Guides · What it costs

How much does Ozempic cost without insurance?

Without insurance, the Ozempic pen costs $349 a month at 0.25 to 1 mg and $499 at 2 mg from Novo Nordisk's NovoCare Pharmacy, and new patients pay $199 for each of their first two fills at the starting doses (as of October 2026). The Ozempic pill is $149 to $299 a month, depending on the dose.

Wegovy, the same medicine (semaglutide) approved for weight management, is $349 a month for the pen after the same $199 new-patient offer, $399 for Wegovy HD and $149 to $299 for the pill.

Updated · Facts checked against the sources listed below

Ozempic self-pay prices

Ozempic is approved, with diet and exercise, to improve blood sugar in adults with type 2 diabetes. The injection is also approved to lower the risk of heart attack, stroke or death in adults with type 2 diabetes and known heart disease, and the risk of worsening kidney disease in adults with type 2 diabetes and chronic kidney disease. It is not approved for weight loss.

Novo Nordisk self-pay prices as of October 2026, from NovoCare Pharmacy and Ozempic.com. The new-patient pen offer runs through December 31, 2026. Offers can change or end at any time.
Form and doseSelf-pay price per month
Ozempic pen, 0.25 or 0.5 mg, first two fills (new patients)$199
Ozempic pen, 0.25 to 1 mg$349
Ozempic pen, 2 mg$499
Ozempic pill, 1.5 mg (new patients)$149
Ozempic pill, 4 mg$199
Ozempic pill, 9 mg$299

Wegovy self-pay prices

Wegovy is approved, with diet and activity, to help adults with obesity, or overweight with a weight-related health problem, lose weight and keep it off. It is also approved to lower the risk of heart attack, stroke or death in adults with known heart disease and obesity or overweight.

Novo Nordisk self-pay prices as of October 2026, from NovoCare Pharmacy and Wegovy.com. One month is a box of 4 pens or a bottle of 30 tablets. The new-patient pen offer runs through December 31, 2026.
Form and doseSelf-pay price per month
Wegovy pen, 0.25 or 0.5 mg, first two fills (new patients)$199
Wegovy pen, 0.25 to 2.4 mg$349
Wegovy HD pen, 7.2 mg$399
Wegovy pill, 1.5 mg$149
Wegovy pill, 4 mg$199
Wegovy pill, 9 or 25 mg$299

How self-pay works

  1. Get a prescription. Every dose needs one, whether you pay cash or use insurance. Your clinician decides the medicine and the dose.
  2. Your prescriber sends it to NovoCare Pharmacy. Novo Nordisk also lists pharmacy pickup as an option.
  3. Watch for a confirmation text, then pay. NovoCare offers free home delivery.

Prices rise as the dose goes up, so the price at your maintenance dose matters more than the starting price.

If you have insurance or Medicare

  • Commercial insurance. If your plan covers Ozempic or Wegovy, Novo Nordisk's savings offers can bring the cost to as little as $25 a month, with up to $100 in savings a month. The Ozempic offer lasts up to 48 months.
  • Government plans. People on Medicare, Medicaid or other government plans can't use the savings offers.
  • Medicare GLP-1 Bridge. From July 1, 2026 through December 31, 2027, eligible Part D members can get Wegovy (pen or pill) for weight management for a $50 copay a month. Part D plans may cover Ozempic for type 2 diabetes. See does Medicare cover GLP-1s.

To check your plan, see is semaglutide covered by insurance. For every semaglutide option in one place, see semaglutide cost.

Common questions

How much is Ozempic a month without insurance?

As of October 2026, the Ozempic pen is $349 a month at 0.25 to 1 mg and $499 at 2 mg from NovoCare Pharmacy. New patients pay $199 for each of the first two fills at 0.25 or 0.5 mg.

How much is Wegovy without insurance?

As of October 2026, the Wegovy pen is $349 a month at every standard dose, after a $199 new-patient offer for the first two fills. Wegovy HD 7.2 mg is $399, and the pill is $149 to $299.

Is the Ozempic pill cheaper than the shot?

At lower doses, yes. As of October 2026 the pill is $149 at 1.5 mg for new patients and $199 at 4 mg, while the pen is $349 after the new-patient offer. The 9 mg pill is $299.

Can I get Ozempic for $25 without insurance?

No. The $25 offer is for people whose commercial insurance covers Ozempic. People on Medicare, Medicaid or other government plans can't use it.

Are Ozempic and Wegovy the same medicine?

Both contain semaglutide, but they are approved for different uses and come in different doses. Ozempic is approved for type 2 diabetes and Wegovy for weight management and heart risk reduction.

Sources

  1. NovoCare Pharmacy self-pay prices Novo Nordisk
  2. Save on Ozempic Novo Nordisk
  3. What to pay for Wegovy Novo Nordisk
  4. Wegovy (semaglutide) Novo Nordisk
  5. Medicare GLP-1 Bridge Medicare.gov, Centers for Medicare & Medicaid Services

This guide is general information, not medical advice. It does not replace a visit with a licensed clinician. Gabriel membership is not health insurance.