Wegovy pill guide
Wegovy pill cost, and how the pill differs from the Wegovy injection
The Wegovy pill is oral semaglutide, approved by the FDA on 22 December 2025. This page covers its published cost and how it differs from the weekly Wegovy injection. For a comparison with Foundayo, Lilly's GLP-1 pill, see our pills guide.
Programs that list the Wegovy pill
- Ro$39 first month, then $149/mo membership (from $74/mo prepaid yearly). Lists Wegovy pill & pen, Zepbound, Foundayo.
- WeightWatchers Med+$25/mo for the first two months on a 12-month plan (offer through 14 Nov 2026), then $74/mo. Lists Wegovy pill & pen, Zepbound, Foundayo.
- Hims & Hers$39 first month, then $149/mo; medicine from $149/mo. Cash-pay Wegovy pill & pen, Zepbound, Foundayo.
- Amazon One Medical$39 message or $59 video visit, no membership required. Wegovy pill & injection, Zepbound, Foundayo.
Not a ranking; facts from official pages, checked 10 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 the Wegovy pill costs $149, $199 or $299 a month depending on strength (30 tablets). The weekly Wegovy pen is $199 for the first two months on an intro offer, then $349. The pill and the injection have not been compared head-to-head in a trial cited here.
Self-pay prices, checked 10 November 2026
| Product | Published self-pay price | What one month means |
|---|---|---|
| Wegovy pill 1.5 mg | $149 | 1 bottle of 30 tablets |
| Wegovy pill 4 mg | $199 | 1 bottle of 30 tablets |
| Wegovy pill 9 mg or 25 mg | $299 | 1 bottle of 30 tablets |
| Wegovy pen (for comparison) | $199 for each of the first 2 months at 0.25 mg or 0.5 mg (new patients, through 31 Dec 2026), then $349; Wegovy HD 7.2 mg $399 | 1 box of 4 pens; needles included |
Novo Nordisk says Wegovy prices do not increase based on when the prescription is refilled, unlike some Lilly self-pay offers that need a refill within 45 days.
With insurance
Eligible commercially insured patients may pay as little as $25 a month, subject to a maximum savings of $100 a month. Government beneficiaries are excluded. Eligible Medicare Part D patients may pay $50 a month for the Wegovy pen or pill under the Medicare GLP-1 Bridge from 1 July 2026 to 31 December 2027, if they meet CMS criteria and have a prior authorization for a covered use. Wegovy cost & coverage (Novo Nordisk) ↗ Details are on GLP-1 cost with or without insurance.
Novo Nordisk also describes filling a cash-pay prescription through NovoCare home delivery.
Wegovy pill vs Wegovy injection
| Wegovy pill | Wegovy injection | |
|---|---|---|
| Ingredient | semaglutide (oral) | semaglutide (injection) |
| How it is taken | once daily, with timing rules around food and water set out in the label | once weekly (pen or prefilled syringe); needles included with the pen |
| FDA approval for the tablet or this comparison | 22 December 2025 for the tablet | Injection approved earlier; a May 2026 labeling supplement added a prefilled syringe |
| Approved uses (adults, summary) | weight reduction; cardiovascular risk reduction in adults with established cardiovascular disease and obesity or overweight | the same two uses; the injection is also approved for a liver condition (MASH) in certain adults, and the injection has an adolescent weight-management use that the tablet does not |
| Key trial for the tablet | OASIS 4 (64 weeks, 307 adults without diabetes): 13.6% vs 2.4% with placebo; 16.6% vs 2.7% if patients stayed on treatment Novo Nordisk: Wegovy pill FDA approval and OASIS 4 results ↗ | Not summarized here; see the evidence and Zepbound vs Wegovy pages for injection trials |
There is no published head-to-head trial of the pill versus the injection on this page, so a lower or higher trial percentage is not a reason to switch on your own. To compare the two pills, see Wegovy pill vs Foundayo.
Related guides
- GLP-1 cost with or without insurance, including Medicare Bridge
- Cheapest FDA-approved GLP-1 without insurance (cash-pay only)
- Which GLP-1 is best for weight loss? The trial evidence
- Zepbound vs Wegovy, and tirzepatide vs semaglutide
- GLP-1 pills: Wegovy pill vs Foundayo
- What Foundayo is, and what it costs
- Zepbound cost without insurance, savings card and self-pay
- LillyDirect: how to get Zepbound or Foundayo at self-pay prices
- What is a GLP-1, and how does online care work?
Sources
- Wegovy cost & coverage (Novo Nordisk) ↗ — checked 10 November 2026.
- Novo Nordisk: Wegovy pill FDA approval and OASIS 4 results ↗ — checked 10 November 2026.
- Wharton S et al. Oral semaglutide 25 mg in adults with overweight or obesity. N Engl J Med 2025 ↗ — checked 10 November 2026.
- FDA approval package with Wegovy labeling, May 2026 (PDF) ↗ — checked 10 November 2026.
- Drugs@FDA: current product labeling ↗ — checked 10 November 2026.
Frequently asked questions
How much does the Wegovy pill cost without insurance?
As of 10 November 2026, Novo Nordisk lists $149 a month for 1.5 mg, $199 for 4 mg, and $299 for 9 mg and 25 mg. A month is one bottle of 30 tablets. Prices do not increase based on when the prescription is refilled, Novo Nordisk says.
How does the Wegovy pill differ from the Wegovy injection?
Both contain semaglutide and share weight-management and cardiovascular risk-reduction indications in adults. The pill is a once-daily tablet with timing rules around food and water set out in the label; the injection is weekly. There is no head-to-head trial of the pill versus the injection cited on this page. The pill's approval was based on OASIS 4.
What did OASIS 4 find?
OASIS 4 was a 64-week trial in 307 adults with obesity, or overweight with a weight-related condition, and without diabetes. Novo Nordisk reports average weight change of 13.6% with the 25 mg tablet versus 2.4% with placebo regardless of whether patients stayed on treatment, and 16.6% versus 2.7% among those who stayed on treatment. Individual results vary.
Is the Wegovy pill the same as Rybelsus?
No. Both are oral semaglutide, but Rybelsus is approved for type 2 diabetes. Using a diabetes brand for weight loss is off-label.
How can I get the Wegovy pill?
You need a clinician licensed in your state and a prescription. Novo Nordisk describes cash fills through NovoCare home delivery and retail pharmacies, and a $50 Medicare GLP-1 Bridge path for eligible Part D patients. Several telehealth programs we list name the pill.