Last updated: March 2026
How Much Does Wegovy (Semaglutide) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Wegovy 0.25mg (month 1) | $1,350 – $1,350 | $25 – $250 |
| Wegovy 1mg (month 3) | $1,350 – $1,350 | $25 – $350 |
| Wegovy 2.4mg (maintenance) | $1,350 – $1,350 | $25 – $500 |
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: Growing coverage; prior auth for BMI ≥30 or ≥27 with comorbidities
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: ~$1,350/month. Compounded semaglutide: $199-$399/month. Novo Nordisk savings programs available for eligible patients.
Increasingly yes. Many commercial plans cover with prior auth. Medicare does not cover weight loss drugs.
Zepbound (tirzepatide) may produce slightly more weight loss (20-25%) vs Wegovy (15-17%). Individual results vary.