What you’ll learn:
- Victoza® is a GLP-1 receptor agonist that is FDA-approved to manage type 2 diabetes and to prevent heart disease, and is occasionally prescribed off-label for weight loss.
- Victoza® has a counterpart medication called Saxenda® that is FDA-approved for weight management. It also had a generic equivalent.
- What Victoza® will cost you can vary significantly depending on your insurance coverage and what it is prescribed for.
Ozempic® may have brought GLP-1 medications into the spotlight, but it wasn’t the first. Victoza®—approved back in 2010—paved the way as one of the earliest GLP-1 receptor agonists for managing type 2 diabetes. Like Ozempic®, it helps regulate blood sugar and reduce appetite, and is sometimes prescribed off-label for weight loss. Its active ingredient, liraglutide, works similarly to semaglutide (the ingredient in Ozempic®), but with key differences in how it’s dosed and prescribed.
While Victoza® is primarily used for blood sugar control, some providers also recommend it for weight loss. This is rare, though, because it has a sister medication called Saxenda® that is FDA-approved for weight loss. Saxenda® is more likely to be recommended if a person doesn’t have diabetes.
As with most GLP-1 medications, one of the challenges of Victoza® is that it can be pricey, and insurance coverage isn’t always clear-cut. Costs can vary widely depending on what it is prescribed for, your insurance plan, and whether you’re eligible for manufacturer savings or discount programs.
In this guide, we’ll break down everything you need to know about what Victoza® might cost, from insurance coverage and out-of-pocket costs to ways you can save.
What is Victoza® and what is it used for?
Victoza® is a GLP-1 receptor agonist that was originally approved by the FDA to treat type 2 diabetes, but doctors soon noticed something interesting—many patients taking Victoza® were also losing weight.
That’s because Victoza® works in multiple ways:
- It slows digestion, keeping food in your stomach longer so you feel fuller.
- It regulates blood sugar, preventing sudden spikes and crashes that can lead to hunger.
- It affects appetite signals in the brain, reducing cravings and overall food intake.
Victoza® is also prescribed for other conditions beyond weight loss and diabetes. Research suggests it may also support PCOS, kidney health, and heart health.
- PCOS: Studies show that liraglutide’s effect on weight can improve menstrual regularity, fertility, and insulin resistance in women with PCOS.
- Kidney health: The LEADER trial and other studies suggest liraglutide may reduce proteinuria (excess protein in urine) and slow kidney function decline in people with diabetic nephropathy. GLP-1 receptor agonists, including Victoza®, have shown potential to protect against worsening kidney disease.
- Heart health: Victoza® has been clinically proven to reduce the risk of major cardiovascular events (like heart attack and stroke) in people with type 2 diabetes and existing heart disease. This cardioprotective effect makes it a preferred option for people at higher cardiovascular risk.
Lose 48% more weight
with Noom than just meds alone
What factors affect the cost of Victoza®?
The cost of Victoza® can vary widely depending on several factors, including insurance coverage, pharmacy pricing, and available discounts. Here’s a closer look at what influences the price:
- Insurance coverage: The biggest factor affecting the cost is whether you have private insurance, Medicare, or Medicaid. Some plans may cover Victoza® fully or partially for diabetes, while others may require a high copay or prior authorization. It is rarely covered for weight loss.
- Pharmacy and location: Different pharmacies set their own prices, so costs can vary between retail locations. Online and mail-order pharmacies may also offer different prices.
- Manufacturer discounts and savings programs: Novo Nordisk, Victoza®’s manufacturer, offers patient assistance programs that can significantly reduce out-of-pocket costs for people who are eligible.
- Generic alternatives: In 2024, Teva Pharmaceuticals introduced a generic version of liraglutide, offering a potentially lower-cost alternative. We’ll go through its costs in more detail.
How much does Victoza® cost with insurance?
While Victoza®‘s listed price tag sits between $800 and $1,400 per month, that doesn’t necessarily reflect what you’ll pay with insurance. Your final cost is influenced heavily by your insurance provider, your plan’s coverage, and whether it’s prescribed for type 2 diabetes or weight management, leading to significant variations.
- Private Insurance: Most private insurance plans cover Victoza® for diabetes, but prior authorization is often required. This means your doctor must confirm the medical necessity with your insurer. Out-of-pocket costs vary, with some plans offering fixed copays and others requiring you to pay a percentage of the retail price. Many insurers prefer covering generic liraglutide, which may lower your costs.
- Medicare (Part D & Advantage Plans): Medicare Part A and Part B don’t cover Victoza®, but Medicare Part D and Medicare Advantage plans may include it under prescription drug coverage. Each Part D plan has its own list of covered medications. Coverage, copays, and out-of-pocket costs will vary based on your plan’s tier system and pharmacy network. In some cases, Victoza® may be fully covered when prescribed as a medically necessary treatment, while other plans require a copayment. Medicare does not cover medications used solely for weight loss.
- Medicaid (varies by state): Victoza® is covered by most state Medicaid programs when prescribed for type 2 diabetes. Coverage for weight loss varies by state. Medicaid programs aren’t required to cover medications used specifically for that purpose. To confirm coverage details, check your state’s Medicaid-covered medication list.
- Veterans Affairs (VA) and other government plans: The VA has a list of medications it usually covers, but Victoza® isn’t on that list. That means veterans can still get them, but only if a VA doctor approves them through a special request. TRICARE covers most FDA-approved prescription drugs but doesn’t cover medications used for weight management.
The best way to get a clear idea of what you’ll pay is to talk with your insurance provider. See if your plan is Victoza®-friendly.
Can you get Victoza® for free with insurance?
It’s rare to get Victoza® entirely for free. Novo Nordisk doesn’t offer savings cards or coupons for Victoza® to people with commercial insurance. You can visit the NovoCare website to check if your plan covers Victoza® and see your estimated cost. Again, this will be for the treatment of diabetes, not weight loss.
How much does Victoza® cost without insurance?
If you’re paying out of pocket, the cost of Victoza® depends on the dose you’re taking and how many pens you’ll need each month. Each Victoza® pen contains 18 mg of liraglutide, and how long that lasts depends on your daily dose.
Here’s a breakdown of the list prices:
- 2-pen package: Around $544 (total of 36 mg; enough for 1-2 months for 0.6 mg or 1.2 mg dose per day)
- 3-pen package: around $815 (total of 54 mg; enough for 1 month if you’re taking the full 1.8 mg daily dose)
At the lowest dose (0.6 mg), one pen might last up to 30 days. At the highest dose (1.8 mg), each pen lasts about 10 days, so you’ll go through three per month.
If you don’t have insurance or you’re on Medicare, check out Novo Nordisk’s Patient Assistance Program—you may qualify for free medication if you meet the income and coverage requirements.
Tips to reduce Victoza® costs without insurance
Victoza® can be expensive without insurance, but there are ways to cut costs or find a more affordable option. Whether it’s using discounts, switching to a generic, or finding assistance programs, here’s how you can save:
- Compare pharmacy prices. Prescription costs can vary widely depending on where you fill your prescription. Checking different pharmacies and using discount programs may help you find a lower price.
- Ask about generic liraglutide. The generic version of liraglutide, made by Teva Pharmaceuticals, contains the same active ingredient but typically costs less. Many pharmacies and insurance plans prefer the generic option, making it a budget-friendly alternative.
- Look into patient assistance programs. Novo Nordisk’s Patient Assistance Program (PAP) may provide free Victoza® to people who meet income criteria.
- Break down the cost per dose. The 2-pen package (0.6 mg & 1.2 mg doses) costs around $543, while the 3-pen package (1.8 mg dose) costs about $815. Depending on your prescribed dose, buying in bulk or using a mail-order pharmacy might lower the long-term expense. Keep in mind that each Victoza® pen contains 18 mg of medication. At lower doses, a single pen may last 30 days, while at the highest dose, each pen typically lasts about 10 days.
How to get a Victoza® prescription for weight loss
Victoza® is FDA-approved for type 2 diabetes, but some doctors prescribe it off-label for weight loss. If you’re thinking about using Victoza® for this purpose, here’s what you need to know:
- Who can prescribe Victoza®, and how do you get it? Doctors, nurse practitioners, and physician assistants can prescribe Victoza®.
- Can I get a prescription for Victoza® online? Yes, you can get a prescription for Victoza® online through licensed telehealth services. Noom Med is one option—if you qualify, a licensed clinician will complete a brief evaluation and prescribe Victoza® (or an alternative GLP-1 medication) if medically appropriate. Once prescribed, you can fill your prescription at your preferred pharmacy.
- Can you take Victoza® if you don’t have diabetes? Some doctors prescribe it off-label for weight management in people who aren’t diabetic or prediabetic. Insurance likely won’t cover it for this use, so you may have to pay out of pocket.
Who shouldn’t take Victoza®?
Victoza® isn’t safe for everyone, especially for people who have certain preexisting conditions or a family history of certain conditions.
You shouldn’t take Victoza® if you:
- Have a personal or family history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).
- Have had a severe allergic reaction to liraglutide or any of its ingredients.
- Are pregnant, planning to become pregnant, or are breastfeeding.
Your doctor will assess whether Victoza® is right for you if you have a history of:
- You have pancreatitis or a history of severe gastrointestinal issues.
For full details on how to take Victoza® safely, refer to the prescribing information and the medication guide provided by Novo Nordisk.
Where to get a prescription for Victoza® filled
Once you’ve got a prescription for Victoza®, you have choices on where to get it filled. The price of Victoza® can vary quite a bit from one pharmacy to another. A little comparison shopping can make a difference.
To help you out, we’ve gathered some estimated prices from GoodRx. To check your area, enter your zip code, and you’ll see what’s available near you.
1. Exploring warehouse clubs and big supermarkets: Membership-based stores and large retailers sometimes offer lower prices than traditional pharmacies. Here’s what you might expect to see:
| Retailer | 2-pen pack price | 3-pen pack price |
|---|---|---|
| Costco | $608 | $908 |
| Walmart | $571 | $853 |
| Target | $559 | $827 |
2. Checking out your local pharmacies and discount programs: Many national and local pharmacies provide discount programs or manufacturer savings cards that may lower costs. Here are some general price ranges:
| Pharmacy | 2-pen pack price | 3-pen pack price |
|---|---|---|
| CVS | $559 | $827 |
| Walgreens | $543 | $805 |
| Rite Aid | $554 | $820 |
Disclaimer: Prices may change and are accurate as of publication. Costs can vary based on your location and pharmacy.
Will I have trouble finding Victoza® due to shortages?
Yes, you may experience difficulties filling your prescription for Victoza® due to current shortages.
Saxenda® is often considered an alternative, but it’s also in short supply due to increased demand. If you’re having trouble finding either option, Teva’s authorized generic version of liraglutide might be more available and worth asking your provider about.
Be sure to consult your healthcare provider or pharmacist about these alternatives to manage your treatment effectively during this shortage period.
Victoza®: Safety and side effects
While most side effects from Victoza® are mild and manageable, some can be more serious. Let’s walk through what you should know before starting the medication. Keep in mind, your healthcare provider is your best resource for personalized advice.
Most common side effects
When you first start Victoza® or increase your dose, you might experience some of these more common side effects. But they often ease up as your body gets used to the medication. These can include:
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Headache
Serious side effects and warnings
While Victoza® has undergone extensive testing and is considered safe for many, it still carries potential risks. Certain side effects necessitate immediate medical attention. Always follow your prescription guidelines, closely monitor your body’s reactions, and discuss any concerns with your healthcare provider.
Seek immediate medical assistance if you suspect or experience any of the following:
- Pancreatitis: Symptoms include severe abdominal pain that may radiate to your back, with or without vomiting.
- Hypoglycemia (low blood sugar): Symptoms may include dizziness, shakiness, sweating, rapid heartbeat, confusion, and blurred vision. This is more likely in people taking other medications for diabetes.
- Kidney problems: Dehydration from diarrhea, nausea, and vomiting can worsen kidney function. Seek emergency care if you experience decreased urination, swelling in your legs or ankles, fatigue, or shortness of breath.
- Gallbladder problems: Symptoms include severe upper abdominal pain, fever, yellowing of the skin or eyes (jaundice), and clay-colored stools.
- Allergic reactions: Symptoms may include swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, severe rash, or rapid heartbeat. If you suspect an allergic reaction to Victoza®, seek immediate medical attention.
- Thyroid tumors or cancer: Be alert for a lump or swelling in the neck, hoarseness, difficulty swallowing, or shortness of breath. (This risk has been observed in animal studies.)
For a comprehensive review of potential risks, take a look at the manufacturer’s Victoza® prescribing information.
Victoza®: Alternatives for weight loss
If Victoza® isn’t right for you, there are other medications that you can consider for weight loss. These medications, particularly those in the GLP-1 receptor agonist class, can offer different benefits, potentially lowering costs or better fitting your insurance coverage. Let’s take a closer look
| Medication | Brand names and uses | Cost per month (without insurance) | Effectiveness | How it’s taken |
|---|---|---|---|---|
| Semaglutide – GLP-1 receptor agonist – Same active ingredient as Wegovy®. | Ozempic®: type 2 diabetes, off-label weight loss Wegovy®: weight loss and heart disease Rybelsus®: type 2 diabetes, off-label weight loss | Ozempic®: $998 Learn more Wegovy®: $1,350 $499 (NovoCare Pharmacy) Learn more Rybelsus®: $998 Learn more | Ozempic®/Wegovy®: People lost an average of 15% of body weight in 68 weeks with injectable semaglutide Rybelsus®: People lost about 4% of their body weight | Ozempic®/Wegovy®: Weekly injection Rybelsus®: Daily pill |
| Liraglutide – GLP-1 receptor agonist – Same active ingredient as Victoza® | Saxenda®: weight loss and heart disease Generic liraglutide: type 2 diabetes, off-label weight loss | Saxenda®: $1,350 Learn more. Generic liraglutide: $470 – $700 | People lost an average of 5-6% of body weight in one year. | Daily injection |
| Tirzepatide – GLP-1/GIP receptor agonist | Mounjaro®: type 2 diabetes, off-label weight loss Zepbound®: weight loss and obstructive sleep apnea (OSA) | Mounjaro®: $1,080Learn more Zepbound®: Pens: $1,087 Vials:$349 (2.5 mg) $499 (5 mg, 7.5 mg, 10 mg) Learn more | People lost an average of 21% of body weight at 72 weeks. | Weekly injection |
Lose 48% more weight
with Noom than just meds alone
Making informed decisions about Victoza® costs
Victoza® is a proven option with a long track record, especially for managing type 2 diabetes and reducing heart disease risk. While it’s occasionally prescribed off-label for weight loss, most people will be directed toward Saxenda® or another GLP-1 approved specifically for that use. Whether you’re using it for diabetes, heart health, or another off-label benefit, the key is knowing what to expect when it comes to cost, insurance coverage, and potential alternatives.
If you’re considering Victoza®, talk to your healthcare provider about whether it fits your needs—and your budget. With the arrival of generic liraglutide, patient assistance programs, and alternatives like Saxenda®, there are more options than ever to access this medication affordably. The most effective path forward combines medical guidance with sustainable lifestyle changes so that you can feel confident in your treatment plan—and in control of your health.
If you qualify for Noom Med, our clinicians can help determine if Victoza® or another GLP-1 medication is the best fit for you and prescribe it, if necessary. With the right medical support, cost-saving strategies, and treatment plan, you can make an informed decision that aligns with your health goals and budget.
Note: Victoza®, Ozempic®, Mounjaro®, and metformin are not FDA-approved to treat obesity or for weight loss.
