Without insurance, Ozempic lists at about $969/month, and the savings card most people have heard of does not apply to you: it requires commercial coverage. Novo Nordisk sells it direct at $349/mo (0.25, 0.5 and 1 mg pen). Compounded semaglutide runs $99–$300/mo, but the FDA does not review it for safety, potency or manufacturing.
Every way to pay for Ozempic, compared
Same drug, 4 prices. Which one you pay depends on your insurance and which route you take, not on where you shop — and each carries a condition worth reading before you pick.
| Route | Monthly cost | Who it fits | The catch |
|---|---|---|---|
| Retail, no insurance | ~$969/mo | Nobody, in practice | The list price a pharmacy bills someone who asks for no help. Almost everyone pays one of the rows below instead. |
| Direct from the manufacturer | $349/mo (0.25, 0.5 and 1 mg pen) | Uninsured, or insurance refused it | Maintenance-dose price. Advertised starter-dose and first-two-fills figures are lower and do not last. |
| Manufacturer savings card | as low as $25/mo | Commercial insurance that already covers it | Commercial plans only. Medicare, Medicaid, TRICARE and VA are excluded by federal anti-kickback rules, and every card caps what it pays. |
| Compounded version | $99–$300/mo | Cheapest route, with a trade-off | NOT FDA-approved — the agency reviews neither its safety nor its manufacturing. The low end of that range normally means paying a year up front. |
Telehealth, priced all-in
A telehealth subscription bundles the visit, the prescription and the medication, with no insurance involved. We do not currently hold a verified partner price for Ozempic.
Sorry, we don't have any provider pricing for this medication yet. There are a few potential reasons:
- No telehealth providers currently offer this medication.
- This medication is in shortage and providers have paused new prescriptions.
- Pricing data is being updated.
Direct from Novo Nordisk
$349/mo (0.25, 0.5 and 1 mg pen) (NovoCare self-pay, standing price). No insurance or prior authorization is involved, but a prescription is still required, and the lower starter-dose and first-fill prices do not last.
Compounded semaglutide
Compounded semaglutide runs $99–$300/mo through telehealth, and the low end of that range normally means paying a year up front. It is not an FDA-approved product: the FDA does not review compounded medicines for safety, effectiveness or manufacturing quality. What that means in practice.
If you have Medicare or Medicaid
Those are insurance, and they change the answer. Medicare Part D cannot cover a GLP-1 prescribed for weight loss alone, but it can cover Ozempic prescribed for type 2 diabetes, glycemic control (adults) or cardiovascular event risk reduction or slowing kidney-disease progression. 13 state Medicaid programs cover GLP-1s for obesity as of January 2026, and every state covers the type 2 diabetes indication.
FAQ about Ozempic without insurance
What’s the absolute cheapest way to get Ozempic?
For Ozempic specifically, the routes we can verify are direct from the manufacturer at $349/mo (0.25, 0.5 and 1 mg pen). Compounded semaglutide runs $99–$300/mo and is cheaper still, but it is not FDA-approved and the low end of that range usually means paying a year up front. Patient assistance programmes can beat all of these for income-qualified patients, but they are slower and not everyone qualifies.
Can I get Ozempic without a prescription?
No. Ozempic is a prescription-only medication in the United States. Any source claiming to sell it without a prescription is illegal and potentially unsafe.
See also: Ozempic full cost guide · Ozempic coupons · cheaper alternatives