Get matched in 30 sec

GLP‑1 cost calculator (2026): your real monthly price

Find your real GLP-1 cost per month. Set your drug and coverage to compare cash programs, savings cards and Part D, each with a source.

Step 1 of 3
Do you have health insurance?
$448 a month

Sesame Care charges $99 a month for the doctor visit. You buy Wegovy on top, for about $349 a month through NovoCare Pharmacy or TrumpRx.

Cheapest program we recommend
Sesame Care
8.2/10Good
  • $99 a month
  • Doctor visit included
  • Medication extra, about $349 a month
Visit Sesame CareSee the cheapest Wegovy programs
Read the Sesame Care review

Buy it through Sesame Care. $99 a month for the doctor visit, plus $349 a month for the medication through NovoCare Pharmacy or TrumpRx. $349 at 0.25–2.4 mg and $399 at 7.2 mg for the Wegovy HD pen. $199 at 0.25–0.5 mg for a new patient’s first two fills, through Dec 31, 2026.

Other ways to pay

Pharmacy list price, with no program$1,349 a month

What the same fill costs at the counter with no cash program.

Source: novocare.com (Wegovy list price), Oct 25, 2026Pay less than the list price

How this calculator works

Manufacturer prices come from the makers' own cash programs: NovoCare, LillyDirect and TrumpRx. Coverage figures come from CMS and the savings card terms. Program prices come from our register of online programs, checked against each program's own checkout. Each figure names its source and the date we checked it.

The math is simple. The monthly cost is the published price for a 28–30 day fill. The 12-month cost is that price times 12, with no discount.

Limits: savings card terms change each year and cap the yearly benefit. Starting prices, such as $199 for the first two Wegovy fills or $299–$449 for Zepbound by dose, depend on the program's rules. Medicaid coverage changes by state. Program prices change often, so check the price at checkout.

Cost questions

Almost nobody pays list. Manufacturer cash programs sell the same pens, vials and tablets for $149–$499 a month, savings cards cap commercial copays near $25, and online programs sell compounded semaglutide for less than $100 a month. List price mostly matters when you leave a program’s rules.

No. Federal anti-kickback law bars manufacturer copay cards on Medicare, Medicaid and Tricare. Medicare patients qualify instead for the $50 a month GLP-1 copay program phased in during 2026, or can pay cash through NovoCare, LillyDirect or TrumpRx. Pure cash programs are allowed.

We show the cheapest program we recommend for your answers. A program must score at least 7.5 out of 10 in our review, sell your medication on a live plan at a price we verified, and have no open critical safety flag. A company that runs two storefronts counts once. We rank on what you really pay each month: where a plan leaves the medication out, we add the maker’s price for it. Some links pay us a fee. The fee does not change the order.

Program prices include the visit, and most include the medication too. Each card says when the medication is extra. Manufacturer programs (NovoCare, LillyDirect, TrumpRx) price the medication only. You still need a prescription, from your own doctor or from an online program.

Semaglutide’s negotiated Medicare price, announced near $274 a month, starts on January 1, 2027. With the 2026 $50 copay program, what you pay should fall further. Final CMS guidance is still pending.

Usually, but the gap is smaller. Compounded programs run about $59–$199 a month. Brand-name cash prices are $149–$299 (Wegovy tablets), $299–$449 (Zepbound) and $349 (Wegovy pen). Compounded supply depends on pharmacies that work within FDA rules, so check the program’s safety record first.
This calculator explains published prices and program terms. It does not replace your prescription, your plan documents or advice from a licensed clinician.
Data sources
  1. 1.
    FDA prescribing informationThe labels for every product a tool names, on the label holder’s own sitedailymed.nlm.nih.gov
  2. 2.
    Manufacturer cash programsNovoCare, LillyDirect and TrumpRx published self-pay pricestrumprx.gov
  3. 3.
    CMS NADACNational Average Drug Acquisition Cost, weekly filedata.medicaid.gov

NADAC figures are pharmacy acquisition costs, not retail prices and not what you will pay. This content is educational and is not medical advice.

The data behind this tool
Best online GLP-1 programs
The cheapest GLP-1 programs online without insurance
40 of 103 GLP-1 packages have a federal acquisition cost, priced per pen