How much does Ozempic cost in 2026?
Ozempic (semaglutide) runs about $998/month at retail without insurance. With coverage the copay is around $25, and the lowest cash-pay path we track starts near $199/month — up to 80% off retail.
Ozempic price compared
What Ozempic costs in 2026
From $199/mo via telehealth80% off retail
Average retail in the US: $998/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 | $998 |
GoodRx coupon Same pharmacy, public coupon | $997 |
Commercial insurance Typical copay (median) | $25 |
Hims & Hers (compounded) Cheapest editorially-vetted path | $199 80% 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
Compounded semaglutide (1 mg/mL, 3 mL vial)
Average US retail pharmacy price, per month. Hand-curated; updated monthly.
Cash price fell 35% over the past year
- Dec 25: FDA shortage list update tightened access; surviving compounders cut prices to retain volume
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 ~$199/mo, no insurance hoops.
- 3. GoodRx-style coupon at retail — $997/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 $998/month at retail pharmacy. A GoodRx-style coupon brings that to roughly $997. The lowest cash-pay path we track is a telehealth program from about $199/month (Hims & Hers (compounded)).
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 ~$199/mo), then a GoodRx coupon at retail ($997), then full retail ($998). 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.