Typical Cost Without Insurance
Wegovy (semaglutide) lists at $1,349.02 for a 28-day supply of one 2.4 mg pen at most U.S. pharmacies, per manufacturer pricing data.[1] Patients without coverage pay this full wholesale price, though some use Novo Nordisk's savings card for up to $225 off per month (max 13 fills).[2]
With Insurance or Coverage Options
Commercial insurance often covers 50-100% after deductibles, dropping out-of-pocket to $25-$100 monthly for many, but coverage varies by plan—pre-authorization is common due to weight-loss indications.[3] Medicare Part D typically denies it for obesity (covers diabetes-related use via Ozempic), leaving patients to pay full price or seek alternatives.[1][4]
How NovoCare Savings Lowers Costs
Eligible uninsured or underinsured patients pay as little as $0-$499 for a 28-day supply via the Wegovy Savings Offer, based on pharmacy and income. Apply online; not valid where prohibited by law.[2]
Factors Driving Price Variation
Prices fluctuate by pharmacy (e.g., $1,300 at Walmart vs. $1,400+ elsewhere), dose strength, and location—urban areas may see slight discounts.[1] Shortages have pushed some to pay $1,500+ on short notice. Compounded semaglutide versions from telehealth providers cost $199-$400 monthly but lack FDA approval and carry risks.[5]
Compared to Ozempic and Zepbound
Ozempic (same drug, diabetes label) matches Wegovy's $1,350 list but gets better insurance uptake. Zepbound (tirzepatide) lists at $1,060-$1,100, often cheaper out-of-pocket with Eli Lilly coupons up to $550 off.[1][6]
When Does Cheaper Competition Arrive?
Wegovy's main composition-of-matter patent expires in 2032, with others to 2036—delaying generics until late 2030s amid ongoing lawsuits.[7] No FDA-approved generics yet; biosimilars unlikely soon.
[1]: Drugs.com - Wegovy Prices
[2]: NovoCare - Wegovy Savings
[3]: GoodRx - Wegovy Coupons
[4]: CMS - Medicare Coverage for GLP-1s
[5]: FDA - Compounded Semaglutide Warnings
[6]: GoodRx - Zepbound Prices
[7]: DrugPatentWatch - Wegovy Patents