If you have commercial insurance that covers Wegovy, the Wegovy Savings Card can bring your copay to as little as $25. Without that coverage, NovoCare self-pay prices the Wegovy pill (FDA-approved December 2025) by strength — $149 at 1.5 mg, $199 at 4 mg, $299 at 9 mg and 25 mg — and the pen at $199 for the first two fills, then $349/month.
Compounded semaglutide via licensed telehealth runs about $99–$300/month (the low end is a 12-month plan billed upfront), but it is not FDA-approved as a finished product and quality varies by pharmacy. Compare the all-in monthly price — medication plus any visit or membership fee — not just the sticker price. Estimates as of September 2026.