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US self-pay comparison

What will your GLP-1 cost?

Compare the product, the provider, and the price at the listed dose. Starting offers and maintenance prices stay side by side.

Every cash quote was checked on or after Sep 26, 2026. Individual offer checks appear with their price conditions. Sources & methodology

Self-pay offersPharmacy acquisition costsPolicy pricesInternational reference

Search by medication, provider or treatment goal. Examples follow.

Acquisition cost

What pharmacies pay (NADAC)

CMS acquisition costs are what pharmacies pay, not patient prices. These are the lowest presentation rates in the latest complete release we checked, shown alphabetically by dosage form. Different concentrations and doses mean a lower unit price does not establish a lower treatment cost.

NADAC feed · Oct 3, 2026 UTCCMS release: Sep 30, 20266 of 15 ingredients covered; 9 without a NADAC record.
Injectable GLP-1sPer labeled unit
  • Dulaglutide
    GLP-1
    Trulicity 4.5 MG/0.5 ML Pen
    NDC 00002318280
    Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
    $487.41808
Medicare & list prices

What each policy price means

Patient copays, negotiated drug prices, and manufacturer list prices answer different questions. Check the covered product, eligibility, and published dates.

Patient copay

Medicare GLP-1 Bridge

For eligible Part D enrollees using a covered product for weight management, with prior authorization. Bridge operates outside the Part D benefit. Its copay does not count toward Part D out-of-pocket spending, and the Part D deductible does not apply.

Published effective dates: Jul 1, 2026 to Dec 31, 2027

Check Medicare eligibility and coverage
  • Wegovy

    Injection and tablets

    $50 (Patient copay for Wegovy; per 28- or 30-day fill)

    per 28- or 30-day fill

  • Zepbound
Around the world

International price references

Published price snapshots, grouped by brand and country. Reporting years, doses, and price definitions differ, so these records cannot establish today’s price gap.

Semaglutide
  • Australia · Ozempic~$87/mo (PBS-subsidised patients pay far less out of pocket.)
  • Canada · Ozempic~C$258/mo (~$186); generic from ~C$89 (Brand cash price at major chains; generic semaglutide now from ~C$89.)
  • France · Ozempic~$83/mo (Historical published price, not a current pharmacy quote.)
  • Germany · Ozempic
GLPcompare is an informational data platform, not a pharmacy or medical provider. Prices shown are the cited source's figures on the date noted and can change; NADAC is not a cash price and no figure here is an offer to sell. Confirm current pricing with a licensed pharmacy and your insurer.
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GLPcompareGLPcompare

The live, fully-cited reference for the GLP-1 ecosystem. Every figure traces to its source. Informational only, not medical advice.

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Some outbound links on GLPcompare are referral links. If you sign up or buy through one, we may earn a commission at no extra cost to you. It never changes the price you pay or the underlying data. Partner status and commission rates contribute to offer and provider value scores and can change their order. Every partner is labeled. Value scores are not medical recommendations; a higher-ranked offer is not necessarily the lowest price or the right product for you.

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Fazier
/mL
(National Average Drug Acquisition Cost)
Verified
  • Exenatide
    GLP-1
    Exenatide 10 MCG Dose Pen Inj
    NDC 70121168601
    Effective Jul 22, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
    $300.1675/mL (National Average Drug Acquisition Cost)Verified
  • Liraglutide
    GLP-1
    Liraglutide 3-pack 18 MG/3 ML
    NDC 00143914403
    Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
    $30.63238/mL (National Average Drug Acquisition Cost)Verified
  • Semaglutide
    GLP-1
    Ozempic 1 Mg/dose (4 MG/3 Ml) Pen
    NDC 00169413001
    Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
    $331.90037/mL (National Average Drug Acquisition Cost)Verified
  • Tirzepatide
    GIP/GLP-1
    Zepbound 7.5 Mg/dose (30 MG/2.4 Ml) Kwikpen
    NDC 00002354401
    Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
    $200.9187/mL (National Average Drug Acquisition Cost)Verified
  • Oral GLP-1sPer labeled unit
    • Orforglipron
      Small-molecule GLP-1
      Foundayo 5.5 MG Tablet
      NDC 00002479401
      Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
      $20.81886/ea (National Average Drug Acquisition Cost)Verified
    • Semaglutide
      GLP-1
      Ozempic 1.5 MG Tablet
      NDC 00169171530
      Effective Sep 23, 2026Ingredient indexflatSep 24, 2026 to Oct 3, 2026
      $33.12635/ea (National Average Drug Acquisition Cost)Verified

    The ingredient index tracks pharmacy acquisition costs over windows up to 9 days long, not patient cash prices or just the presentation listed above. Each NDC starts at 100; we average its percentage change with the same NDCs at every point, so per-tablet and per-mL dollar prices are never averaged together. Incomplete days are omitted. “Flat” means a change smaller than 0.5%. Insufficient or truncated history shows no index.

    Source: NADAC (Data.Medicaid.gov)

    KwikPen only. Single-dose pens and vials are excluded.

    $50 (Patient copay for Zepbound; per 28- or 30-day fill)

    per 28- or 30-day fill

  • Foundayo

    Tablets

    $50 (Patient copay for Foundayo; per 28- or 30-day fill)

    per 28- or 30-day fill

  • CMS program detailsCovered products (CMS PDF)Source reviewed Sep 24, 2026

    Negotiated drug price

    Medicare negotiated prices for 2027

    CMS maximum fair prices for these exact packages, for eligible Medicare coverage. These are drug prices, not patient copays. Your out-of-pocket cost depends on your plan and coverage.

    Scheduled: Jan 1, 2027 to Dec 31, 2027

    • Ozempic

      One 4 mg/3 mL pen

      NDC 00169-4130-13

      $276.78 (Negotiated drug price for Ozempic; per package)

      per package

    • Rybelsus

      30 tablets, 7 mg each

      NDC 00169-4307-30

      $276.78 (Negotiated drug price for Rybelsus; per package)

      per package

    • Wegovy

      Four 2.4 mg/0.75 mL pens

      NDC 00169-4524-14

      $385.63 (Negotiated drug price for Wegovy; per package)

      per package

    CMS package-price examples (PDF)Source reviewed Sep 24, 2026

    Manufacturer list price

    Novo Nordisk list-price announcement

    Announced US wholesale acquisition cost for Wegovy injection and tablets, Ozempic injection and Rybelsus tablets. This is a list price, not a patient quote. Novo says the change does not affect its direct-to-patient self-pay prices.

    Scheduled: Jan 1, 2027

    • Wegovy / Ozempic / Rybelsus

      Products named in Novo's February 2026 announcement; see source for doses.

      $675 (Manufacturer list price for Wegovy / Ozempic / Rybelsus; per month)

      per month

    Novo Nordisk announcementSource reviewed Sep 24, 2026
    ~$103/mo (~$103/mo)
  • Japan · Ozempic$169/mo ($169/mo)
  • Sweden · Ozempic~$96/mo (~$96/mo)
  • Switzerland · Ozempic~$144/mo (~$144/mo)
  • United Kingdom · Ozempic~$93/mo (Historical published price, not a current pharmacy quote.)
  • United States · Ozempic~$1,028/mo (Reported US WAC list price (28-day). Novo will cut it to $675 on Jan 1, 2027.)
  • Germany · Wegovy$328/mo ($328/mo)
  • India · Wegovy₹16,400/mo (~$187) after Nov 2025 cut (₹16,400/mo (~$187) after Nov 2025 cut)
  • Netherlands · Wegovy$296/mo ($296/mo)
  • United Kingdom · Wegovy~£176/mo (~$223) (NICE-listed price; NHS patients pay only the prescription charge where eligible.)
  • United States · Wegovy$1,349/mo (US WAC list price at maintenance dose. Novo will cut it to $675 on Jan 1, 2027 (a ~50% reduction).)
  • Tirzepatide
    • India · Mounjaro₹14,000-22,000/mo by dose (~$160-251) (Lilly launched Mounjaro KwikPen in India Aug 2025 at ₹14,000 ($160) starting dose.)
    • Japan · Mounjaro$319/mo ($319/mo)
    • Netherlands · Mounjaro$444/mo ($444/mo)
    • United Kingdom · Mounjaro~£120-340/mo private (~$150-430) (UK private-pharmacy cash; NHS patients pay only the prescription charge.)
    • United States · Mounjaro~$1,112/mo (US WAC list price (28-day); raised from $1,069 on Jan 1, 2026. Zepbound's list is ~$1,086.)

    References include manufacturer list prices and reported pharmacy prices, not a single comparable measure of patient cost. Sources span different years; each amount links to its original record. Confirm current local pricing and coverage with a licensed pharmacy.

    58 offers · US self-pay · 17 maintenance quotes

    This order ignores commission. Partner links may earn us a referral fee.

    ProductProviderAdvertised priceMaintenance priceDetails
    • Foundayo (LillyDirect self-pay)

      Orforglipron · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised pricefrom $149/mo

      30-day supply

      $149 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, lowest dose; ~$25/mo with commercial coverage

      Maintenance price$299/mo

      At 17.2 mg

      30-day supply

      $299 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: Self-Pay Journey price for 14.5 mg and 17.2 mg with a refill within 45 days; regular price $349. Eligibility, additional taxes and fees may apply.

      Price conditions & sourceChecked Sep 30, 2026

      The first oral small-molecule GLP-1 pill for weight loss; FDA-approved April 2026. LillyDirect self-pay ladder: $149 (0.8 mg), $199 (2.5 mg), $299 (5.5 and 9 mg), $299 (14.5 and 17.2 mg with a 45-day refill, else $349); the 2.5 mg and 5.5 mg doses are temporarily $149 and $199 through Dec 31, 2026.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Ozempic tablets

      Semaglutide · Manufacturer direct

      N
      NovoCare (Novo Nordisk)
      Advertised price$149/30 days

      30-day supply

      $149 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay, 1.5 mg starting dose

      Maintenance price$299/30 days

      At 9 mg

      30-day supply

      $299 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: 30 tablets per bottle. The 4 mg strength costs $199 per 30-day fill; 9 mg costs $299.

      Price conditions & sourceChecked Sep 30, 2026

      A prescription is required. The 1.5 mg initiation dose costs $149 for 30 tablets. Self-pay purchases are processed outside insurance and do not count toward deductibles or out-of-pocket limits. Ozempic tablet prices are separate from Wegovy tablet prices.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Wegovy pill (oral semaglutide)

      Semaglutide · Manufacturer direct

      N
      NovoCare (Novo Nordisk)
      Advertised pricefrom $149/mo

      30-day supply

      $149 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, lowest dose (1.5 mg)

      Maintenance price$299/mo

      At 25 mg

      30-day supply

      $299 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: $149 (1.5 mg), $199 (4 mg), $299 (9 mg and 25 mg).

      Price conditions & sourceChecked Sep 30, 2026

      $149/mo for 1.5 mg; $199 for 4 mg (the 4 mg $149 promo ended Aug 31, 2026); $299 for 9 mg and 25 mg.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Wegovy pill (oral semaglutide) via GoodRx

      Semaglutide · Retail cash / discount

      G
      GoodRx
      Advertised price$149-$299/mo

      30-day supply

      $149 per 30 days at this quoted rate

      Checked Sep 30, 2026

      by dose; Novo Nordisk's self-pay price through a GoodRx coupon

      Third-party report

      Maintenance price$299/mo

      At 25 mg

      30-day supply

      $299 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer
      Price conditions & sourceChecked Sep 30, 2026

      The same oral semaglutide and prices as the NovoCare offer: $149 (1.5 mg), $199 (4 mg), $299 (9 mg and 25 mg), per Novo Nordisk's published self-pay ladder. FDA-approved product.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Wegovy pen (standard doses 0.25-2.4 mg)

      Semaglutide · Manufacturer direct

      N
      NovoCare (Novo Nordisk)
      Advertised price$199/fill initially

      28-day supply

      ≈ $213.21 per 30 days at this quoted rate

      Offer through Dec 31, 2026

      Checked Sep 30, 2026

      first two monthly fills at 0.25 or 0.5 mg for new patients, prescribed by Dec 31, 2026

      Maintenance price$349/28 days

      At 2.4 mg

      28-day supply

      ≈ $373.93 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: One price for every standard dose (0.25-2.4 mg).

      Price conditions & sourceChecked Sep 30, 2026

      After the introductory offer, standard doses cost $349 per box of four weekly pens. Wegovy HD (7.2 mg) is $399. Eligibility and restrictions apply.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Trulicity single-dose pens

      Dulaglutide · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised pricefrom $389/28 days

      28-day supply

      ≈ $416.79 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay, four weekly pens; published starting rate at each dose

      Maintenance pricefrom $389/28 days

      At 4.5 mg

      28-day supply

      ≈ $416.79 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: The same starting rate is published for 0.75, 1.5, 3 and 4.5 mg. Taxes and additional fees may apply.

      Price conditions & sourceChecked Sep 30, 2026

      The self-pay program requires a prescription for an approved use, age 18+, and US or Puerto Rico residence. Purchases cannot be submitted to insurance or counted toward deductibles or out-of-pocket limits. Four once-weekly pens cover 28 days.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Wegovy HD pen (7.2 mg)

      Semaglutide · Manufacturer direct

      N
      NovoCare (Novo Nordisk)
      Advertised price$399/28 days

      28-day supply

      ≈ $427.50 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, 7.2 mg dose

      Maintenance price$399/28 days

      At 7.2 mg

      28-day supply

      ≈ $427.50 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer
      Price conditions & sourceChecked Sep 30, 2026

      One box contains four weekly pens. This is the HD maintenance dose, not a treatment starting dose. The $199 introduction applies only to 0.25 and 0.5 mg standard Wegovy. Prescription, eligibility and restrictions apply.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Zepbound KwikPen (multi-dose pen)

      Tirzepatide · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised price$299-$449/28 days

      28-day supply

      ≈ $320.36 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, by dose ($299 / $399 / $449)

      Maintenance price$449/28 days

      At 15 mg

      28-day supply

      ≈ $481.07 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg). Pen needles cost extra.

      Price conditions & sourceChecked Sep 30, 2026

      Four weekly doses per pen; pen needles must be purchased separately. $299 at 2.5 mg, $399 at 5 mg, and $449 at higher doses under the Self Pay Journey offer with a refill within 45 days.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Zepbound single-dose vials (2.5 mg)

      Tirzepatide · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised price$299/28 days

      28-day supply

      ≈ $320.36 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, starting dose

      Maintenance price$449/28 days

      At 15 mg

      28-day supply

      ≈ $481.07 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

      Price conditions & sourceChecked Sep 30, 2026

      Cash-only via LillyDirect; not billable to insurance. Needles and syringes cost extra.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Zepbound single-dose vials (5 mg)

      Tirzepatide · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised price$399/28 days

      28-day supply

      ≈ $427.50 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash

      Maintenance price$449/28 days

      At 15 mg

      28-day supply

      ≈ $481.07 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

      Price conditions & sourceChecked Sep 30, 2026

      Needles and syringes cost extra.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Zepbound single-dose vials (7.5-15 mg)

      Tirzepatide · Manufacturer direct

      L
      LillyDirect (Eli Lilly)
      Advertised price$449/28 days

      28-day supply

      ≈ $481.07 per 30 days at this quoted rate

      Checked Sep 30, 2026

      self-pay cash, higher doses

      Maintenance price$449/28 days

      At 15 mg

      28-day supply

      ≈ $481.07 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer

      Maintenance terms: Self Pay Journey price for 7.5-15 mg with a refill within 45 days; otherwise $499 (7.5 mg) or $699 (10-15 mg).

      Price conditions & sourceChecked Sep 30, 2026

      The $449 rate is the Self Pay Journey Program price and holds only with a refill within 45 days; miss the window and the higher doses revert to the regular single-dose vial price of $499 (7.5 mg) or $699 (10 mg, 12.5 mg, and 15 mg). Needles and syringes cost extra.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source
    • Ozempic pen

      Semaglutide · Manufacturer direct

      N
      NovoCare (Novo Nordisk)
      Advertised price$199/fill initially

      28-day supply

      ≈ $213.21 per 30 days at this quoted rate

      Offer through Dec 31, 2026

      Checked Sep 30, 2026

      first two monthly fills at 0.25 or 0.5 mg for new patients, prescribed by Dec 31, 2026

      Maintenance price$499/28 days

      At 2 mg

      28-day supply

      ≈ $534.64 per 30 days at this quoted rate

      Checked Sep 30, 2026

      View offer
      Price conditions & sourceChecked Sep 30, 2026

      After the introductory offer: $349 per monthly fill for 0.25, 0.5, or 1 mg; $499 for 2 mg. NovoCare defines one injection fill as a 28-day supply. Eligibility and restrictions apply.

      Confirm the prescribed dose, supply length, membership or consultation fees, and refill conditions with the provider. A listed offer does not confirm eligibility or stock.

      Read the advertised-price source

    1–12 of 58 offers

    1 / 5

    Read prices in context. Compare the same product, dose, and payment terms. A prepaid monthly rate is not a monthly payment. Cost order uses current, recently checked quotes with documented supply periods, converted to 30 days. Other prices are unranked references. Dose changes, introductory terms and added fees affect what you pay.

    Missing prices are not estimated. A listed maintenance dose is not a dosing recommendation.

    The FDA declared the tirzepatide (December 2024) and semaglutide (February 2025) shortages resolved, ending the exemption that let pharmacies mass-produce compounded copies, and the 503A/503B enforcement-discretion grace periods ended in 2025. The FDA is now actively enforcing (warning letters and takedowns, including a September 2026 warning letter to Empower Pharmacy, a large compounder, over products it called essentially copies of approved semaglutide and tirzepatide), and in 2026 proposed permanently excluding semaglutide, tirzepatide, and liraglutide from the 503B bulks list (the public comment period, extended 30 days, closed July 30, 2026; a final decision is pending). Compounded GLP-1s are not FDA-approved and are now generally limited to narrow, patient-specific 503A prescriptions, so broad low-cost availability has largely wound down. They also carry safety risks the branded products do not: FDA adverse-event reports, at least one sterility recall (ProRx, October 2025), and counterfeit product found in the US supply chain, so a low price is not a low-risk signal. Prices and availability below may lag these changes; confirm current terms with the provider.

    Some outbound links on GLPcompare are referral links. If you sign up or buy through one, we may earn a commission at no extra cost to you. It never changes the price you pay or the underlying data. Partner status and commission rates contribute to offer and provider value scores and can change their order. Every partner is labeled. Value scores are not medical recommendations; a higher-ranked offer is not necessarily the lowest price or the right product for you.