Wegovy’s list price at retail pharmacies is roughly $1,350 per month, but almost nobody actually pays that. Through manufacturer discounts available to cash-paying patients, the real out-of-pocket cost starts at $149 to $399 per month depending on the dose, and a standard ongoing price of $349 per month applies across all dosage strengths. Here’s a full breakdown of what you’ll actually pay.
Retail Price vs. What You’ll Actually Pay
The sticker price for Wegovy at a typical pharmacy runs around $1,349 per month. Amazon Pharmacy lists the retail price at $1,348.80 for the 1.5 mg tablet, for example. But this number is largely theoretical. Novo Nordisk, the company that makes Wegovy, offers a self-pay savings program that dramatically reduces the cost for people paying out of pocket.
Through the NovoCare savings program, self-paying patients pay $349 per month as the standard price. That rate is the same whether you’re on the lowest starter dose (0.25 mg) or the full maintenance dose (2.4 mg). To get this price, you need to fill your prescription either through NovoCare Pharmacy directly or use the manufacturer’s savings offer at a participating pharmacy.
Introductory Pricing for New Patients
New patients get a lower rate for the first couple of months. For the standard Wegovy pen, pricing starts at $199 per month for the first two months. For the Wegovy HD pen, the introductory price is $399 per month. After that initial period, the standard $349 per month rate kicks in for all doses.
There’s also a promotional self-pay price of $149 per month for the 1.5 mg and 4 mg doses, available through mid-2026. Amazon Pharmacy reflects this same $149 starting price for the 1.5 mg tablet, showing an 88% discount off the retail price when you apply the available coupon. These promotional rates shift periodically, so the exact price you see may depend on when you start.
What a Year on Wegovy Costs Out of Pocket
At the standard self-pay rate of $349 per month, a full year of Wegovy runs about $4,188. If you factor in the lower introductory pricing for the first two months ($199 each), your first year drops closer to $3,888. That’s still a significant expense, but it’s a fraction of the $16,000-plus you’d face at the full retail price.
There’s no widely available multi-month discount for buying a 90-day supply. The manufacturer’s pricing structure is built around monthly fills at $349, so buying in bulk doesn’t change the math. Your best savings come from using the NovoCare program consistently and catching any promotional pricing windows.
Using HSA or FSA Funds
If you have a health savings account or flexible spending account, you can use those pre-tax dollars to pay for Wegovy. Prescription weight loss medications are FSA-eligible, and the same applies to HSAs. This effectively gives you a discount equal to your marginal tax rate. If you’re in a 24% tax bracket, paying $349 per month with pre-tax funds saves you roughly $84 per month compared to using after-tax income. Keep your receipts, as your plan administrator will likely require documentation for reimbursement.
Medicare Coverage Starting in 2026
Medicare Part D has historically not covered weight loss medications, leaving beneficiaries to pay full price. That’s changing. CMS announced a program called the Medicare GLP-1 Bridge, launching in July 2026, that will cover Wegovy for eligible beneficiaries through the end of 2027.
Under this program, qualifying patients will pay a $50 copay per month. Manufacturers will provide the drugs at a net price of $245 per monthly supply. To qualify, your prescribing provider must submit a prior authorization confirming you meet specific criteria. The broadest eligibility tier requires a BMI of 35 or higher. People with a BMI of 30 or above can qualify if they also have certain conditions like uncontrolled high blood pressure, heart failure, or stage 3a or higher kidney disease. Those with a BMI of 27 or above qualify with a history of heart attack, stroke, pre-diabetes, or symptomatic peripheral artery disease.
After the bridge program ends, a longer-term model called BALANCE is expected to take over in Medicare Part D. If you’re on Medicare and currently paying cash, this timeline is worth tracking closely.
How to Get the Lowest Price
Your cheapest path as a cash-paying patient is straightforward: enroll in the NovoCare self-pay savings program and fill through NovoCare Pharmacy or a participating retail pharmacy using the savings offer. Without this step, you’ll be quoted the full retail price of roughly $1,350. With it, you’ll pay $349 per month or less during promotional windows.
A few practical tips to keep costs down. Check whether any current promotional pricing applies to your specific dose before filling. Use HSA or FSA funds if available. Compare the NovoCare Pharmacy price against Amazon Pharmacy and other online options, since coupon availability can vary. And if you’re on Medicare, plan for the July 2026 bridge program, which will cut your monthly cost to $50.