Evidence-graded answer
How much does Wegovy cost without insurance?
List price runs ~$1,350/mo at retail. NovoCare Pharmacy cash-pay direct from Novo Nordisk is $499/mo for all dose strengths. The Wegovy Savings Offer caps copay at $0-$225/mo for commercially insured patients depending on coverage status (not a flat $225 for everyone).
Three distinct cash-pay channels exist as of 2026: (1) NovoCare Pharmacy direct from Novo Nordisk at $499/mo for any dose strength — best option for cash-pay patients without insurance. (2) Wegovy Savings Offer, which caps commercial-insurance copay at $0-$225/mo depending on whether the patient has formulary coverage. (3) Retail pharmacy at list price (~$1,350/mo), occasionally reduced via GoodRx coupon.
For income-qualified uninsured patients, the NovoCare Patient Assistance Program may cover the medication at no cost; eligibility requires household income documentation.
Compounded semaglutide from licensed 503A pharmacies historically ran $149-300/mo, but FDA declared the shortage resolved in February 2025 — large-scale 503A compounding is no longer broadly permitted. Some clinics continue under "personalized" compounding exceptions.
Source: NovoCare Pharmacy Wegovy pricing, novocare.com