Last updated: March 2026
How Much Does Ozempic (Semaglutide) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Ozempic 0.25mg/0.5mg pen | $935 – $935 | $25 – $100 |
| Ozempic 1mg pen | $935 – $935 | $25 – $125 |
| Ozempic 2mg pen | $935 – $935 | $25 – $150 |
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: Most plans cover for type 2 diabetes at preferred brand copay
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
List price: $935.77/month. Compounded semaglutide: $199-$399/month. NovoCare patient assistance: free for qualifying uninsured.
Both contain semaglutide. Ozempic is for diabetes (max 2mg/week). Wegovy is for weight loss (2.4mg/week). Insurance coverage differs.
Usually not — Ozempic is only FDA-approved for diabetes. Wegovy is the approved weight loss version.