Manufacturer direct-pay program
Both Lilly and Novo Nordisk run self-pay programs for people without coverage. Pricing tiers change frequently — check the official program page for current rates.
Wegovy coupon
You are trying to work out what this will cost you per month.
Reference and calculator, not medical advice. Dosing figures below are transcribed from FDA-approved prescribing information and link back to it. Last reviewed August 2026.
Three different things get called a coupon here and they work in incompatible ways. A manufacturer savings card is run by the drug's maker and typically requires commercial insurance, often excluding government plans entirely. A discount card is a cash-price negotiation at the pharmacy counter and generally cannot be combined with insurance. A manufacturer self-pay channel is neither — it is a direct purchase price. Which of the three applies to you is determined by your coverage, not by hunting for a better code.
Where the price comes from
The routes people actually pay through, and what determines the number in each.
Through insurance (copay)
If your plan covers the drug for your indication, your cost is the plan copay. Coverage for weight-loss indications is far less common than for type 2 diabetes.
Telehealth platform (brand drug)
Online clinics bundle a prescriber visit with brand-name medication. Membership fee is usually separate from drug cost.
Compounded semaglutide / tirzepatide
Compounded versions are prepared by pharmacies rather than the original manufacturer. Availability and legality depend on FDA shortage status, which has changed several times — verify current status before relying on this route.
Retail pharmacy cash price
List price without insurance, sometimes reduced by discount cards.
That last point is the one worth internalising. The reason coupon-hunting produces such inconsistent results in this category is that the biggest variable is not the code — it is which of the three routes you are eligible for in the first place. People on government plans and people with commercial coverage are frequently looking at completely different sets of options while reading the same page.
Wegovy — how much you actually consume
Weekly dosing means about 4.33 doses a month. Quantity drives cost, so this is the table that decides your monthly bill.
| Dose | Per month | Per year | A 10 mg vial lasts |
|---|---|---|---|
| 0.25 mg | 1.08 mg | 13 mg | 40.0 weeks |
| 0.5 mg | 2.17 mg | 26 mg | 20.0 weeks |
| 1 mg | 4.33 mg | 52 mg | 10.0 weeks |
| 1.7 mg | 7.36 mg | 88 mg | 5.9 weeks |
| 2.4 mg | 10.39 mg | 125 mg | 4.2 weeks |
Cost per milligram is the only figure that stays comparable across these rows. Enter your own quotes below to convert them onto that basis.
Where the price comes from
The routes people actually pay through, and what determines the number in each.
Manufacturer direct-pay program
Both Lilly and Novo Nordisk run self-pay programs for people without coverage. Pricing tiers change frequently — check the official program page for current rates.
Through insurance (copay)
If your plan covers the drug for your indication, your cost is the plan copay. Coverage for weight-loss indications is far less common than for type 2 diabetes.
Telehealth platform (brand drug)
Online clinics bundle a prescriber visit with brand-name medication. Membership fee is usually separate from drug cost.
Compounded semaglutide / tirzepatide
Compounded versions are prepared by pharmacies rather than the original manufacturer. Availability and legality depend on FDA shortage status, which has changed several times — verify current status before relying on this route.
Retail pharmacy cash price
List price without insurance, sometimes reduced by discount cards.
Cost comparison calculator
Enter the quotes you have actually been given. Everything is normalised to cost per month and cost per milligram so the options are comparable.
Monthly requirement21.65 mg4.33 doses/month × 5 mg
| Option | Per month | Per year | Per mg | One unit lasts |
|---|---|---|---|---|
| Option A | — | — | — | — |
| Option B | — | — | — | 2.0 weeks |
Common questions
- Can I use a manufacturer savings card with Medicare?
- Manufacturer copay assistance programmes generally exclude federal healthcare programme beneficiaries. This is a standard restriction across the industry rather than anything specific to this drug class, and it is stated in the programme terms.
- Can I stack a discount card on top of insurance?
- Generally not — a discount card is a cash price and using it usually means not running the claim through your plan. Which comes out ahead depends on your deductible and formulary position, so it is worth pricing both ways.
- Does the savings card cover the whole cost?
- Copay assistance programmes have caps and eligibility conditions that are set by the manufacturer and change over time. Read the current terms rather than a summary, including this one.
Common questions
- Why do quoted GLP-1 prices vary so much?
- Because the quotes are not measuring the same thing. A membership fee, a per-vial price, and a per-pen price all describe different quantities, and the dose you are on determines how long that quantity lasts. Converting everything to cost per milligram is the only way to compare them directly.
- Does insurance usually cover this?
- Coverage is far more common for type 2 diabetes indications than for weight management. Whether your specific plan covers your specific indication is something only your plan documents can answer.
Sources and last review
Every dosing figure on this page is transcribed from an FDA-approved label and links back to it. Conversions are arithmetic you can repeat by hand. Nothing here is reviewed by a clinician, and this site does not employ one — which is exactly why what I do publish stays traceable to its source.
- Wegovy (Semaglutide) prescribing information — Novo Nordisk, label revised 30 June 2026, checked 7 August 2026
Transcribed from the labels above and checked by me — Gavin, who builds this site, takes a GLP-1, and is not a clinician. Last reviewed August 2026. Found an error? [email protected] — I treat corrections as bugs. How this site is built and funded.