What you’ll learn:
- The Wegovy® pill costs around $1,350 at full retail price, but Novo Nordisk offers direct cash pricing starting at $149 per month for lower doses.
- What you actually pay varies widely based on insurance coverage, savings programs, and dose level.
- Because drug pricing and manufacturer programs continue to shift, staying informed helps you decide whether the Wegovy® pill fits your budget.
GLP-1 medications have reshaped the way people approach weight loss, opening the door to options that didn’t exist a few years ago. It started with Ozempic®, a medication designed for diabetes that also led to significant weight loss—making it widely used off-label. In 2021, Wegovy® became the first semaglutide medication approved specifically for weight loss.
Until recently, Wegovy® was only available as a once-weekly injection. That changed in late 2025, when Wegovy® also became available as a daily pill—making it the first GLP-1 medication approved for weight loss in oral form. For people who prefer pills over injections, or who like the predictability of a daily routine, that shift is a meaningful one.
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Like the injectable version, the Wegovy pill contains semaglutide. It works by reducing appetite, slowing digestion, and helping regulate blood sugar—mechanisms that can make eating feel more manageable. And while it can be very effective, it needs to be taken in a very specific way and comes with the same side effect potential as the injection.
As with most GLP-1 medications, questions about effectiveness are closely followed by questions about cost. And despite being a pill, the Wegovy® oral version isn’t cheaper by default. Its list price is about $1,350 per month—similar to the injection—and insurance coverage remains limited. That said, there are some ways to reduce out-of-pocket costs, depending on your situation.
Here’s what to know about how much the Wegovy pill costs, what’s changed recently, and what to consider before deciding whether it fits into your weight-loss plan.
What is the Wegovy® pill?
The Wegovy® pill is a once-daily oral version of semaglutide, the same active ingredient used in the weekly Wegovy® injection. In other words, it’s the same medication delivered in a different way.
Semaglutide is a GLP-1 receptor agonist, which means it mimics GLP-1 (glucagon-like peptide-1), which your body naturally produces to regulate hunger and fullness. It works by activating receptors in the brain and gut that:
- Reduce appetite
- Slow digestion
- Regulate blood sugar
How do I take the Wegovy® pill?
While both the pill and the injection contain semaglutide and work in similar ways, how you take them is very different.
The Wegovy® pill is taken once daily, and how you take it matters more than it does with the injection, which is taken once a week.
You’ll need to take the pill first thing in the morning on an empty stomach, with no more than 4 ounces of water. After taking it, you’ll need to wait at least 30 minutes before eating, drinking anything else, or taking other medications. This timing helps your body absorb the medication properly.
The injectable version of Wegovy® doesn’t come with the same food or timing restrictions. You can inject it at any time of day, with or without food.
How much weight can you lose with the Wegovy® pill?
One of the biggest questions people have about the Wegovy® pill is whether it actually works as well as the injection. The short answer: it comes pretty close.
In a study, people taking the 25 mg dose (the Wegovy® pill’s highest dose) lost an average of about 14% of their body weight over 64 weeks. Results were similar to what’s been seen with the injectable version of Wegovy®.
Weight loss was even greater among people who took the medication consistently. About one in three lost 20% or more of their starting weight—an important benchmark for people who’ve struggled to see progress with other approaches.
Wegovy® pill: Cost and insurance considerations
Wegovy® pill pricing can look very different depending on whether you have insurance—and whether your plan covers it. Some people may pay as little as $25 per month with coverage and a manufacturer savings offer, while others pay the full list price or use Novo Nordisk’s self-pay options through NovoCare® Pharmacy. The snapshot below breaks down the most common payment scenarios, what they typically cost, and who each option is best suited for.
Pricing snapshot: Wegovy pill®
| Payment scenario | Estimated monthly cost | Who this is for |
|---|---|---|
| List price | $1,349 | People paying fully out of pocket without insurance or savings programs |
| With insurance coverage | As low as $25 (varies by plan) | People whose plans cover Wegovy® and allow manufacturer savings |
| With Wegovy® Savings Offer | As low as $25/month (max $100 savings/month) | Eligible patients with commercial insurance (not government plans) |
| Manufacturer direct pricing (self-pay) | $149/month for 1.5 mg and 4 mg $299/month for 9 mg and 25 mg | People choosing to self-pay through NovoCare® Pharmacy |
Weogvy® pill: Insurance coverage
Is the Wegovy pill ever covered by insurance? It depends. Insurance coverage for weight management medications is still limited. Here’s what you need to know about different types of insurance.
Commercial insurance
Some commercial insurance plans do cover Wegovy®—including the pill—but coverage is not standardized and often comes with strict requirements. Most plans that cover it require prior authorization and have specific eligibility criteria related to BMI, health history, or prior weight-loss attempts.
At the same time, some insurers are becoming more restrictive or changing coverage year to year. Because of that variability, it’s important to contact your insurance carrier directly or review your plan documents before assuming Wegovy® will be covered.
Wegovy® pill: Medicare and Medicaid
Government insurance programs traditionally haven’t covered medications solely for weight loss, but the rules are changing.
- Medicare: Medicare Part D can now cover Wegovy® for its cardiovascular benefits and MASH, potentially helping millions of beneficiaries. But coverage for weight loss alone remains limited.
- Medicaid: Coverage depends on your state. Only 13 state programs covered GLP-1s for weight loss as of January 2026. Budget pressures have led some states to reduce or eliminate coverage entirely.
How much does the Wegovy® pill cost with insurance?
If you are covered by insurance, what you pay for the Wegovy® pill will depend on your insurance plan, dose, and whether you qualify for a manufacturer savings program.
What is the Wegovy® savings offer?
One of the main support programs is the Wegovy® savings offer. This is a discount from the drug manufacturer for people who qualify based on their insurance type and how Wegovy® is being prescribed. When it applies, the savings offer can help lower the amount you pay out of pocket at the pharmacy.
How the Wegovy® savings offer can lower your cost
If you have commercial insurance (insurance you get through an employer or that you buy on your own from a private company), the Wegovy® savings offer can sometimes lower your monthly cost to as little as $25.
But there are limits. The card has a maximum savings of $100 per month. That means it will only cover up to $100 of your out-of-pocket cost each month. For example, if your insurance leaves you with a $200 copay, the savings card could take off $100, and you’d pay $100.
The Wegovy® savings card is meant for:
- People with commercial (non-government) insurance coverage of Wegovy.
The Wegovy® Savings Card can’t be used with:
- Medicare plans
- Medicaid plans
- TRICARE, VA, or other government-funded insurance programs
If it’s not clear which group you fall into, it can help to call the number on the back of your insurance card or talk with your pharmacy so they can check your specific coverage and savings options.
How to use the savings offer
Using the Wegovy® savings card is fairly simple and only takes a few steps:
- Visit the official Wegovy® savings page on the manufacturer’s website
- Enroll and download the savings offer to your phone or print it
- When filling your prescription at a retail pharmacy, show both your insurance card and savings card
- Ask the pharmacist to apply the savings card after insurance, using the BIN, PCN, and Group codes on the card
That’s it. If anything looks off on your receipt, it’s okay to ask the pharmacist to double-check that the savings card was applied correctly.
For the most up-to-date pricing details, eligibility rules, and current offers, you can check the official Wegovy® pricing and savings guide. Programs and prices can change, so it’s a helpful place to confirm what applies to you right now.
How to get a Wegovy® pill prescription for weight loss
To get a prescription for the Wegovy® pill, you’ll need to connect with a healthcare provider—either in person or online. You’ll also need to meet specific criteria to qualify.
- Who can prescribe the Wegovy® pill? Primary care doctors, endocrinologists, and obesity medicine specialists can all evaluate whether the Wegovy® pill is right for you. Many telehealth platforms and virtual weight-loss programs also offer evaluations and prescriptions for those who meet the criteria.
- Who qualifies for the Wegovy® pill? The Wegovy® pill is typically prescribed to people with a BMI of 30 or above, or a BMI of 27 or above with at least one weight-related health condition like high blood pressure or high cholesterol.
- How to get a Wegovy® pill prescription online? If you qualify for Noom Med, one of our licensed clinicians can review your medical history and prescribe the Wegovy® pill if it’s appropriate for you. You’ll then fill your prescription at a pharmacy of your choice.
Where to get the Wegovy® pill
Once you have a prescription, your choice of pharmacy can affect your monthly cost. The medication is now widely available through multiple channels.
- Major pharmacy chains: Wegovy® pills are available at over 70,000 U.S. pharmacies, including CVS, Costco, Walgreens, and Walmart. Warehouse stores like Costco often offer competitive pricing. Call ahead to confirm availability.
- Manufacturer pharmacy: NovoCare® Pharmacy, Novo Nordisk’s direct-to-patient service, offers home delivery with the lowest cash prices. Free shipping is available.
Wegovy® pill: Cost without insurance
If you’re paying out of pocket, where you fill your prescription really does matter. Cash prices for the Wegovy® pill can vary by hundreds of dollars from one pharmacy to another.
Many of the price estimates you’ll see online come from GoodRx, which tracks self-pay prices and often includes coupons. The pharmacies listed below currently use the NovoCare® Pharmacy coupon, which is a manufacturer-supported cash/self-pay option.
NovoCare Pharmacy prescriptions are processed outside of insurance. That means insurance isn’t accepted, and what you pay won’t count toward your deductible or out-of-pocket maximum.
It’s also worth noting that NovoCare Pharmacy pricing, discounts, and eligibility rules can change, and availability may vary by location. Before filling your prescription, it’s smart to check the most current NovoCare details and compare them with cash prices at local pharmacies to see which option makes the most sense for you.
| Retailer / Pharmacy | Cash price (est.) | Insider tip |
|---|---|---|
| Costco | $149 – $299 | You don’t need a membership to use the pharmacy. Prices can vary by location, so call the pharmacy counter to confirm before filling. |
| Walmart | $149 – $299 | Ask the pharmacist if any in-store discounts or cash-price adjustments apply, especially if you’re not using insurance. |
| CVS / Walgreens | $149 – $299 | Always show a coupon (like GoodRx or SingleCare) before checkout—prices often drop only after the coupon is applied. |
| Amazon pharmacy | $149 – $299 | Good option if you want home delivery, but double-check turnaround times and whether coupons apply to your order. |
Disclaimer: Prices are estimates and may vary by location.
Wegovy® pill: Understanding NovoCare Pharmacy pricing
If you’re paying without insurance, one of the most affordable ways to fill a Wegovy® pill prescription is through Novo Nordisk’s NovoCare® Pharmacy or a retail pharmacy that partners with NovoCare. This option gives people access to the manufacturer’s set pricing for each dose.
Early doses of the Wegovy® pill are priced lower, which can make the first few months more affordable. As your dose increases, the monthly cost typically rises—reflecting how the manufacturer structures pricing by dose rather than by time on the medication.
Dosing for the Wegovy® pill starts at the lowest dose and increases gradually, usually about once per month. Your clinician will work with you to find the dose that supports steady weight loss—often around 1 to 2 pounds per week—while minimizing side effects.
Because pricing varies by dose, your out-of-pocket cost may change as you move up. Knowing when dose increases are scheduled can help you anticipate shifts in monthly cost and plan refills accordingly, especially if you’re paying cash.
| Dose | Self-pay cash price |
|---|---|
| 1.5 mg (starter dose) | $149 per month (ongoing) |
| 4 mg (second dose) | $149 per month through April 15, 2026 $199 per month after April 15, 2026 |
| 9 mg | $299 per month |
| 25 mg (maximum dose) | $299 per month |
Tips to reduce Wegovy® pill costs without insurance
- Start with NovoCare Pharmacy for manufacturer pricing. The manufacturer-affiliated pharmacy offers the lowest cash prices, starting at $149 per month.
- Use pharmacy discount programs and coupons. GoodRx and similar programs can lower costs at retail pharmacies by several hundred dollars.
- Apply for the Novo Nordisk Patient Assistance Program. If your household income meets requirements, you may qualify to receive Wegovy® at no cost.
- Pay with your HSA or FSA. When prescribed for a medical condition, you can use these pre-tax accounts. Save receipts and prescriptions for HSA/FSA claims and tax deductions.
- Ask for a 90-day supply. Many programs offer better deals on three-month supplies.
Wegovy® pill vs the injection: Cost differences
The Wegovy® pill and injection use the same active ingredient (semaglutide). The main differences are how they are taken (daily pill vs once-weekly injection) and how the pricing programs work.
| Form | FDA‑approved uses | Doses and pricing |
|---|---|---|
| Wegovy® pill (semaglutide tablets) | Weight loss, heart disease | Retail: $1,349* NovoCare Pharmacy: Pill: $149: 1.5 mg $149–$199: 4 mg $299: 9 mg and 25 mg |
| Wegovy® injection (semaglutide injection) | Weight loss, heart disease, and metabolic-associated steatohepatitis (MASH) | Retail: $1,349* NovoCare Pharmacy: Pen: $199: 0.25 mg and 0.5 mg $349: 1 mg, 1.7 mg, and 2.4 mg |
**Self‑pay and savings offers can change, have specific start and end dates, and include rules about who is eligible. They usually cannot be combined with insurance, and what someone actually pays can be different based on location, pharmacy, and current manufacturer terms. It’s important to check the most up‑to‑date details on the official Wegovy® or NovoCare® sites before making a decision.
Frequently asked questions about the cost of the Wegovy® pill
Costs for the Wegovy® pill can vary widely, depending on where you fill your prescription and whether you use manufacturer pricing or discounts. These FAQs break down the most common questions so you can see your options at a glance.
What is the cheapest way to get the Wegovy® pill without insurance?
Right now, the lowest cash prices for the Wegovy® pill come through NovoCare Pharmacy’s self-pay program.
For the Wegovy® pill, NovoCare Pharmacy self-pay prices are:
- 1.5 mg dose: $149 per month
- 4 mg dose: $149 per month through April 15, 2026, then $199 per month
- 9 mg dose: $299 per month
- 25 mg dose: $299 per month
This program is for self-pay only. Prescriptions are processed outside of insurance, so you can’t use insurance with them. The amount you pay will not count toward your deductible or out-of-pocket maximum, and it usually can’t be combined with other coupons or discount cards.
Does the $25 coupon work if I have no insurance?
No. The Wegovy® savings offer is only for people with eligible commercial insurance.
How much is the Wegovy® pill out of pocket?
Without insurance, you’ll pay around $1,349 at retail pharmacies. NovoCare Pharmacy offers manufacturer pricing from $149 to $299 per month, depending on dose.
Does Noom Med cost include the Wegovy® pill?
No, Noom Med’s program fee includes clinician consultations, side effect tracking, the behavior change program, our exclusive GLP-1 Companion, and a Care Team. You’ll also get access to all of Noom’s tools like food logging, exclusive on-demand workouts, and an active community. Medication costs are separate, but you will be able to fill your prescription at the pharmacy of your choice.
Can I get the Wegovy® pill for free?
The Novo Nordisk Patient Assistance Program (PAP) is a manufacturer program that provides certain Novo Nordisk medicines at no cost to people who meet specific income and insurance requirements. Right now, the Wegovy® pill is not included on the current product list for PAP. That means it cannot be obtained through PAP at this time. That said, the Wegovy® pill could potentially be added in the future, so it may help to check back periodically. In general, to qualify, you need to:
- Live in the U.S. as a citizen or legal resident
- Have a household income below a set limit based on Federal guidelines
- Have Medicare or no insurance (people with private or commercial insurance are not eligible)
- Not be enrolled in or eligible for other government programs like Medicaid, Medicare, Low Income Subsidy (Extra Help), or VA benefits
The list of covered medicines, income limits, and rules can change, so it’s important to check the most current PAP information and product list on the Novo Nordisk or NovoCare site and follow their application steps with a healthcare provider.
Is there a generic version of the Wegovy® pill?
No, there’s no generic equivalent available.
The bottom line: Wegovy® pill costs will vary
The new Wegovy® pill offers another option for people who want GLP-1 support but prefer a daily tablet over a weekly injection. Like the injectable version, the pill contains semaglutide and has the same list price. What you actually pay can vary depending on how you access it—through insurance, a manufacturer savings program, or a cash-pay pharmacy.
Although the list price is about $1,350 per month, many people pay less. Insurance coverage, savings programs, and where you fill your prescription all play a role in determining your final out-of-pocket cost. Understanding these options can make a meaningful difference.
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If you qualify, Noom Med can connect you with a licensed clinician who reviews your health history, discusses treatment options, and prescribes Wegovy® when appropriate. That clinical guidance is paired with ongoing support to help you choose an approach that aligns with both your health goals and your budget.
A Noom Med subscription also includes a personalized GLP-1 Companion to support you throughout your medication journey, with practical tools and lessons on protein and nutrition, strength-focused workouts to support muscle, and clear guidance for managing side effects.
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