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

Wegovy® tablets (oral semaglutide) — 4 mg

Your cheapest verified route right now

verified price

$199 /month

NovoCare Pharmacy self-pay

Verified Sep 25, 2026 · novocare.com

Per year at 12 fills
$2,388
Medicaid coverage of GLP-1s for obesity is state-by-state (13 states as of Jan 2026). See the Medicaid policy page for the current picture and your appeal rights.
Before your next appointment: at 9 mg your cheapest route (NovoCare Pharmacy self-pay) goes to $299/month — $100/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 28, 2026 ·novocare.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 $1,938 12 fills
Average per fill $161.50 peak $199
Flat at 4 mg $2,388 what multiplying today's price gives you
Climbing saves $450 lower doses cost less on the way up
Cost per fill, 1.5 mg to 4 mg
  • 1.5 mg 9×
  • 4 mg 3×
$0 $100 $200 1.5 mg — $149 Oct1.5 mg — $149 Nov1.5 mg — $149 Dec1.5 mg — $149 Jan1.5 mg — $149 Feb1.5 mg — $149 Mar1.5 mg — $149 Apr1.5 mg — $149 May1.5 mg — $149 Jun4 mg — $199 $199 Jul4 mg — $199 Aug4 mg — $199 Sep

Fills at each dose on the way up

Reset to the label minimum
  • 1.5 mg −9 +
  • 4 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 (12)
  1. 1 Oct 9, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  2. 2 Nov 8, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  3. 3 Dec 8, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  4. 4 Jan 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  5. 5 Feb 6, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  6. 6 Mar 8, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  7. 7 Apr 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  8. 8 May 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  9. 9 Jun 6, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  10. 10 Jul 6, 2027 4 mg NovoCare Pharmacy self-pay $199
  11. 11 Aug 5, 2027 4 mg NovoCare Pharmacy self-pay $199
  12. 12 Sep 4, 2027 4 mg NovoCare Pharmacy self-pay $199
This is arithmetic, not a plan. Fills are spaced 30 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 daily)

Table 2 of the prescribing information: 1.5 mg once daily for days 1 through 30, 4 mg for days 31 through 60, 9 mg for days 61 through 90, and the 25 mg maintenance dosage from day 91 onward. If a dose is not tolerated during escalation, the label says escalation may be delayed. Take one tablet on an empty stomach in the morning with up to 4 ounces of water, swallowed whole, and wait at least 30 minutes before eating, drinking or taking other oral medicines.

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

    $199/mo
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Sep 25, 2026 · novocare.com

  2. Rank 2

    Discount card at retail (GoodRx and similar)

    verify locally
    $199/mo
    • GoodRx's launch pricing held 4 mg at $149 through Apr 15, 2026 only; NovoCare's own $149 on this dose ran to Aug 31, 2026, so the two channels stepped up on different dates
    • Dose- and pharmacy-dependent. Verify at your ZIP before relying on it.

    Verified Sep 5, 2026 · investors.goodrx.com

  3. TrumpRx

    reference verify locally
    $149/mo
    • Routes to NovoCare
    • 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

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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 itCommercial plan — denied or excludedMedicare

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)