Brand semaglutide prices without insurance
Semaglutide is made by Novo Nordisk and sold under two brand names. Wegovy is approved for weight management and to lower the risk of heart attack, stroke or death in adults with known heart disease and obesity or overweight. Ozempic is approved for type 2 diabetes. Both come as a weekly pen and a daily pill.
Novo Nordisk sells both to people paying cash through NovoCare Pharmacy, with free home delivery and a prescription required. As of October 2026, these are its posted self-pay prices for one month:
| Brand and form | Dose | Self-pay price per month |
|---|---|---|
| Wegovy pill (daily) | 1.5 mg / 4 mg / 9 and 25 mg | $149 / $199 / $299 |
| Wegovy pen (weekly) | 0.25 to 2.4 mg | $349 ($199 for the first two fills at 0.25 or 0.5 mg for new patients) |
| Wegovy HD pen (weekly) | 7.2 mg | $399 |
| Ozempic pill (daily) | 1.5 mg / 4 mg / 9 mg | $149 (new patients) / $199 / $299 |
| Ozempic pen (weekly) | 0.25 to 1 mg | $349 ($199 for the first two fills at 0.25 or 0.5 mg for new patients) |
| Ozempic pen (weekly) | 2 mg | $499 |
For the brand-by-brand details, see Ozempic cost without insurance.
Semaglutide cost with insurance or Medicare
- Type 2 diabetes (Ozempic). Diabetes coverage is common. In KFF's 2024 review of Marketplace plans, 82% covered Ozempic, almost always with prior authorization or quantity limits.
- Weight management (Wegovy). Coverage is much less common. The same review found about 1% of Marketplace plans covered Wegovy. Large employers cover it more often: 43% of firms with 5,000 or more workers covered GLP-1s for weight loss in KFF's 2025 survey.
- Savings cards. With commercial insurance that covers the drug, Novo Nordisk's savings offers can bring the cost to as little as $25 a month, up to $100 in savings a month. People on Medicare, Medicaid or other government plans can't use them.
- Medicare. From July 1, 2026 through December 31, 2027, the Medicare GLP-1 Bridge lets eligible Part D members get Wegovy (pen or pill) for weight management for a $50 copay a month. Part D plans may cover semaglutide for type 2 diabetes. See does Medicare cover GLP-1s.
To check your own plan, see is semaglutide covered by insurance. Gabriel membership is not health insurance.
Compounded semaglutide through Gabriel
Gabriel offers compounded semaglutide by prescription for $89 to $116 a month with a free account, depending on the dose, and from $87 with Gabriel Core or $84 with Plus. Compounded medications are prepared by a licensed pharmacy for an individual prescription. The FDA does not review them for safety, effectiveness or quality before they are sold, and it has warned about dosing errors with compounded GLP-1s.
Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
How it works: you send a prescription request, a licensed clinician reviews your health history and decides whether semaglutide is appropriate and in what form. If a brand drug is a better fit, it goes through the manufacturer's self-pay pharmacy. Your clinician decides the dose.
Semaglutide price comparison
| Option | Approximate monthly cost | Notes |
|---|---|---|
| Brand with commercial coverage and savings card | As little as $25 | Plan must cover it; not for government plans |
| Wegovy via Medicare GLP-1 Bridge | $50 copay | Eligibility criteria and prior authorization apply |
| Wegovy or Ozempic pill, self-pay | $149 to $299 | Rises with dose |
| Wegovy or Ozempic pen, self-pay | $199 to $499 | $199 is a new-patient offer for two fills |
| Compounded semaglutide through Gabriel | $89 to $116 | With a free account, by dose; not FDA-approved; clinician decides |
What affects what you pay
- Dose. Brand self-pay prices rise at higher doses. Your clinician sets the dose.
- New-patient offers. The $199 pen price covers only the first two fills at the starting doses, through December 31, 2026.
- Form. Pills and pens are priced differently.
- Diagnosis and plan. Diabetes coverage is common; weight-loss coverage depends on your plan.
- HSA and FSA. Prescription medications are generally eligible expenses. See are GLP-1s HSA eligible and check with your plan administrator or a tax advisor.
Common questions
How much is semaglutide a month without insurance?
As of October 2026, brand semaglutide from NovoCare Pharmacy costs $149 to $299 a month for the pills and $349 to $499 for the weekly pens, with a $199 new-patient pen offer. Through Gabriel, compounded semaglutide is $89 to $116 a month with a free account, depending on the dose. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
Is Wegovy or Ozempic cheaper?
For self-pay, the pills cost the same at matching doses, and the pens are both $349 up to 1 mg. Ozempic 2 mg is $499 and Wegovy HD 7.2 mg is $399, as of October 2026.
What is the cheapest way to get semaglutide?
If your insurance covers it, a savings card can bring the cost to as little as $25 a month. Without coverage, the lowest brand price is $149 for the starting dose of the Wegovy pill (or the Ozempic pill, for new patients), and the price rises with the dose.
Does Medicare cover semaglutide?
Part D plans may cover Ozempic for type 2 diabetes. For weight management, the temporary Medicare GLP-1 Bridge offers Wegovy for a $50 monthly copay to eligible members through 2027.
Why is semaglutide so expensive?
Wegovy and Ozempic are brand drugs still sold only by their manufacturer. Self-pay programs have lowered cash prices, but costs still rise with the dose.
Sources
- NovoCare Pharmacy self-pay prices Novo Nordisk
- What to pay for Wegovy Novo Nordisk
- Save on Ozempic Novo Nordisk
- Costly GLP-1 drugs are rarely covered for weight loss by Marketplace plans KFF
- 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.