How much does Ozempic cost in 2026?
Ozempic (semaglutide) runs about $968/month at retail without insurance. With coverage the copay is around $25, and the lowest cash-pay path we track starts near $299/month — up to 69% off retail.
Ozempic price compared
What Ozempic costs in 2026
From $299/mo via telehealth69% off retail
Average retail in the US: $968/month. We compare 4 pricing paths below so you can see exactly where the savings come from.
| Pricing path | Monthly cost |
|---|---|
Retail pharmacy Cash, no insurance, no coupon | $968 |
GoodRx coupon Same pharmacy, public coupon | $935 |
Commercial insurance Typical copay (median) | $25 |
Ro (insurance-covered) Cheapest editorially-vetted path | $299 69% off retail |
Prices refreshed 2026-05-24. Retail = pharmacy cash price; coupon = GoodRx-style discount; telehealth = lowest cash-pay program we list.
Ozempic price trend
12-month cost tracker
Ozempic (1.0 mg pen)
Average US retail pharmacy price, per 28-day supply. Hand-curated; updated monthly.
Cash price held flat over the past year
Prices reflect average list at major US pharmacies (CVS, Walgreens, Walmart). Your actual cost depends on insurance, pharmacy choice, and savings-card eligibility.
Ozempic coverage by insurer
Standard 2026 formulary status across the five largest US payers. Verify against your plan — self-funded employer plans can override the payer formulary with a weight-loss exclusion.
| Payer | Tier / status | PA required | Typical copay |
|---|---|---|---|
| UnitedHealthcare (OptumRx) | Tier 3 or 4 | Yes · 7-14 d | $25-100/mo |
| Aetna (CVS Caremark) | Tier 3 | Yes · step-therapy common | $25-80/mo |
| Cigna (Express Scripts) | Tier 3 | Yes · comorbidity req. | $25-90/mo |
| BCBS (varies by state) | Tier 3 | Yes · state formulary | $25-100/mo |
| Kaiser Permanente | Formulary + network | Yes · in-Kaiser MD | $5-50/mo |
| Medicare Part D (T2D only) | On-label diabetes | Weight-loss excluded by statute | $50-100/mo (T2D) · $0 wt-loss |
| Medicaid (state-by-state) | Varies | Yes · PA + BMI + comorbidity | $0-8/mo where covered |
| Self-funded employer (ERISA) | Plan-specific | ≈30% carry weight-loss exclusion | Varies |
Sourced from public payer PDLs (2026 formulary year). Employer self-funded plans (ERISA) override the payer formulary — check with your HR benefits team or the number on the back of your card.
The cheapest legal path to Ozempic
- 1. Manufacturer savings card (commercial insurance) — see our Ozempic savings card guide.
- 2. Cash-pay telehealth program — from ~$299/mo, no insurance hoops.
- 3. GoodRx-style coupon at retail — $935/mo.
- 4. Patient-assistance program — free if income-qualified.
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FAQ
How much does Ozempic cost without insurance?
Without insurance, Ozempic runs about $968/month at retail pharmacy. A GoodRx-style coupon brings that to roughly $935. The lowest cash-pay path we track is a telehealth program from about $299/month (Ro (insurance-covered)).
How much is Ozempic with insurance?
With commercial insurance that covers Ozempic, the typical copay is around $25/month, though many plans exclude weight-loss use and require prior authorization. Check your specific plan with our insurance checker.
What is the cheapest way to get Ozempic?
In order of typical cost: manufacturer savings card if you have commercial insurance, then a cash-pay telehealth program (from ~$299/mo), then a GoodRx coupon at retail ($935), then full retail ($968). Patient-assistance programs may cover it entirely if you are income-qualified.
Sources & further reading
All clinical claims on this page are sourced from the FDA prescribing information and peer-reviewed literature. Verify the most current label before clinical decisions.
- FDA prescribing information for Ozempicaccessdata.fda.gov (opens in a new tab)
- DailyMed structured label (semaglutide)dailymed.nlm.nih.gov (opens in a new tab)
- Peer-reviewed trials & meta-analyses (semaglutide)pubmed.ncbi.nlm.nih.gov (opens in a new tab)
- Manufacturer page — Novo Nordiskmanufacturer site (opens in a new tab)
Price sources: retail and coupon figures from GoodRx (opens in a new tab) (refreshed monthly) and published manufacturer savings programs. Insurance copays vary by plan and formulary tier — confirm current pricing with your pharmacy and insurer.