Ozempic Pricing (2026)

Price by Coverage Type
Cash Price (No Insurance)
$900-$1,100/month
Full retail price at most pharmacies
Commercial Insurance
$25-$300/month
Varies by plan, may require prior auth
Medicare Part D
$0-$35/month
New 2025 IRA cap on insulin/diabetes drugs
Savings Card (Novo Nordisk)
$25/month
For commercially insured patients
Compounded Semaglutide
$150-$400/month
Non-FDA approved alternative

Ways to Save Money

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Novo Nordisk Savings Card

Up to 90% off

Pay as little as $25/month if commercially insured. Not valid with Medicare/Medicaid. Apply at ozempic.com.

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Prior Authorization

Full coverage

If denied, ask your doctor to submit a prior auth citing medical necessity for diabetes or weight-related conditions.

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Shop Pharmacies

10-30% off

Prices vary by pharmacy. Check GoodRx, CostPlus Drugs, and wholesale clubs like Costco.

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Canadian Pharmacies

50-70% off

Some patients import from licensed Canadian pharmacies at 50-70% lower cost. Legal gray area.

Getting Insurance Approval

Key tip: Ozempic is FDA-approved for Type 2 diabetes, not weight loss. For best insurance coverage, work with your doctor to document diabetes-related needs.

  • Step therapy: Some plans require trying metformin first. Ask your doctor to document why GLP-1 is needed.
  • Appeal denials: If denied, file an appeal with supporting medical records showing A1C levels, weight history, and comorbidities.
  • Switch plans: During open enrollment, compare drug formularies. Some plans cover GLP-1s with lower copays.
  • HSA/FSA: If paying cash, use pre-tax health savings dollars to effectively save 20-30%.

FAQ

Why is Ozempic so expensive?

Novo Nordisk holds the patent until 2031-2032. No generic semaglutide exists yet. High demand and limited competition keep prices elevated.

Is compounded semaglutide worth it?

It's significantly cheaper but not FDA-approved. Quality varies. Only use reputable 503B compounding pharmacies with third-party testing.

Does the savings card work with Medicare?

No. Federal law prohibits manufacturer coupons for Medicare patients. However, the new $35/month insulin cap may extend to some diabetes medications.

Track Your Investment

Use Shotlee to track your medication supply, doses remaining, and monitor your weight loss ROI.

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