg); $299 (9 or 25 mg) | None | Wegovy.com |
| Ozempic (semaglutide), pen | Brand weekly pen from NovoCare Pharmacy | $199 for a new patient's first two fills at 0.25 or 0.5 mg, through December 31, 2026; then $349 | $349 (1 mg); $499 (2 mg) | None | Ozempic.com |
| Ozempic (semaglutide), pill | Brand daily pill from NovoCare Pharmacy | $149 (1.5 mg, new patients) | $199 (4 mg); $299 (9 mg) | None | Ozempic.com |
| Calibrate | Program with coaching, a clinician visit and lab review; medication and lab tests billed separately | Medication billed separately | Medication billed separately | $199 a month, 3-month minimum | Calibrate |
| Found | Clinician care plan; compounded medication included in the plan price; brand-name GLP-1s billed separately | Included in the plan price (compounded) | Included in the plan price (compounded) | Cash plans from $169 a month on a 12-month plan paid upfront, or from $289 month to month; billed every 28 days | Found |
| Hims | Membership plus brand-name GLP-1s | From $149 (Wegovy pill, Foundayo, Ozempic pill); from $199 (Wegovy pen, Ozempic); from $299 (Zepbound vial or KwikPen) | Not listed by dose; Mounjaro and Zepbound (other than the vial and KwikPen) listed at $1,899 | $39 the first month, then $149 a month | Hims |
| Noom GLP-1Rx | Compounded semaglutide or tirzepatide with the Noom program; medication included | From $79 or $149 for the first 4 weeks of medication, by plan, plus tax | $179 to $349 a month on a 12-week subscription, by plan, plus tax | Included in the plan price | Noom Microdose, Noom GLP-1Rx Plus |
| Noom Med | Clinician care and the Noom app for brand-name GLP-1s; medication billed separately | Medication billed separately; Zepbound vials from $299 through LillyDirect | Medication billed separately | $39 to start, then $129 a month | Noom |
| Ro | Membership plus brand-name GLP-1s at cash prices Ro says match LillyDirect, NovoCare and TrumpRx | $149 (Wegovy pill, Foundayo); $199 (Wegovy pen, first two months); $299 (Zepbound KwikPen) | Up to $299 (pills); $349 (Wegovy pen, 1 to 2.4 mg) and $399 (Wegovy HD); $449 (Zepbound KwikPen, 7.5 to 15 mg) | $39 the first month, then $149 a month, or $74 to $99 a month prepaid for 3 to 12 months | Ro |
| Weight Watchers Med+ | Clinical care with the Points program; GLP-1 medication not included | Not included | Not included | $25 the first month, then $74 a month on a 12-month plan | Weight Watchers |
Wegovy and Zepbound are approved for weight management; Ozempic and Mounjaro are approved for type 2 diabetes. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
Prices with insurance or Medicare
- Commercial insurance with a savings card: as little as $25 a month for Wegovy, Ozempic or the Zepbound single-dose pen when your plan covers the drug, with savings capped at $100 a month (and $1,300 a year for Zepbound). Lilly's cards end December 31, 2026. Government plans are excluded.
- Medicare GLP-1 Bridge: $50 a month for Wegovy (pen or pill), the Zepbound KwikPen or Foundayo, from July 1, 2026 through December 31, 2027, for eligible Part D members with prior authorization. Programs can add their own fees: Noom lists $39 to start and $129 a month for its plan on top of the $50 copay.
- TrumpRx.gov: lists the Wegovy pill at $149, the Wegovy pen and Ozempic at $199 and Zepbound at $299 a month, the same starting prices the manufacturers post.
See does Medicare cover GLP-1s for Bridge eligibility. Gabriel membership is not health insurance.
How to read the prices
- Starting dose and later doses. Most prices rise as the dose goes up, so compare at the dose you're likely to reach. Lilly notes that Zepbound 2.5 mg is a starting dose and isn't approved as a maintenance dose. Your clinician decides the dose.
- Refill timing. Lilly's lower prices for Zepbound 7.5 mg and up, and for Foundayo 14.5 and 17.2 mg, apply only with a refill within 45 days.
- Offers ending December 31, 2026. The $199 new-patient pen price for Wegovy and Ozempic, Lilly's reduced Foundayo prices at 2.5 and 5.5 mg, and Lilly's savings cards.
- Membership and medication are separate. Ro, Hims, Noom Med, Calibrate and Weight Watchers bill the membership apart from the medication. Found and Noom GLP-1Rx include compounded medication in the plan price. Gabriel's prices are for the medication on a free account, with no membership required.
- Compounded and brand drugs are different products. A compounded medication is prepared by a pharmacy for an individual prescription and isn't reviewed by the FDA the way a brand drug is. See tirzepatide vs semaglutide for how the two medicines compare.
How we built this index
- Sources. Each price comes from the seller's own public page: LillyDirect and Zepbound.com for Eli Lilly; NovoCare Pharmacy, Wegovy.com and Ozempic.com for Novo Nordisk; each telehealth program's pricing or product page; and Gabriel's published prices. Coverage terms come from Medicare.gov and TrumpRx.gov.
- Date checked. Every price was checked on October 22, 2026.
- What's included. One-month self-pay medication prices and each program's membership fee, as posted.
- What's excluded. Prices that need an account, a quiz or a ZIP code to see; insurance copays, which depend on your plan; taxes, shipping and needles; sellers that don't require a prescription or sell products labeled for research use; and prices reported by third-party sites.
- Disclosure. Gabriel publishes this index and is one of the options in it. Gabriel's rows show its own published prices, listed the same way as every other row.
- Updates. Prices change. We recheck every price monthly and update this page and its date.
Safety comes before price
A licensed clinician decides whether a GLP-1 fits you, which one and at what dose, based on your health history and other medicines. The FDA says compounded GLP-1s aren't reviewed for safety, effectiveness or quality before they're sold, and it has received reports of dosing errors, some needing hospital care.
Semaglutide, tirzepatide and orforglipron carry a warning about possible thyroid tumors, including thyroid cancer, and aren't for people with a personal or family history of medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. Get medical care right away for severe stomach pain that won't go away, swelling of the face or throat, or trouble breathing. See GLP-1 side effects and MedlinePlus on semaglutide and tirzepatide.
Getting a GLP-1 through Gabriel
Send a prescription request from a free account. A licensed clinician reviews it and decides whether a GLP-1 fits and which one. If a brand drug fits better, it goes through the manufacturer's self-pay pharmacy. Prescriptions requested through Gabriel are reviewed by licensed clinicians at Everdawn, Gabriel's clinical partner.
Common questions
How much do GLP-1s cost per month in October 2026?
As of October 22, 2026, brand GLP-1s cost $149 to $699 a month at the manufacturers' self-pay pharmacies, and compounded GLP-1s through Gabriel cost $89 to $225 a month on a free account. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
How do Zepbound and Wegovy prices compare?
At the starting dose, the Wegovy pen is $199 for a new patient's first two fills and the Zepbound vial or KwikPen is $299, as of October 22, 2026. At higher doses, the Wegovy pen is $349 and Zepbound is $449 with a refill within 45 days, or up to $699 without one.
How do tirzepatide and semaglutide prices compare?
As of October 22, 2026, brand semaglutide runs $149 to $499 a month and brand tirzepatide $299 to $699 at the manufacturers' self-pay pharmacies, while through Gabriel compounded semaglutide is $89 to $116 and compounded tirzepatide $135 to $225. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
Do telehealth programs charge more for the medication?
For brand drugs, the programs we checked list the same prices as the manufacturers, and Ro says its cash prices match LillyDirect, NovoCare and TrumpRx. Most add a membership of about $74 to $199 a month.
How often is this index updated?
Monthly. Every price was last checked October 22, 2026, and the next check is by November 22, 2026.
Where do these prices come from?
From each seller's own public pricing page and Gabriel's published prices. Prices that need an account or a quiz to see are left out.
Sources
- Zepbound coverage and savings Eli Lilly and Company
- NovoCare Pharmacy self-pay prices Novo Nordisk
- Weight loss program pricing (Ro Body membership and medication) Ro
- Noom Microdose GLP-1Rx Program Noom
- Medicare GLP-1 Bridge Medicare.gov, Centers for Medicare & Medicaid Services
- FDA's concerns with unapproved GLP-1 drugs used for weight loss U.S. Food and Drug Administration
This guide is general information, not medical advice. It does not replace a visit with a licensed clinician. Gabriel membership is not health insurance.