GLP-1 cost without insurance runs from $149 to $699 a month for FDA-approved brand-name drugs at manufacturer pharmacies (outside introductory offers), and from about $60 for compounded versions, which are not FDA-approved. Telehealth fees, insurance coverage and the dose you reach change the real total.
What you'll find here
- Self-pay prices from manufacturer pharmacies and telehealth programs, checked on official pages.
- Guides to insurance coverage, savings cards and what to do if coverage changes.
- Tools to calculate what you would actually pay over months, not just the first one.
Self-pay prices at a glance (as of November 2026)
| Option | Published monthly price | Notes |
|---|---|---|
| Zepbound® (LillyDirect) | $299 to $699 | $449 for 7.5 mg and above if you refill within 45 days; $499 to $699 otherwise |
| Wegovy® pens (NovoCare Pharmacy) | $349 ($399 for Wegovy® HD 7.2 mg) | After a $199 introductory offer on the first 2 fills, through December 31, 2026 |
| Wegovy® pill (NovoCare Pharmacy) | $149 to $299 | Depends on dose |
| Foundayo® (LillyDirect) | $149 to $299 | Depends on dose; some lower prices end December 31, 2026 |
| Compounded semaglutide / tirzepatide | About $60 to $399 | Not FDA-approved; membership often extra |
| Telehealth membership | $49 to $99 | Charged on top of medication by some programs |
Sources: official LillyDirect, NovoCare and program pricing pages, checked November 13-14, 2026. With commercial insurance that covers the drug, Lilly and Novo Nordisk advertise savings cards from $25 a month; people with government insurance are excluded. Compounded drugs are cheaper partly because the FDA does not review them for safety, effectiveness or quality.
Program-by-program details are in our weight-loss program price tracker. To add up the quotes you received over 3 to 24 months, use the GLP-1 cost calculator. For the two new pills, our Foundayo vs Wegovy pill comparison breaks down the cost of a first year.
How we collect prices is explained in our methodology. Prices change often, so confirm the current price with the pharmacy or program before you commit, and talk to your healthcare provider about which treatment, if any, suits you.
Coming next
- Cheapest GLP-1 without insurance
- Employers dropping GLP-1 coverage in 2027: your options
- Medicare GLP-1 Bridge explained
