How Much Does Ozempic Cost? (2026 Pricing Guide)

Eduard Cristea
Eduard Cristea
Published: |Updated:

Quick Answer

How much does Ozempic cost? Ozempic's list price is $1,028 a month at every dose in 2026, and Novo Nordisk is cutting it to $675 on January 1, 2027. Without insurance, Novo Nordisk's NovoCare pharmacy sells the pen for $349 a month at 0.25, 0.5 or 1 mg and $499 at 2 mg. New patients pay $199 for their first two fills, through December 31, 2026. If your insurance covers Ozempic, the savings card can bring it to as little as $25.

List price (2026)
$1,028/mo
NovoCare self-pay
$349/mo
Covered + savings card
$25/mo
Compounded semaglutide
$79/mo

Novo Nordisk prices read on NovoCare and ozempic.com on October 23, 2026. Compounded figures are recorded medication prices from tracked providers in our GLP-1 Price Index; labs, consultation and plan terms can change the full cost. Methodology.

Ozempic List Price, and the 2027 Cut

Ozempic (semaglutide injection) is Novo Nordisk's once-weekly GLP-1 approved for type 2 diabetes. Its list price is $1,028 a month at every dose in 2026. On February 24, 2026 Novo Nordisk announced that the list price of Ozempic, Wegovy and Rybelsus falls to $675 a month at every dose on January 1, 2027, about 35% lower for Ozempic (Novo Nordisk). Novo says the cut does not change its self-pay prices, so it mainly helps people whose deductible or coinsurance is based on list price.

How Much Is Ozempic Without Insurance?

Without insurance, NovoCare Pharmacy sells Ozempic directly (NovoCare, read October 23, 2026):

  • New patients: $199/month for the first two monthly fills of 0.25 mg or 0.5 mg, through December 31, 2026
  • 0.25, 0.5 or 1 mg: $349/month
  • 2 mg: $499/month
  • Ozempic pill: $149, $199 or $299/month depending on dose

A month is one pen or one 30-tablet bottle. Government-insured patients can use the self-pay price only if they pay outside their insurance. Pharmacy discount cards rarely beat these self-pay prices for brand Ozempic.

Ozempic With Insurance and Medicare

  • Commercial insurance that covers Ozempic: as little as $25 with the Ozempic savings card, for a fill of up to three months. Savings are capped at $100 a month, for up to 48 months.
  • Government plans: Medicare, Medicaid and other government beneficiaries cannot use the savings card.
  • Medicare Part D: plans can cover Ozempic for type 2 diabetes under their own formulary and copay.
  • Medicare GLP-1 Bridge: live since July 1, 2026 at a $50 copay, it covers Wegovy, Zepbound and Foundayo for weight management, not Ozempic (CMS). Medicare GLP-1 guide.

Most plans cover Ozempic only for type 2 diabetes and require prior authorization; off-label use for weight loss is usually not covered. If weight management is the goal, ask about Wegovy, which carries that approval.

Compounded Semaglutide Prices

Compounded semaglutide uses semaglutide as its active ingredient and is not FDA-approved, prepared by a licensed pharmacy for an individual prescription. Tracked telehealth providers list it from $79 to $299 a month in medication price; the lowest rates usually require a 6- or 12-month plan.

It is not FDA-approved. The FDA determined the semaglutide shortage was resolved on February 21, 2025 (FDA), so it is compounded only under patient-specific prescriptions. Full ranking: semaglutide price comparison.

  1. Embody$79/mo recordedVisit Embody →
  2. CoreAge Rx$79/mo recordedVisit CoreAge Rx →
  3. Strut Health$129/mo recordedVisit Strut Health →
  4. Sprout Health$149/mo recordedVisit Sprout Health →
  5. TMates$158/mo recordedVisit TMates →

Every Way to Pay for Ozempic

Lowest to highest monthly cost.

OptionMonthly costFDA-approvedNotes
Ozempic + savings card (covered)$25/moYesCommercial plan that covers it; savings capped $100/mo
Compounded semaglutide$79–$299/moNoNot FDA-approved; plan terms and extra fees vary
Ozempic pill (self-pay)$149–$299/moYesBy dose, NovoCare
Ozempic pen, new patient (self-pay)$199/moYesFirst 2 fills of 0.25/0.5 mg, through Dec 31, 2026
Ozempic pen 0.25–1 mg (self-pay)$349/moYesNovoCare Pharmacy
Ozempic pen 2 mg (self-pay)$499/moYesNovoCare Pharmacy
Ozempic at list price$1,028/moYesFalls to $675 on Jan 1, 2027

Novo Nordisk prices read October 23, 2026. Retail prices vary by pharmacy.

The Cheapest Way to Get Ozempic

  1. Covered by commercial insurance: use the savings card, as little as $25.
  2. Paying yourself and fine with compounded: semaglutide from $79 a month on a longer plan.
  3. Want FDA-approved semaglutide without insurance: the Ozempic or Wegovy pill from $149, or the pen at $199 for two new-patient fills, then $349.
  4. On Medicare for weight management: ask about Wegovy under the GLP-1 Bridge at $50 (Wegovy self-pay is also $349).

FAQ

How much does Ozempic cost?
Ozempic's list price is $1,028 a month at every dose in 2026, and Novo Nordisk is cutting it to $675 on January 1, 2027. Without insurance, Novo Nordisk's NovoCare pharmacy sells the pen for $349 a month at 0.25, 0.5 or 1 mg and $499 at 2 mg. New patients pay $199 for their first two fills, through December 31, 2026. If your insurance covers Ozempic, the savings card can bring it to as little as $25.
How much is Ozempic without insurance?
Without insurance, Ozempic costs $349 a month for the 0.25, 0.5 or 1 mg pen and $499 for 2 mg through NovoCare Pharmacy (read October 23, 2026). New patients pay $199 a month for their first two fills of 0.25 or 0.5 mg through December 31, 2026. The Ozempic pill is $149, $199 or $299 a month depending on dose. At a retail pharmacy without a discount you pay close to the list price.
Is the Ozempic list price going down?
Yes. Novo Nordisk announced on February 24, 2026 that the list price of Ozempic, Wegovy and Rybelsus falls to $675 a month at every dose on January 1, 2027, about 35% lower for Ozempic. Novo says the change does not affect its direct-to-patient self-pay prices. A lower list price mostly matters if you pay a deductible or coinsurance based on list price.
How does the Ozempic savings card work?
If your insurance covers Ozempic, the savings card lets you pay as little as $25 for a fill of up to three months. It pays up to $100 a month, for up to 48 months. Medicare, Medicaid and other government beneficiaries are excluded. If your copay is more than about $125 a month, you pay the difference.
Does Medicare cover Ozempic?
Medicare Part D plans can cover Ozempic for type 2 diabetes under their own formulary and copay; the savings card cannot be used. The Medicare GLP-1 Bridge, live since July 1, 2026 at a $50 copay, covers Wegovy, Zepbound and Foundayo for weight management, not Ozempic.
Is Ozempic or Wegovy cheaper without insurance?
They cost the same at the usual doses: NovoCare charges $349 a month for both Ozempic and Wegovy pens after the $199 new-patient fills. Ozempic 2 mg is $499. Wegovy is the version approved for weight management and is the one covered by the Medicare GLP-1 Bridge.
Is compounded semaglutide cheaper than Ozempic?
Yes. Tracked telehealth providers list compounded semaglutide from $79 a month in medication price. The lowest rates usually need a 6- or 12-month plan, and labs or consultation may cost extra. It is not FDA-approved; the FDA declared the semaglutide shortage resolved on February 21, 2025, so it is now compounded only for individual prescriptions.

Next step: compare every semaglutide price, brand and compounded, on our semaglutide cost page, or see how the Ozempic savings card works.

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