Last updated: March 2026
How Much Does Compounded Semaglutide Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Hims Compounded Semaglutide | $199 – $399 | $199 – $399 |
| Ro Compounded Semaglutide | $199 – $349 | $199 – $349 |
| Henry Meds Compounded | $149 – $399 | $149 – $399 |
| Other Telehealth Providers | $150 – $399 | $150 – $399 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Not covered by insurance
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Same active ingredient, different source. Made by a compounding pharmacy, not Novo Nordisk. Legal during shortage periods.
Compounded: $199-$399/month vs. brand Ozempic: $935/month or Wegovy: $1,350/month. Savings of 60-85%.
Yes. Telehealth providers include the consultation and prescription in their pricing. You'll have a video or questionnaire-based evaluation with a licensed provider.