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

Wegovy® (semaglutide injection) — 0.5 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
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.
Dated change ahead: Retail list price (reference) moves from $1,349 to $675/month on January 1, 2027. Verified Sep 25, 2026 ·prnewswire.com
Plan the whole climb, not just this month Price every fill between any two doses, over 3 to 24 months, on the dates each one actually falls. Dated price changes are already in the arithmetic. Calculate ramp cost

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     NovoCare introductory offer: first 2 fills at $199/month, then $349. Patients new to NovoCare Pharmacy. Covers the 0.25 mg and 0.5 mg starting doses only — every higher dose is 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. Rank 2

    Discount card at retail (GoodRx and similar)

    verify locally
    $349/mo
    intro
    offer     GoodRx introductory cash price: first 2 fills at $199/month, then $349. Patients new to GoodRx's semaglutide cash pricing. Covers the 0.25 mg and 0.5 mg starting doses only — every higher dose is the standing $349 from the first fill. GoodRx announced the offer on 2025-11-17 in partnership with Novo Nordisk; this row starts on the day the corpus begins tracking this route's standing price, because an introductory price has nothing to discount before then. GoodRx publishes no end date.
    • The ongoing price for the injection
    • Dose- and pharmacy-dependent. Verify at your ZIP before relying on it.

    Verified Sep 8, 2026 · goodrx.com

  3. 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

  4. Retail list price (reference)

    reference verify locally until Dec 31, 2026
    $1,349/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)