Last updated November 11, 2026 · Reviewed by the Gala Health team
Self-pay prices by dose
Novo Nordisk (Wegovy) and Eli Lilly (Zepbound and Foundayo) sell these weight management medicines directly to people paying cash, with a prescription, through NovoCare Pharmacy and LillyDirect. The price depends on the dose, and the prescribing information for each of these medicines starts at a low dose and raises it in steps over several months, so the starting price is rarely what you pay at a maintenance dose. For how dose escalation works, see our GLP-1 dosing schedule.
Wegovy pen (semaglutide injection), one month = 4 pens:
| Dose | Self-pay price per month | Conditions |
|---|---|---|
| 0.25 mg and 0.5 mg | $199 | New patients, first 2 monthly fills, through December 31, 2026 |
| 0.25 mg to 2.4 mg | $349 | After the introductory offer |
| 7.2 mg (Wegovy HD) | $399 |
Wegovy pill (oral semaglutide), one month = 30 tablets:
| Dose | Self-pay price per month |
|---|---|
| 1.5 mg | $149 |
| 4 mg | $199 |
| 9 mg and 25 mg | $299 |
Zepbound KwikPen (tirzepatide), one month = 28 days, 1 KwikPen:
| Dose | Regular self-pay price per month | Offer |
|---|---|---|
| 2.5 mg | $299 | |
| 5 mg | $399 | |
| 7.5 mg | $499 | $449 if each refill is bought within 45 days of the last delivery |
| 10 mg, 12.5 mg and 15 mg | $699 | $449 if each refill is bought within 45 days of the last delivery |
Foundayo (orforglipron tablets), one month = 30 days:
| Dose | Regular self-pay price per month | Temporary price through December 31, 2026 |
|---|---|---|
| 0.8 mg | $149 | |
| 2.5 mg | $199 | $149 |
| 5.5 mg | $299 | $199 |
| 9 mg | $299 | |
| 14.5 mg and 17.2 mg | $349 |
Prices checked on 2026-11-11 on novocare.com, zepbound.lilly.com and foundayo.lilly.com (see Sources). Prescription required; taxes and fees may apply; the manufacturers can change or end these programs at any time.
Telehealth membership fees on top
Many online programs list the same brand-name medicines at, or close to, the manufacturers' prices and charge separately for the care. Examples from their own websites:
| Program | Membership or care fee | Medication |
|---|---|---|
| Hims and Hers | $39 first month, then $149/mo | Billed separately |
| Mochi | $79/mo, or $49/mo on a 12-month plan | Billed separately |
| Ro | $39 first month, then $149/mo, or $74/mo prepaid annually | Billed separately |
| WeightWatchers (Med+) | $25/mo for two months on a 12-month plan, then $74/mo (offer ends 11/14/26) | Billed separately |
Prices checked on 2026-11-11 on each company's own website (see Sources).
So the monthly total at a brand-name maintenance dose is the self-pay price at that dose plus any membership. Programs are compared side by side in online GLP-1 providers compared.
Where compounded GLP-1s fit
Some telehealth programs also offer compounded semaglutide or tirzepatide, often in one plan price that includes the medication. Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for an individual patient on a provider's prescription, and according to the FDA they do not undergo premarket review for safety, effectiveness or quality. The FDA has also published its concerns about unapproved GLP-1 drugs used for weight loss.
For example, Gala's home page lists compounded GLP-1 from $69 a month, with all doses included and no membership fee. Clinical trial results for Wegovy and Zepbound should not be assumed to apply to compounded versions; see compounded vs brand-name GLP-1.
If you have some coverage
The manufacturers' pages list lower prices for people who do have coverage. These are not self-pay prices:
- Commercial insurance that covers the medicine: as little as $25 a month with the manufacturer's savings offer (Wegovy, Zepbound, Foundayo), subject to its terms.
- Medicare Part D: Novo Nordisk and Lilly say eligible patients can pay $50 a month or less for Wegovy or Zepbound through the Medicare GLP-1 Bridge program.
Check your coverage on the manufacturer's site or with your plan before you pay cash.
Ways to lower what you pay
- Ask for the self-pay price at your expected maintenance dose, not only the starting dose.
- Compare the total of membership plus medication, and whether a lower price needs a prepaid plan.
- Ask whether the medication fee and the membership are FSA or HSA eligible; Hims, for example, says its medication fee is eligible and its membership is not.
- Watch offer end dates: several manufacturer prices above are temporary and end December 31, 2026.
Getting started with Gala
Gala offers compounded semaglutide, compounded tirzepatide and brand-name Ozempic®. A licensed provider reviews your online assessment and prescribes only if it is appropriate for you. If prescribed, your medication ships to your home, you can message your care team with questions, and your provider can adjust your dose over time.
To see which options may fit, start your online GLP-1 assessment or browse the weight loss hub.
This article is for information only and is not medical advice. Talk to your healthcare provider about what is right for you.
Frequently asked questions
How much does Wegovy cost without insurance?
On NovoCare, the Wegovy pill costs $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg and 25 mg. The Wegovy pen costs $199 a month for the first two fills of 0.25 mg or 0.5 mg for new patients through December 31, 2026, then $349, or $399 for the 7.2 mg dose.
How much does Zepbound cost without insurance?
On LillyDirect, the regular self-pay price for the Zepbound KwikPen is $299 a month at 2.5 mg, $399 at 5 mg, $499 at 7.5 mg and $699 at 10 mg to 15 mg. Lilly offers $449 for the 7.5 mg to 15 mg doses if each refill is bought within 45 days of the last delivery.
Why does the price go up with the dose?
The manufacturers price each dose separately, and higher doses cost more. The prescribing information for each medicine starts at a low dose and raises it in steps over several months, so plan for the price at the dose you are likely to stay on.
Is the $25 price available without insurance?
No. The $25 offers on the manufacturers' pages are for people whose commercial insurance covers the medicine. People paying cash use the self-pay prices.
Are compounded GLP-1s FDA-approved?
No. Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for an individual patient on a provider's prescription.
Ready to talk to a provider?
Your answers go to a licensed provider, who decides whether treatment is right for you. Learn more about Weight Loss.
More Weight Loss guides
- compounded vs brand GLP-1
- GLP-1 and alcohol guide
- GLP-1 dosing schedule
- GLP-1 side effects guide
- switching GLP-1 providers
- how GLP-1 approval works online
- compounded GLP-1 vials vs pens
- whether you need a video visit for a GLP-1
- whether the GLP-1 price goes up with the dose
- how long GLP-1 takes to work
- how to inject GLP-1
- Ozempic vs Wegovy
- semaglutide vs tirzepatide comparison
- stopping GLP-1 and weight regain
- Wegovy pill vs injection
- what to eat on GLP-1
- Zepbound vs Mounjaro
- tirzepatide pills
- GLP-1 without a membership fee
- compounded tirzepatide vs Zepbound
- compounded tirzepatide dosage chart
- compounded semaglutide dosage chart
- best online GLP-1 providers
- Ro vs Hims for weight loss
- Hims weight loss alternatives
Sources
- Novo Nordisk. NovoCare: Wegovy cost, coverage and savings. Checked 2026-11-11.
- Novo Nordisk. What to pay for Wegovy. Checked 2026-11-11.
- Eli Lilly. Zepbound savings and coverage. Checked 2026-11-11.
- Eli Lilly. Foundayo coverage and savings. Checked 2026-11-11.
- Hims. Weight loss (membership and FSA/HSA terms). Checked 2026-11-11.
- Mochi Health. Home page (membership). Checked 2026-11-11.
- Ro. Pricing (Ro Body membership). Checked 2026-11-11.
- Ro. Ro vs. Hers for weight loss 2026 (Ro's monthly membership price). Checked 2026-11-11.
- WeightWatchers. Prescription weight-loss medication (Med+). Checked 2026-11-11.
- U.S. FDA. Compounding and the FDA: questions and answers.
- U.S. FDA. FDA's concerns with unapproved GLP-1 drugs used for weight loss.
- Novo Nordisk. WEGOVY (semaglutide) injection and tablets prescribing information. FDA-approved label.
- Eli Lilly. ZEPBOUND (tirzepatide) prescribing information. FDA-approved label.
- Eli Lilly. FOUNDAYO (orforglipron) tablets prescribing information. FDA-approved label.
This article is for general information and is not medical advice. Talk to a licensed provider about your own health.