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GLP-1 cost comparison: every option by monthly price

Brand GLP-1s cost $149 to $699 a month self-pay from the makers, $25 with a savings card when commercial insurance covers them, and $50 for eligible Medicare members, while list prices run $1,028 to $1,349, per prices we checked on Oct 17, 2026 [1] [2] [3] [4]. This tracker puts every channel in one table, with the date and source for each price.

Updated Oct 17, 2026By the Wellchosen Health editorial team

Medical review: pending. A licensed clinician has not yet reviewed this page.

A GLP-1 medicine is a prescription drug that acts on the GLP-1 hormone pathway, including semaglutide (Wegovy, Ozempic), tirzepatide (Zepbound, Mounjaro) and orforglipron (Foundayo), used for type 2 diabetes or weight management depending on the product's FDA approval [5] [6] [7].

Lowest cash price, FDA-approved
$149 a month: Wegovy pill 1.5 mg or Foundayo 0.8 to 2.5 mg [2] [8]
With covered commercial insurance
As little as $25 with maker savings cards [9] [2]
Medicare GLP-1 Bridge
$50 a month through Dec 31, 2027 [10]
Dates to watch
Dec 31, 2026: intro prices and Lilly cards end. Jan 1, 2027: Novo list prices fall to $675 [11]
Prices checked
Oct 17, 2026

The GLP-1 Price Tracker

Each row is one way to pay for one drug. Prices are monthly unless marked. Drug-by-drug detail: Zepbound, Wegovy, Wegovy pill, Ozempic, Mounjaro, Foundayo.

GLP-1 Price Tracker, last checked Oct 17, 2026
DrugChannelMonthly priceWhat is includedCheckedSource
Zepbound (tirzepatide)LillyDirect self-pay$299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg)Brand vial or KwikPen, free delivery or Walmart pickup. $449 needs a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10 to 15 mg).Oct 17, 2026Lilly [1]
Foundayo (orforglipron) pillLillyDirect self-pay$149 (0.8, 2.5 mg), $199 (5.5 mg), $299 (9 to 17.2 mg)2.5 and 5.5 mg prices are temporary through Dec 31, 2026. 14.5 and 17.2 mg need a refill within 45 days.Oct 17, 2026Lilly [8]
Wegovy pen (semaglutide)NovoCare self-pay$349; $399 for 7.2 mgBox of 4 pens. New patients pay $199 for their first two 0.25 or 0.5 mg fills through Dec 31, 2026.Oct 17, 2026NovoCare [2]
Wegovy pill (semaglutide)NovoCare self-pay$149 (1.5 mg), $199 (4 mg), $299 (9, 25 mg)30 tabletsOct 17, 2026NovoCare [2]
Ozempic (semaglutide)NovoCare self-pay$349 (0.25 to 1 mg), $499 (2 mg)Type 2 diabetes drug. $199 intro for two starter fills through Dec 31, 2026.Oct 17, 2026NovoCare [12]
Mounjaro (tirzepatide)LillyDirect self-payNot confirmedWe could not confirm whether LillyDirect sells Mounjaro self-pay, or at what price. The Lilly Mounjaro pages we checked showed only the list price and savings card.Oct 17, 2026Lilly [13]
Wegovy pill / Wegovy pen / Ozempic / ZepboundTrumpRxFrom $149 / $199 / $199 / $299Starting prices only. A portal that sends you to the maker's program or gives a pharmacy coupon. Cash only, prescription needed.Oct 17, 2026TrumpRx [4]; AJMC [14]
Foundayo, MounjaroTrumpRxNot listedNot on the TrumpRx home pageOct 17, 2026TrumpRx [4]
ZepboundSavings card, commercial plan covers itAs little as $251-, 2- or 3-month fill; savings capped at $100 a month and $1,300 a year; ends Dec 31, 2026Oct 17, 2026Lilly [9]
MounjaroSavings card, commercial plan covers itAs little as $25Savings capped at $150 a month and $1,950 a year; needs an approved use; ends Dec 31, 2026Oct 17, 2026Lilly [15]
FoundayoSavings card, commercial plan covers itAs little as $25Government plans excludedOct 17, 2026Lilly [16]
Wegovy (pen or pill), OzempicSavings offer, commercial plan covers itAs little as $25Savings capped at $100 a month; government plans excludedOct 17, 2026NovoCare [2] [12]
Zepbound / MounjaroSavings card, commercial plan does not cover it$499 (Zepbound pen); $299 to $449 (Zepbound KwikPen); $499 (Mounjaro)Commercial insurance required; uninsured people cannot use the Mounjaro cardOct 17, 2026Lilly [9] [15]
Foundayo, Wegovy pen or pill, Zepbound KwikPenMedicare GLP-1 Bridge$50One-month supply for eligible Part D members, July 1, 2026 to Dec 31, 2027. Excludes Ozempic and Zepbound vials and single-dose pens.Oct 17, 2026CMS [10]; Medicare.gov [3]
Wegovy (pen and pill)Pharmacy list price$1,349Falls to $675 for 2.4 mg pen and 25 mg tablet on Jan 1, 2027Oct 17, 2026TrumpRx [4]; Novo [11]
OzempicPharmacy list price$1,028Falls to $675 on Jan 1, 2027Oct 17, 2026TrumpRx [4]; Novo [11]
ZepboundPharmacy list price$1,087Single-dose pens; other sources say $1,086 to $1,088Oct 17, 2026TrumpRx [4]
MounjaroPharmacy list price$1,112.16Four pens, 28 daysOct 17, 2026Lilly [13]
Wegovy, Ozempic, Zepbound, MounjaroCostco (third-party report)Wegovy $199 to $399; Ozempic $199 to $499; Zepbound pen about $1,086.56; Mounjaro about $1,103.95Not confirmed with CostcoSept 2026WeightLossRankings [17]
Compounded semaglutideTelehealth programs (clean or caution verdicts)$99 to $297 standard; intro from $74Not FDA-approved. Eden $99, bmiMD from $119, OrderlyMeds $149, Found $169 to $289, FancyMeds $249 per 4 weeks, Direct Meds $297.Oct 17, 2026[18] [19] [20] [21] [22] [23]
Compounded tirzepatideTelehealth programs (clean or caution verdicts)$117 to $399 standard; intro from $149Not FDA-approved. IVIM $117 plus $75 membership, bmiMD from $179, Found $239 to $359, OrderlyMeds $299, Direct Meds and FancyMeds $399.Oct 17, 2026[24] [19] [21] [20] [23] [25]
Brand GLP-1sRo (telehealth)Drug at maker prices plus membershipMembership $39 first month, then $74 to $149 a monthOct 17, 2026Ro [26]
Brand GLP-1sLifeMD (telehealth)Drug from $149 plus program feeProgram fee $39 first month, then $149 a monthOct 17, 2026LifeMD [27]
Brand GLP-1sFound (telehealth)Plan $99 to $149 a month plus drugDrug billed separately; longer plans cost lessOct 17, 2026Found [21]
Brand GLP-1sForm Health (telehealth)$299 a month program plus drugClinician and dietitian visits; takes insurance including MedicareOct 17, 2026Form Health [28]
Brand GLP-1sPlushCare (telehealth)$19.99 membership plus $129 first visitWithout insurance; drugs and labs extraOct 17, 2026PlushCare [29]
Telehealth programs with an avoid verdict are not included. Compounded drugs are not FDA-approved, and FDA does not review them for safety, effectiveness or quality [30].

The cheapest route for your situation

Where the lowest price usually is
Your situationLowest-cost route we foundSource
Commercial insurance that covers the drugMaker savings card or offer, as little as $25[9] [2]
Commercial insurance that does not cover itWegovy pill or Foundayo self-pay from $149; Zepbound KwikPen with Lilly's card from $299[2] [8] [9]
Medicare Part D, meets Bridge criteria$50 for Foundayo, Wegovy or Zepbound KwikPen[10]
Medicare with type 2 diabetes or sleep apneaYour regular Part D plan might cover a GLP-1[3]
No insuranceMaker self-pay: $149 to $449 a month on time[1] [2] [8]
MedicaidDepends on your state; 13 programs covered obesity GLP-1s in January 2026. We could not confirm changes after April 2026 except in Massachusetts and Utah; ask your state plan[31]
Details: Medicare and Medicaid, Wegovy insurance, Zepbound insurance.

Price changes on the calendar

  • Dec 31, 2026: Novo's $199 Wegovy and Ozempic starter offer ends [2] [12]. Lilly's temporary Foundayo prices for 2.5 mg and 5.5 mg end [8]. Zepbound and Mounjaro savings cards expire [9] [15].
  • Jan 1, 2027: list prices for Wegovy, Ozempic and Rybelsus drop to $675 a month. Novo says self-pay prices do not change [11].
  • Dec 31, 2027: the Medicare GLP-1 Bridge ends [10].

How prices got here

Costco began selling Ozempic and Wegovy at $499 a month in October 2025 [32]. On Nov 17, 2025 Novo cut standard self-pay from $499 to $349 and added the $199 starter offer [33]. On Dec 1, 2025 Lilly cut LillyDirect Zepbound vials to $299, $399 and $449 from $349, $499 and $499 [34]. TrumpRx launched Feb 5, 2026 [35], and Foundayo reached LillyDirect on April 6, 2026 [16].

Hidden costs the table cannot show

  • A prescriber. Every GLP-1 here needs a prescription. Maker programs fill only prescriptions sent by a clinician [1] [2], and TrumpRx requires one too [14].
  • Dose step-ups. Zepbound and Foundayo cost more at higher doses [1] [8]; Wegovy pens do not until 7.2 mg [2].
  • Refill timing. Lilly's 45-day rule can raise Zepbound 10 to 15 mg from $449 to $699 [1].
  • Memberships and plan length. Telehealth fees from $19.99 to $149 a month, and some compounded prices need a 6- or 12-month plan [26] [29] [21].
  • Deductibles. NovoCare self-pay payments do not count toward insurance deductibles [2], and the Bridge copay does not count toward Part D out-of-pocket limits [3].

TrumpRx, Costco and GoodRx

TrumpRx is a government portal, not a pharmacy. It sends buyers to maker programs such as LillyDirect or provides coupons for local pharmacies, so its GLP-1 prices match the makers' starting prices [36]. In May 2026 it added more than 600 generic drugs and discounts from Amazon Pharmacy, Cost Plus Drugs and GoodRx [37]. Novo named Costco and GoodRx among its self-pay partners when it launched the $349 price [33]. We did not record separate GoodRx GLP-1 prices. More: TrumpRx explained.

Clinic programs and compounded drugs

We have not found reliable published price ranges for in-person medical weight loss clinic programs, so this tracker does not list a clinic average. Ask any clinic for the drug, visit, lab and membership costs in writing. To find one, use find a medical weight loss clinic or the weight loss hub.

Before you buy compounded

Compounded semaglutide and tirzepatide are not FDA-approved. FDA had 990 adverse event reports for compounded semaglutide and more than 730 for compounded tirzepatide by May 31, 2026 [30], and it has sent waves of warning letters to telehealth firms over claims that compounded drugs match brand drugs [38]. Check a program in our FDA warning letter tracker and read compounded tirzepatide or compounded semaglutide.

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See Ro prices

Telehealth programs in the tracker (clean or caution only)

  1. Ro (Ro Body Program)

    Clean
    Price
    Brand drugs at maker prices plus $74 to $149 membership [26]
    What you get
    Wegovy pen and pill, Foundayo, Zepbound KwikPen
    FDA record
    No FDA warning letter found as of Oct 17, 2026
    BBB
    Not yet checked
    Note
    Brand only

    Visit Ro (Ro Body Program)

  2. Found

    Clean
    Price
    Brand plan $99 to $149 plus drug; compounded plans $169 to $359 [21]
    What you get
    Brand and compounded options
    FDA record
    No FDA warning letter found as of Oct 17, 2026
    BBB
    Not yet checked
    Note
    Labs extra

    Visit Found

  3. Form Health

    Clean
    Price
    $299 a month plus drug [28]
    What you get
    Brand drugs only, clinician and dietitian visits
    FDA record
    No FDA warning letter found as of Oct 17, 2026
    BBB
    Not yet checked
    Note
    Takes insurance, including Medicare

    Visit Form Health

  4. OrderlyMeds

    Use caution
    Price
    Compounded semaglutide $149, tirzepatide $299 [20]
    What you get
    Same price at every dose
    FDA record
    Warning letter June 8, 2026
    BBB
    Not yet checked
    Note
    Caution verdict

    Visit OrderlyMeds

Not listed because of avoid verdicts: Shed, Fridays, MedVi, TrimRx, Mochi Health, Hims and Hers. Compare the rest in online GLP-1 programs compared.

Questions people ask

How much do GLP-1 drugs cost per month?

Self-pay from the makers, brand GLP-1s cost $149 to $449 a month on time and up to $699 for late Zepbound refills. With commercial insurance that covers them, savings cards can cut the cost to $25. List prices are $1,028 to $1,349 (checked Oct 17, 2026) [1] [2] [4].

What is the cheapest GLP-1 without insurance?

Among FDA-approved options, the Wegovy pill at 1.5 mg and Foundayo at 0.8 mg or 2.5 mg cost $149 a month self-pay [2] [8]. Both prices rise at higher doses, to $299.

Do I need a prescription for a GLP-1?

Yes. LillyDirect and NovoCare fill only prescriptions from a clinician [1] [2], and TrumpRx prices also require a valid prescription [14]. Products sold without one as "research use only" are not legal medicine [30].

How much is Wegovy, Ozempic or Zepbound at Costco?

Costco started selling Wegovy and Ozempic at $499 in October 2025 [32]. A third-party tracker reported Costco prices in September 2026 of $199 to $399 for Wegovy, $199 to $499 for Ozempic, about $1,086.56 for Zepbound pens and about $1,103.95 for Mounjaro, which we could not confirm with Costco [17].

How much is the GLP-1 pill?

The Wegovy pill costs $149, $199 or $299 a month by dose through NovoCare [2]. Foundayo costs $149 to $299 a month through LillyDirect, with temporary prices on two doses through Dec 31, 2026 [8].

What is NovoCare Pharmacy?

NovoCare Pharmacy is Novo Nordisk's direct pharmacy. Your prescriber sends the prescription there and you get free home delivery or use the self-pay offer at a local pharmacy. Wegovy pens cost $349 a month through it [2].

How do I get approved for a weight loss shot through insurance?

Your plan must include the drug, and it may require prior authorization showing you meet criteria such as BMI rules. For example, TennCare's Aug 1, 2025 provider notice covers Wegovy and Zepbound with prior authorization for a BMI of 30 or more, or 27 or more with a related condition [39]. We could not confirm whether that changed after April 2026. Your prescriber submits the request.

Is tripeptide the same as tirzepatide?

No. "Tripeptide" is not the name of any FDA-approved GLP-1. Tirzepatide is the drug in Zepbound and Mounjaro [6]. Brand tirzepatide costs $299 to $449 a month on LillyDirect when refilled on time [1].

Sources

39 cited
  1. Zepbound on LillyDirect: self-pay prices. Eli Lilly and Company (LillyDirect), Oct 17, 2026.
  2. Wegovy self-pay offer. Novo Nordisk (NovoCare Pharmacy), Oct 17, 2026.
  3. Weight loss drugs coverage. Medicare.gov (CMS), Oct 17, 2026.
  4. TrumpRx.gov home page. TrumpRx.gov (US government), Oct 17, 2026.
  5. Wegovy (semaglutide) injection and tablets label. DailyMed, National Library of Medicine, Jun 2026.
  6. Zepbound (tirzepatide) label. DailyMed, National Library of Medicine, Aug 2026.
  7. FDA approves Lilly's Foundayo (orforglipron). Eli Lilly and Company, Apr 1, 2026.
  8. Foundayo on LillyDirect: self-pay prices. Eli Lilly and Company (LillyDirect), Oct 17, 2026.
  9. Zepbound coverage and savings. Eli Lilly and Company, Oct 17, 2026.
  10. Medicare GLP-1 Bridge: information for pharmacies. Centers for Medicare & Medicaid Services, Oct 17, 2026.
  11. Novo Nordisk announces reduction in US list price for Wegovy, Ozempic and Rybelsus. Novo Nordisk via PR Newswire, Feb 24, 2026.
  12. Ozempic at NovoCare Pharmacy. Novo Nordisk (NovoCare Pharmacy), Oct 17, 2026.
  13. Mounjaro frequently asked questions. Eli Lilly and Company, Oct 17, 2026.
  14. TrumpRx launch brings savings and uncertainty. AJMC, Feb 5, 2026.
  15. Mounjaro savings card terms. Eli Lilly and Company, Oct 17, 2026.
  16. Foundayo now available: Lilly's oral GLP-1 pill for weight loss. Eli Lilly and Company, Apr 9, 2026.
  17. Costco Pharmacy GLP-1 prices (third-party tracker). WeightLossRankings.org, Sep 2026.
  18. Eden home page and prices. Eden, Oct 17, 2026.
  19. bmiMD home page and prices. bmiMD, Oct 17, 2026.
  20. OrderlyMeds pricing. OrderlyMeds LLC, Oct 17, 2026.
  21. Found offer terms. Found, Oct 17, 2026.
  22. FancyMeds home page and prices. FancyMeds, Oct 17, 2026.
  23. DirectMeds pricing. DirectMeds, Oct 17, 2026.
  24. IVIM Health home page and prices. IVIM Health, Oct 17, 2026.
  25. FancyMeds tirzepatide. FancyMeds, Oct 17, 2026.
  26. Ro weight loss pricing. Ro, Oct 17, 2026.
  27. LifeMD weight management. LifeMD, Inc., Oct 17, 2026.
  28. Form Health FAQs. Form Health, Oct 17, 2026.
  29. PlushCare weight loss. PlushCare, Oct 17, 2026.
  30. FDA's concerns with unapproved GLP-1 drugs used for weight loss. US Food and Drug Administration, Oct 1, 2026.
  31. Medicaid coverage of and spending on GLP-1s. KFF, Jan 16, 2026.
  32. Costco to sell Ozempic and Wegovy for $499 a month. HealthDay, Oct 6, 2025.
  33. Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic. Novo Nordisk via PR Newswire, Nov 17, 2025.
  34. Lilly lowers LillyDirect Zepbound vial prices. Eli Lilly and Company, Dec 1, 2025.
  35. Fact sheet: President Trump launches TrumpRx.gov. The White House, Feb 5, 2026.
  36. TrumpRx launches, offering cash-paying patients discounted drugs. Pharmacy Times, Feb 6, 2026.
  37. Fact sheet: expansion of TrumpRx.gov. The White House, May 18, 2026.
  38. FDA warns 30 telehealth companies against illegal marketing of compounded GLP-1s. US Food and Drug Administration, Mar 3, 2026.
  39. TennCare provider notice: obesity management agents. OptumRx for TennCare, Aug 1, 2025.

This page is general information, not medical advice. Talk with a licensed clinician about your own care.

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