How much does Wegovy cost in 2026?

As of October 2026, the Wegovy pen costs $349 a month self-pay at NovoCare Pharmacy, at every dose from 0.25 mg to 2.4 mg. New patients pay $199 for their first two fills through December 31, 2026, and the 7.2 mg Wegovy HD dose costs $399. The Wegovy pill costs $149 to $299 a month by dose.

Those are medication prices. An online program that writes the prescription adds its own fee, and insurance or Medicare can bring the cost down to $25 or $50 a month.

Wegovy pen prices by dose

The weekly injection steps up every 4 weeks on the Wegovy label: 0.25 mg, 0.5 mg, 1 mg and 1.7 mg, then a maintenance dose of 2.4 mg (or 1.7 mg) from week 17. These are NovoCare’s self-pay prices, read on October 17, 2026.

Unlike Zepbound, the pen doesn’t cost more as your dose rises to 2.4 mg. The $199 offer covers the first two fills only and ends December 31, 2026, so check the price before you start if you’re close to that date.

Wegovy HD was approved on March 19, 2026. The label allows 7.2 mg only for adults who have tolerated 2.4 mg for at least 4 weeks and need more weight loss. In the STEP UP trial, 7.2 mg produced 18.8% average weight loss over 72 weeks, against 14.9% for 2.4 mg in STEP 1, a separate trial.

Wegovy pill prices by dose

The pill is daily, taken in the morning on an empty stomach. NovoCare lists it at $149 a month for 1.5 mg, $199 for 4 mg, and $299 for 9 mg and for the 25 mg maintenance dose, labeled a limited-time offer. Our Wegovy pill cost guide has the full schedule and a first-year total of $3,338.

What a year of Wegovy costs

On the label’s standard schedule, here is what the first 12 monthly fills cost at NovoCare, for the medication alone.

At maintenance, the pen costs $50 a month more than the pill: $349 at 2.4 mg against $299 at 25 mg. If you move up to 7.2 mg, each fill costs another $50.

List price vs what you pay

The White House put the Wegovy pill’s list price, the price before rebates, at $1,349 a month in February 2026 (White House). Novo Nordisk plans to cut the list price to $675 on January 1, 2027, for the 2.4 mg injection and 25 mg tablet. It says the cut doesn’t change self-pay prices, which are the ones to watch if you pay cash.

What online programs charge on top

Most programs that prescribe Wegovy list NovoCare’s self-pay prices for the medication and charge a membership for the clinician and follow-up care. These prices were on each program’s site on October 18, 2026.

Scroll sideways to see the full table

Prepaid plans bring the fee down: at 2.4 mg, Sesame’s annual plan makes it $408 a month. For two Wegovy prescribers side by side, read Mochi vs Hims. For the pill, the same fees apply on top of $149 to $299; the programs that prescribe it are on our GLP-1 pill rankings, and our semaglutide provider rankings cover every form.

Paying with insurance or Medicare

If your commercial plan covers Wegovy, a NovoCare savings offer can bring it to as little as $25 a month. People with government insurance can’t use it. Plans that cover weight-loss drugs often need a prior authorization, and some exclude them. Sesame, Ro and Measured help with prior authorizations; Vineyard has an insurance concierge.

Wegovy is also approved to lower the risk of heart attack, stroke and cardiovascular death in adults with established heart disease and obesity or overweight. That use can change how a plan handles coverage, so mention it if it applies to you.

On Medicare Part D, the Medicare GLP-1 Bridge charges eligible enrollees $50 a month from July 1, 2026 to December 31, 2027, and the CMS form lists Wegovy injections, tablets and HD. See our guides to insurance coverage and Medicare.

Ozempic and compounded semaglutide

Ozempic is the same molecule as Wegovy, sold for type 2 diabetes. Its label has no weight-management indication, so prescribing it for weight loss is off-label. Some programs list it at prices close to Wegovy’s: Hims at $199 for the first two fills, then $349, and Sesame at $199 for the first two months, then $349 up to 1 mg and $499 at 2 mg.

Compounded semaglutide costs less. Enhanced lists it from $89 a month, Telezen MD at $99 a month on a quarterly plan, Measured from $119 and Strut Health at $129, each with the medication included. Compounded semaglutide is not Wegovy or Ozempic, and not a generic of either. A compounding pharmacy prepares it, it isn’t FDA-approved, and the FDA does not review compounded drugs for safety, effectiveness or quality (FDA). Read is compounded semaglutide still legal and safe before you choose that route.

Ways to pay less for Wegovy

• If you’re new to Wegovy, the $199 first-two-fills offer saves $300 if you start by December 31, 2026.
• Weigh the pill against the pen: at maintenance it’s $299 against $349 a month.
• Compare program fees, not only medication prices. At 2.4 mg the all-in cost runs from $448 to $498 a month at the programs that publish both.
• Prepay a program fee only if you plan to stay; the lowest rates need a year up front.
• Check your coverage. A covered prescription with the savings offer can cost $25, and the Medicare Bridge $50.

The bottom line

As of October 2026, Wegovy costs $349 a month self-pay at NovoCare at every dose up to 2.4 mg, $199 for a new patient’s first two fills, and $399 for Wegovy HD; the pill costs $149 to $299. A first 12 fills of the pen come to $3,888 with the new-patient offer. Online programs add $99 to $149 a month at the ones that publish Wegovy prices. Check your insurance or Medicare coverage first, and ask a licensed clinician whether the pen or the pill suits you. To compare with Lilly’s drug, read Wegovy vs Zepbound, or start from our weight-loss hub.