How Much Does Ozempic Cost? (2026 Pricing Guide)
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.
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.
- Embody$79/mo recordedVisit Embody →
- CoreAge Rx$79/mo recordedVisit CoreAge Rx →
- Strut Health$129/mo recordedVisit Strut Health →
- Sprout Health$149/mo recordedVisit Sprout Health →
- TMates$158/mo recordedVisit TMates →
Every Way to Pay for Ozempic
Lowest to highest monthly cost.
| Option | Monthly cost | FDA-approved | Notes |
|---|---|---|---|
| Ozempic + savings card (covered) | $25/mo | Yes | Commercial plan that covers it; savings capped $100/mo |
| Compounded semaglutide | $79–$299/mo | No | Not FDA-approved; plan terms and extra fees vary |
| Ozempic pill (self-pay) | $149–$299/mo | Yes | By dose, NovoCare |
| Ozempic pen, new patient (self-pay) | $199/mo | Yes | First 2 fills of 0.25/0.5 mg, through Dec 31, 2026 |
| Ozempic pen 0.25–1 mg (self-pay) | $349/mo | Yes | NovoCare Pharmacy |
| Ozempic pen 2 mg (self-pay) | $499/mo | Yes | NovoCare Pharmacy |
| Ozempic at list price | $1,028/mo | Yes | Falls to $675 on Jan 1, 2027 |
Novo Nordisk prices read October 23, 2026. Retail prices vary by pharmacy.
The Cheapest Way to Get Ozempic
- Covered by commercial insurance: use the savings card, as little as $25.
- Paying yourself and fine with compounded: semaglutide from $79 a month on a longer plan.
- 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.
- 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?
How much is Ozempic without insurance?
Is the Ozempic list price going down?
How does the Ozempic savings card work?
Does Medicare cover Ozempic?
Is Ozempic or Wegovy cheaper without insurance?
Is compounded semaglutide cheaper than Ozempic?
Next step: compare every semaglutide price, brand and compounded, on our semaglutide cost page, or see how the Ozempic savings card works.