in 84 days LillyDirect self-pay — Foundayo™ (orforglipron) 2.5 mg moves to $199/month See the changelog
WalletNoise

Ozempic® (semaglutide) — 0.25 mg

Your cheapest verified route right now

verified price

$349 /month

NovoCare Pharmacy self-pay

First 2 fills at $199/month, then $349 — offer ends Dec 31, 2026

Verified Sep 25, 2026 · novocare.com

Your first 12 months
$3,888
Per year at 12 fills
$4,188
Dated change ahead: Retail list price (reference) moves from $1,028 to $675/month on January 1, 2027. Verified Sep 25, 2026 ·prnewswire.com
Ramp cost calculator

What the climb costs

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Both doses are yours to state, not ours to suggest. WalletNoise prices the schedule you describe and never recommends a dose, a target, or a pace — that is your prescriber's call.

12-month total $4,537 13 fills
Average per fill $349 peak $349
Flat at 0.25 mg $4,537 what multiplying today's price gives you

−$300 when the Ozempic Savings Offer applies to you. The first 2 fills of this plan are shaded on the chart below. Patients new to the Ozempic Savings Offer or NovoCare Pharmacy. Covers the 0.25 mg and 0.5 mg starting doses only — 1 mg and 2 mg are the standing price from the first fill. The total above assumes it does not apply, so it is never short.

Cost per fill, 0.25 mg to 0.25 mg
  • 0.25 mg 13×
$0 $200 $400 Jan 1: Retail list price (reference) — Ozempic® (semaglutide) moves to $675/month 0.25 mg — $349 0.25 mg — $199 under the introductory offer, $349 without it $349 Oct0.25 mg — $349 0.25 mg — $199 under the introductory offer, $349 without it Nov0.25 mg — $349 Dec0.25 mg — $349 Jan0.25 mg — $349 0.25 mg — $349 Feb0.25 mg — $349 Mar0.25 mg — $349 Apr0.25 mg — $349 May0.25 mg — $349 Jun0.25 mg — $349 Jul0.25 mg — $349 Aug0.25 mg — $349 Sep
  1. Jan 1 Retail list price (reference) — Ozempic® (semaglutide) moves to $675/month
  2. Already priced into the totals above — each fill uses the price in force on its own date. See the changelog
Every fill, dated and priced (13)
  1. 1 Oct 9, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  2. 2 Nov 6, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  3. 3 Dec 4, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  4. 4 Jan 1, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  5. 5 Jan 29, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  6. 6 Feb 26, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  7. 7 Mar 26, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  8. 8 Apr 23, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  9. 9 May 21, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  10. 10 Jun 18, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  11. 11 Jul 16, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  12. 12 Aug 13, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  13. 13 Sep 10, 2027 0.25 mg NovoCare Pharmacy self-pay $349
This is arithmetic, not a plan. Fills are spaced 28 days apart — the label's own supply length — and priced on the date each one falls, so dated price changes are already included. Your prescriber decides whether you step at all, and many people stay at a lower dose.
The label's own words (once weekly)

Initiate at 0.25 mg once weekly for 4 weeks; the pen and prefilled-syringe cartons label 0.25 mg "Initiation". After 4 weeks on the 0.25 mg dosage, increase to 0.5 mg once weekly. If additional glycemic control is needed after at least 4 weeks on the 0.5 mg dosage, it may be increased to 1 mg once weekly, and after at least 4 weeks on 1 mg, to 2 mg once weekly. Maximum 2 mg once weekly.

Verified Sep 15, 2026 ·novo-pi.com

Every route we can price

Verified prices outrank cheaper estimates. Reference rows inform, never win.

  1. Rank 1

    NovoCare Pharmacy self-pay

    $349/mo
    intro
    offer     Ozempic Savings Offer: first 2 fills at $199/month, then $349. Patients new to the Ozempic Savings Offer or NovoCare Pharmacy. Covers the 0.25 mg and 0.5 mg starting doses only — 1 mg and 2 mg are the standing price from the first fill. Offer ends Dec 31, 2026.
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Sep 25, 2026 · novocare.com

  2. TrumpRx

    reference verify locally
    $199/mo
    • Mirrors the NovoCare intro offer; ongoing price $349
    • Government referral site — does not sell drugs or process payments; issues coupons or routes to manufacturer DTC channels. Every figure it shows is a starting-at price — the site's own column is headed 'Lowest' — so it is a floor for the cheapest dose or intro offer, never a flat price.

    Verified Sep 16, 2026 · trumprx.gov

  3. Retail list price (reference)

    reference verify locally until Dec 31, 2026
    $1,028/mo
    • Context anchor only — what the drug costs with no route at all. Walk-in cash at retail typically exceeds WAC.

    Verified Sep 16, 2026 · trumprx.gov

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Not your situation?

The same dose, priced the other ways it can be paid for. Most people arrive unsure which of these they are in — and it changes the answer more than anything else on this page.

Paying cash — uninsured, or not using insuranceCommercial plan that covers itCommercial plan — denied or excludedMedicaid

Fighting a denial instead?

Coverage criteria and appeal routes, from the payers' own documents:

Aetna (CVS Health)Blue Cross Blue Shield Federal Employee Program (FEP)CVS CaremarkElevance Health / Anthem (CarelonRx)Express Scripts (Evernorth / Cigna)HumanaKaiser PermanenteMedicaid (state-by-state)Medicare (Part D + GLP-1 Bridge)Optum Rx (UnitedHealthcare)