Semaglutide is Novo Nordisk's GLP-1 drug, marketed as Wegovy for weight and heart risk and as Ozempic for type 2 diabetes.
Pill or pen: the price over a year
Miami's median household income was $62,462 in 2020 to 2024 [2]. On the Wegovy pill, a year that steps through 1.5 mg, 4 mg and 9 mg before settling at 25 mg costs roughly $149 + $199 + $299 for the first three months, then $299 a month [1]. The pen costs $349 a month at every standard dose, with $199 for the first two fills of the lowest doses for new self-pay patients [1]. Either way, a full year is $3,000 to $4,200 before clinic fees, about 5% to 7% of that median income.
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Miami price list
| Product | Price per month | Who it is approved for | Source |
|---|---|---|---|
| Wegovy pill 1.5 / 4 / 9 / 25 mg | $149 / $199 / $299 / $299 | Adults with obesity or overweight | [1] |
| Wegovy pen 0.25 to 2.4 mg | $349 | Adults and ages 12+ (weight); heart-risk reduction | [1] |
| Ozempic 0.25 to 1 mg; 2 mg | $349; $499 | Type 2 diabetes | [5] |
| TrumpRx listing, Wegovy pen | $199 starting price | Routes to manufacturer pricing | [6] |
Novo announced that list price cut in February 2026 [7]. Compare all routes in semaglutide cost, Wegovy cost and Wegovy pill vs injection.
Pharmacies and health systems in Miami
Any of 70,000+ US pharmacies can apply Novo's cash price with its savings offer, NovoCare Pharmacy ships to the door, and partners include Costco, GoodRx and several telehealth firms [8]. If you pick the tablet, it goes down on an empty stomach with a small glass of plain water (4 ounces or less), and you wait 30 minutes before eating or taking other pills [9]. Some people find a weekly shot easier.
UHealth and Baptist Health South Florida are the big local systems [10][11]. Neither posts a nonsurgical weight program with prices that we could find, so ask their primary care or endocrine offices whether they prescribe Wegovy and how visits are billed. The Florida Board of Medicine licenses Miami physicians [12].
What the main trial found
Averaged across STEP 1, the 2.4 mg group was down 14.9% at 68 weeks against 2.4% for placebo, and 4.5% quit over stomach side effects (0.8% on placebo) [13]. Most of that loss came back within a year of stopping [14]. More on semaglutide results.
Label cautions
The boxed warning comes from thyroid C-cell tumors in rodents; MTC or MEN 2 in you or a relative rules semaglutide out. Lasting, severe belly pain may be pancreatitis. Allergic swelling, or lows while on insulin or a sulfonylurea, need quick care. Stop 2 months or more ahead of a planned pregnancy [9]. For emergencies, dial 911.
Clinic-compounded versions
Clinic-made semaglutide carries no FDA approval and gets no FDA review for safety, effectiveness or quality. FDA's 503A enforcement discretion for it ended in April 2025 [15], and the agency has flagged dosing errors with compounded vials [16]. Read compounded semaglutide explained.
Nearby pages
Fort Lauderdale semaglutide, Boca Raton, Orlando, Miami weight loss, semaglutide near me and the semaglutide guide.
Questions people ask
Which semaglutide product is cheapest in Miami?
The Wegovy tablet at 1.5 mg, $149 a month through NovoCare on October 17, 2026; the 4 mg is $199 and 9 or 25 mg is $299 [1].
What does a Wegovy pen cost a Miami cash buyer?
$349 a month at every standard strength. A newcomer pays $199 for each of the first two 0.25 or 0.5 mg fills until December 31, 2026 [1].
Does Florida Medicaid cover Wegovy for weight loss?
No. Florida does not cover GLP-1s for obesity under Medicaid, according to KFF's January 2026 review [4].
How common is obesity in Miami-Dade?
CDC PLACES estimated 29.5% of Miami-Dade adults had obesity in 2023 [3].
Do UHealth or Baptist Health post a price for medical weight loss?
Is the Wegovy list price falling?
Novo Nordisk plans a $675 monthly list price for Wegovy and Ozempic from January 1, 2027. List price is what insurers start from, not the cash price [7].
Sources
16 cited
- Wegovy self-pay offer. Novo Nordisk (NovoCare), accessed 2026-10-17.
- QuickFacts: Miami city, Florida. U.S. Census Bureau, V2025 estimates, accessed 2026-10-17.
- PLACES county estimates: Miami-Dade County, FL. CDC PLACES (2025 release, BRFSS 2023), 2025 release.
- Medicaid coverage of and spending on GLP-1s. KFF, Jan 16, 2026.
- Ozempic self-pay pricing. Novo Nordisk (NovoCare), accessed 2026-10-17.
- TrumpRx.gov. TrumpRx.gov (U.S. government), accessed 2026-10-17.
- Novo Nordisk announces US list price reduction for semaglutide medicines. Novo Nordisk via PR Newswire, Feb 24, 2026.
- Novo Nordisk launches introductory self-pay offer. Novo Nordisk via PR Newswire, Nov 17, 2025.
- Wegovy label. DailyMed, NLM, Jun 2026.
- University of Miami Health System. UHealth, accessed 2026-10-17.
- Baptist Health South Florida. Baptist Health South Florida, accessed 2026-10-17.
- Florida Board of Medicine. Florida Department of Health, accessed 2026-10-17.
- Florida Board of Medicine. Florida Department of Health, accessed 2026-10-17.
- Once-weekly semaglutide in adults with overweight or obesity (STEP 1). New England Journal of Medicine (PubMed), Feb 10, 2021.
- Weight regain after withdrawal of semaglutide (STEP 1 extension). Diabetes, Obesity and Metabolism (PubMed), May 19, 2022.
- FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize. U.S. Food and Drug Administration, Apr 1, 2026.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.