Pricing changes frequently. The manufacturer and program pricing on this page was rechecked on March 26, 2026 using official manufacturer, LillyDirect, NovoCare, and CMS sources. Actual cost at your pharmacy may vary. PEAK verifies your specific coverage and out-of-pocket cost before treatment begins.

Lowest cash-pay price at a glance

If you need to pay out of pocket, here is the lowest manufacturer-supported cash-pay option for each medication as of March 26, 2026. When a manufacturer does not list a separate uninsured cash-pay program, we note that instead of quoting a single retail pharmacy price.

Wegovy
semaglutide · Novo Nordisk
$149/mo
Oral tablet (1.5 mg or 4 mg) on current Wegovy self-pay pricing pages. Injection starts at $199/mo (first 2 months).
Zepbound
tirzepatide · Eli Lilly
$299/mo
Single-dose vials via LillyDirect (2.5 mg). Higher doses $399–$449/mo when refilled within 45 days.
Ozempic
semaglutide · Novo Nordisk
$199/mo
Introductory self-pay for 0.25 mg or 0.5 mg (first 2 fills). Then $349/mo for most doses.
Mounjaro
tirzepatide · Eli Lilly
Varies
Lilly does not currently list a separate uninsured cash-pay program for Mounjaro. Without commercial drug insurance, patients may pay close to list price. With eligible commercial insurance: as low as $25/mo.

Wegovy (semaglutide) — Novo Nordisk

Wegovy is FDA-approved for chronic weight management and is available as both an injection pen and an oral tablet. Novo Nordisk offers several self-pay pricing tiers depending on the form factor and dosage.

Injection Pens

Verified March 26, 2026
Dosage List Price Self-Pay (NovoCare) With Savings Card
0.25 mg (month 1) $1,349/mo $199/mo First 2 fills only As low as $25/mo
0.5 mg (month 2) $1,349/mo $199/mo First 2 fills only As low as $25/mo
1 mg $1,349/mo $349/mo As low as $25/mo
1.7 mg $1,349/mo $349/mo As low as $25/mo
2.4 mg (maintenance) $1,349/mo $349/mo As low as $25/mo

Source: NovoCare / wegovy.com. New self-pay patients pay $199/month for the first two monthly fills of 0.25 mg and 0.5 mg between November 17, 2025 and June 30, 2026. After that, eligible self-pay patients pay $349/month for injection doses.

Oral Tablets (Wegovy Pill)

Verified March 26, 2026
Dosage List Price Self-Pay Notes
1.5 mg tablet $1,349/mo $149/mo Limited-time introductory pricing
4 mg tablet $1,349/mo $149/mo Promotional pricing may change; verify current terms
9 mg tablet $1,349/mo $299/mo
25 mg tablet $1,349/mo $299/mo

Source: Wegovy.com / NovoCare. Official Wegovy pricing pages currently list tablet pricing for 1.5 mg, 4 mg, 9 mg, and 25 mg doses, with limited-time introductory pricing on the 1.5 mg and 4 mg strengths.

For details on the Wegovy savings card for commercially insured patients, see our Wegovy Savings Card guide.

Zepbound (tirzepatide) — Eli Lilly

Zepbound is FDA-approved for chronic weight management. Eli Lilly sells single-dose vials directly to patients through LillyDirect at prices significantly below the list price for injection pens.

Injection Pens (Retail Pharmacy)

Verified March 26, 2026
Dosage List Price GoodRx Range With Savings Card
2.5 mg $1,086/mo $499–$1,063 As low as $25/mo
5 mg $1,086/mo $499–$1,063 As low as $25/mo
7.5 mg $1,086/mo $499–$1,063 As low as $25/mo
10 mg $1,086/mo $499–$1,063 As low as $25/mo
12.5 mg $1,086/mo $499–$1,063 As low as $25/mo
15 mg $1,086/mo $499–$1,063 As low as $25/mo

Single-Dose Vials (LillyDirect)

Best cash-pay option for Zepbound. LillyDirect vials are shipped directly to patients and cost 60–70% less than list price. No insurance required. You must refill within 45 days to maintain the lower pricing on higher doses.

Dosage LillyDirect Price If refill > 45 days
2.5 mg $299/mo $299/mo
5 mg $399/mo $399/mo
7.5 mg $449/mo $499/mo
10 mg $449/mo $699/mo
12.5 mg $449/mo $699/mo
15 mg $449/mo $699/mo

Source: LillyDirect self-pay Journey program terms and Lilly pricing pages. Higher doses are $449/month when refilled within 45 days. Current Lilly terms list regular prices of $499 for 7.5 mg and $699 for 10 mg, 12.5 mg, and 15 mg if the Journey offer does not apply.

For details on the Zepbound savings card for commercially insured patients, see our Zepbound Savings Program guide.

Ozempic (semaglutide) — Novo Nordisk

Ozempic is FDA-approved for type 2 diabetes, not weight management. Some providers prescribe it off-label for weight loss. Insurance coverage for weight loss use is typically more limited than for Wegovy.

Verified March 26, 2026
Dosage List Price Self-Pay (NovoCare) With Savings Card
0.25 mg / 0.5 mg pen $936–$1,028/mo $199/mo First 2 fills As low as $25/mo
1 mg pen $936–$1,028/mo $349/mo As low as $25/mo
2 mg pen $936–$1,028/mo $499/mo As low as $25/mo

Source: NovoCare / ozempic.com, GoodRx. The $199/mo introductory self-pay offer is available through June 30, 2026 for the two lowest doses. Novo Nordisk also offers a Patient Assistance Program (PAP) for uninsured patients with qualifying income.

For details on the Ozempic savings card, see our Ozempic Savings Card guide.

Mounjaro (tirzepatide) — Eli Lilly

Mounjaro is FDA-approved for type 2 diabetes and contains the same active ingredient (tirzepatide) as Zepbound. All dosage strengths are priced identically at the manufacturer level.

Verified March 26, 2026
Dosage List Price Without Commercial Insurance With Savings Card
2.5 mg $1,112/mo May pay close to list price As low as $25/mo
5 mg $1,112/mo May pay close to list price As low as $25/mo
7.5 mg $1,112/mo May pay close to list price As low as $25/mo
10 mg $1,112/mo May pay close to list price As low as $25/mo
12.5 mg $1,112/mo May pay close to list price As low as $25/mo
15 mg $1,112/mo May pay close to list price As low as $25/mo

Source: mounjaro.lilly.com and pricinginfo.lilly.com. Lilly currently directs patients without commercial drug insurance to check pharmacy pricing and support options; if you are not eligible for the Mounjaro Savings Program, you may have to pay close to list price. LillyDirect single-dose vials are currently available for Zepbound but not Mounjaro.

For details on the Mounjaro savings card, see our Mounjaro Savings Card guide.

Savings programs at a glance

Each manufacturer offers programs to help reduce out-of-pocket costs. Eligibility and terms differ between the two companies.

Program Who Qualifies Copay Max Savings
Wegovy Savings Card Commercially insured $25/mo $100/mo
Zepbound Savings Card Commercially insured with coverage $25/mo $100/mo ($1,300/yr)
Ozempic Savings Card Commercially insured $25/mo $100/mo (up to 48 mo)
Mounjaro Savings Card Commercially insured $25/mo $150/mo ($1,950/yr)
LillyDirect Vials (Zepbound) Anyone (no insurance needed) $299–$449/mo 60–70% off list
NovoCare Self-Pay (Wegovy) Anyone (no insurance needed) $149–$349/mo Up to 89% off list

Medicare and Medicaid patients: Manufacturer savings cards are not available for government plan beneficiaries. CMS says the Medicare GLP-1 Bridge is scheduled to run from July 1, 2026 through December 31, 2026, with BALANCE Model access in Medicare Part D starting January 1, 2027 for participating plans. Separate Part D coverage may already apply for FDA-approved uses such as Zepbound for moderate-to-severe obstructive sleep apnea and Wegovy to reduce cardiovascular risk, depending on the plan.

How PEAK helps with cost

PEAK does not sell medications directly, but our team works to make sure every patient gets the lowest cost available to them. Here is what happens when you start treatment:

For a full breakdown of PEAK visit costs (separate from medication pricing), see our Weight Loss Program Cost page.

Our goal is to make sure cost is not the reason someone gives up on treatment that is working.