GLP-1 cost guide
How much does a GLP-1 cost? Prices for November 2026
The real monthly cost of a GLP-1 is the medicine plus the care. Here are the manufacturers' current self-pay prices, what insurance savings cards offer, and the extra costs that often get missed.
Program fees to add to the medicine price
- Amazon One Medical$39 message or $59 video visit, no membership required. Wegovy pill & injection, Zepbound, Foundayo.
- PlushCare$19.99/mo membership (first month free) + $129 self-pay visit, or insurance copay. Lists Wegovy pen & pill, Zepbound, Foundayo.
- SesameFrom $59/mo on an annual plan (10% off for Costco members). GLP-1 prescriptions incl. the Wegovy pill.
- Ro$39 first month, then $149/mo membership (from $74/mo prepaid yearly). Lists Wegovy pill & pen, Zepbound, Foundayo.
Not a ranking; facts from official pages, checked 9 November 2026. Buttons open the program’s site; we may earn a commission from some links. Disclosure.
Educational, not medical advice. Only a clinician licensed in your state can decide whether a prescription medicine is right for you. We do not give dosing instructions. In an emergency, call 911. Medical disclaimer.
Disclosure: buttons go to official websites. If we add partner links later, a signup may earn us a commission at no cost to you. Advertising disclosure. We do not promote compounded or “research use only” GLP-1 products.
Short answer: without insurance, FDA-approved GLP-1 weight-loss medicines currently cost from $149 a month (lowest strengths of the Wegovy pill and Foundayo) to $449 or more (higher strengths of Zepbound), plus a program or visit fee. With commercial coverage, savings cards can bring the copay down to as little as $25.
Self-pay prices from the manufacturers
These are the prices Novo Nordisk and Eli Lilly publish for people paying cash. Telehealth programs and pharmacies may charge the same or different amounts.
| Medicine | Self-pay price per month | What one month means | Source |
|---|---|---|---|
| Wegovy pillsemaglutide tablets | 1.5 mg $149 · 4 mg $199 · 9 mg $299 · 25 mg $299 | 1 bottle of 30 tablets | Wegovy cost & coverage (Novo Nordisk) ↗ |
| Wegovy pensemaglutide injection | $199 for each of the first 2 months at 0.25 mg or 0.5 mg (intro offer for new patients, through 31 Dec 2026), then $349 · Wegovy HD 7.2 mg pen $399 · needles included | 1 box of 4 pens | Wegovy cost & coverage (Novo Nordisk) ↗ |
| Zepbound KwikPen or single-dose vialtirzepatide injection | 2.5 mg $299 · 5 mg $399 · 7.5–15 mg $449 if refilled within 45 days (otherwise $499 for 7.5 mg, $699 for 10–15 mg) | 28 days | LillyDirect: Zepbound self-pay ↗ |
| Foundayoorforglipron tablets | From $149 (0.8 mg). Lilly's regular prices: 0.8 mg $149 · 2.5 mg $199 · 5.5 mg and 9 mg $299 · 14.5 mg and 17.2 mg $349, or $299 if refilled within 45 days. Lilly also lists temporary reductions on some strengths through 31 Dec 2026 | 30 days | Foundayo coverage & savings (Lilly) ↗ |
Why the price changes over time
- Price depends on strength. Prescriptions often start at a lower strength and can change over time. The clinician decides; the table only shows how price tiers work.
- Introductory offers end. The Wegovy pen's $199 is for the first two months at the lowest two strengths, then $349.
- On-time refills matter. Zepbound's $449 price for 7.5–15 mg and Foundayo's $299 price for the highest strengths need each refill within 45 days.
- Offers have end dates. Lilly's Zepbound KwikPen self-pay card and Novo Nordisk's Wegovy pen intro offer run through 31 December 2026, and Lilly's Foundayo savings cards and temporary price reductions are also listed through that date.
With insurance
If your commercial plan covers the medicine, manufacturer savings cards can cut the copay: Novo Nordisk says eligible commercially insured patients may pay as little as $25 a month for Wegovy (subject to a maximum savings of $100 a month), and Lilly says eligible patients may pay as little as $25 for Zepbound single-dose pens and for Foundayo with its savings cards. Government insurance is excluded from these cards. For Medicare, Novo Nordisk's Wegovy page describes the federal Medicare GLP-1 Bridge, under which eligible Part D patients pay $50 a month for the Wegovy pen or pill from 1 July 2026 to 31 December 2027, and Lilly says eligible Part D patients may get Foundayo for $50 a month; check the terms on each page.
Coverage is decided by your plan, not by the clinic. Services such as Ro, WeightWatchers Med+, PlushCare and Knownwell describe help with prior authorization. Help applying is not a guarantee of approval.
Add the program or visit fee
Unless you use your own clinician, an online program adds a fee:
| Service | Brand-name medicines listed | Insurance | Program or visit fee (USD) |
|---|---|---|---|
| Ro | Wegovy pill & pen, Zepbound, Foundayo, Ozempic* | Insurance concierge or cash-pay | $39 first month; $149/month ongoing monthly plan; annual prepay advertised from $74/month equivalent. Medication extra. |
| WeightWatchers Med+ | Wegovy pill & pen, Zepbound, Foundayo, Saxenda | Insurance coordinator or cash-pay | $25 first month with 6/12-month term; then $84/$74 per month respectively. Auto-renewal; GLP-1 medication extra. |
| PlushCare | Wegovy pen & pill, Zepbound, Foundayo, Saxenda (sent to your pharmacy) | Insurance or self-pay | $19.99/month membership + $129 self-pay visit or insurance copay. Medication and labs extra. |
| Hims & Hers ↗ | Wegovy pill & pen, Zepbound, Foundayo, Ozempic pill* | Cash-pay; insurance not required | $39 first month, then $149/month membership. Medication extra (from $149/month). |
| Amazon One Medical ↗ | Wegovy pill & injection, Zepbound, Foundayo | Insurance for program visits; cash on-demand option | $39 message / $59 video visit; no membership required. Medication extra (cash from $149/month). |
| Sesame ↗ | GLP-1 prescriptions incl. Wegovy pill & injection, Ozempic* | Self-pay pricing described | From $59/month on an annual subscription. Medication extra. |
| Knownwell ↗ | Wegovy pill & injection, Zepbound, Foundayo, Ozempic*, Saxenda | Commercial plans and Medicare, or self-pay | Insurance copay (varies), or self-pay $299 first visit and $149 per follow-up. Medication extra. |
| Form Health ↗ | Wegovy, Zepbound, Saxenda (per its FAQ) | Private plans and Medicare, or self-pay | Insurance copay, or $299/month self-pay plan. Medication and labs extra. |
Worked examples: what a month can cost
| Service | Care fee | + $149 medicine | + $449 medicine |
|---|---|---|---|
| Ro (monthly plan)after the $39 first month | $149 | $298 | $598 |
| Ro (annual prepaid)monthly equivalent of the annual plan | $74 | $223 | $523 |
| WeightWatchers Med+ (12-month plan)after the $25 first month | $74 | $223 | $523 |
| Hims & Hersafter the $39 first month | $149 | $298 | $598 |
| Sesame (annual)advertised “as low as” price | $59 | $208 | $508 |
| Amazon One Medical on-demandone video visit that month | $59 | $208 | $508 |
| PlushCaremembership only; add $129 for each self-pay visit | $19.99 | $168.99 | $468.99 |
| Knownwell (self-pay)one follow-up visit that month; the first visit is $299 | $149 | $298 | $598 |
| Form Health (self-pay plan)monthly self-pay plan; labs extra | $299 | $448 | $748 |
Costs people often miss
- Needles: LillyDirect says Zepbound KwikPen needs pen needles and vials need needles and syringes, bought separately. Novo Nordisk says needles are included with the Wegovy pen.
- Lab work, if your clinician orders it.
- Auto-renewing memberships and prepaid commitments. Read cancellation terms before you join.
- Shipping or pharmacy fees, depending on where the prescription is filled.
Where self-pay prices apply
Lilly sells Zepbound and Foundayo self-pay through LillyDirect, and it announced on 6 November 2026 that both are also available through Hims & Hers with home shipping. Amazon says Amazon Pharmacy offers the Wegovy pill, Wegovy injection, Zepbound and Foundayo, with cash prices from $149 for the pills and $199 for injectables. You need a valid prescription in every case.
Low prices from websites selling “semaglutide” or “tirzepatide” without a prescription, or labeled for research use, are not a cheaper version of these medicines. The FDA has warned about unapproved GLP-1 products ↗.
Related guides
- Cheapest FDA-approved GLP-1 without insurance
- Which GLP-1 is best for weight loss?
- Zepbound vs Wegovy: cost, trial results and differences
- GLP-1 pills: Wegovy pill vs Foundayo
- FDA-approved GLP-1 medicines in the US
Sources
- Wegovy cost & coverage (Novo Nordisk) ↗ — checked 9 November 2026.
- LillyDirect: Zepbound self-pay ↗ — checked 9 November 2026.
- Zepbound KwikPen self-pay terms (Lilly) ↗ — checked 9 November 2026.
- Lilly: Zepbound cost information ↗ — checked 9 November 2026.
- Foundayo coverage & savings (Lilly) ↗ — checked 9 November 2026.
- Lilly: Foundayo cost information ↗ — checked 9 November 2026.
- Lilly: FDA approves Foundayo, 1 Apr 2026 ↗ — checked 9 November 2026.
- Lilly and Hims & Hers announcement, 6 Nov 2026 ↗ — checked 9 November 2026.
- Amazon One Medical GLP-1 program ↗ — checked 9 November 2026.
- FDA: concerns with unapproved GLP-1 drugs used for weight loss ↗ — checked 9 November 2026.
Frequently asked questions
How much does a GLP-1 cost per month without insurance?
As of 9 November 2026, manufacturer self-pay prices for FDA-approved GLP-1 weight-loss medicines start at $149 a month (lowest strengths of the Wegovy pill and Foundayo). The Wegovy pen is $199 a month for the first two months on an introductory offer and then $349. Zepbound is $299 to $449 a month depending on strength, if refilled within 45 days. A program or visit fee is usually extra.
How much is Zepbound without insurance?
Through LillyDirect self-pay, Zepbound KwikPen or vials cost $299 for 2.5 mg, $399 for 5 mg and $449 for 7.5 mg to 15 mg if each refill is within 45 days. Otherwise 7.5 mg is $499 and 10 mg to 15 mg is $699. One month is 28 days. Needles or syringes are bought separately. Lilly's KwikPen self-pay card terms say savings end 31 December 2026.
How much is Wegovy without insurance?
Novo Nordisk lists the Wegovy pen at $199 a month for the first two months (lowest two strengths, limited-time offer) and $349 a month after that, with the Wegovy HD 7.2 mg pen at $399. The intro offer runs through 31 December 2026 and pen needles are included. The Wegovy pill is $149 to $299 a month depending on strength.
How much is Foundayo?
Lilly lists Foundayo from $149 a month for the lowest strength, rising to $349 for the highest strengths, or $299 for those strengths if refilled within 45 days. Commercially insured patients may pay from $25 with the savings card, depending on coverage. Lilly also lists temporary price reductions on some strengths; check its page.
Does insurance cover GLP-1 medicines for weight loss?
Some commercial plans do and many do not; it depends on your plan's formulary and prior authorization rules. Manufacturer savings cards can lower the copay for covered patients to as little as $25 a month for Wegovy (subject to a maximum savings of $100 a month), Zepbound single-dose pens and Foundayo. These cards generally exclude people with government insurance such as Medicare or Medicaid.
Are GLP-1 medicines HSA or FSA eligible?
Often, but not always. Lilly says HSA/FSA eligibility for Zepbound self-pay may vary, and Hims says its medication fee may be eligible while its membership fee is not. Check with your plan administrator.