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

Ozempic® (semaglutide) — 1 mg

Your cheapest verified route right now

verified price

$349 /month

NovoCare Pharmacy self-pay

Verified Sep 25, 2026 · novocare.com

Per year at 12 fills
$4,188
A plan exclusion is not the end. Under ACA rules you have 180 days to appeal, and secondary indications (sleep apnea for Zepbound, cardiovascular risk for Wegovy) run through different criteria. See your PBM's policy page.
Before your next appointment: at 2 mg your cheapest route (NovoCare Pharmacy self-pay) goes to $499/month — $150/month more than your current dose. WalletNoise shows the cost of a dose change, never whether to make one — that's your prescriber's call. Verified Sep 25, 2026 ·novocare.com
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

Close

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 1 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 1 mg
  • 0.25 mg 9×
  • 0.5 mg 1×
  • 1 mg 3×
$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 May0.5 mg — $349 Jun1 mg — $349 Jul1 mg — $349 Aug1 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

Fills at each dose on the way up

Reset to the label minimum
  • 0.25 mg −9 +
  • 0.5 mg 1 +
  • 1 mg then hold

Minus stops at the label's minimum interval — this never shows a schedule faster than the manufacturer's. Staying longer on a dose is yours to choose.

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 0.5 mg NovoCare Pharmacy self-pay $349
  11. 11 Jul 16, 2027 1 mg NovoCare Pharmacy self-pay $349
  12. 12 Aug 13, 2027 1 mg NovoCare Pharmacy self-pay $349
  13. 13 Sep 10, 2027 1 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
    • The $199 x 2-fill intro does NOT reach this dose — it covers 0.25 mg and 0.5 mg only
    • 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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Markdown Summary

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 itMedicareMedicaid

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)