What a GLP-1 really costs, with every fee counted.
Pick a medication and dose. See the full cash price at each place you can buy it, brand name or compounded: the medication plus whatever membership or consult fees the seller charges on top.
Brand name (FDA-approved)
Compounded
Dose
Where you buy
Medication / mo
Membership or fees
All-in / mo
First 12 months
If insurance is in the picture
$25 / mo
Commercial insurance that covers it
With the maker's savings card. Novo caps its savings at $100 a month; government plans are excluded.
$50 / mo
Medicare GLP-1 Bridge
For eligible Medicare patients on Wegovy for a covered use. Medicare decides who qualifies.
Cash
No coverage
The table above. Cash programs cannot be billed to insurance or counted toward a deductible.
First 12 months assumes you stay on the dose you picked for a full year, and counts every membership or consult fee, including first-month deals. Most people step up through doses, so your real year will differ.
A box of brand-name pens lasts 4 weeks, not a month, so a year takes 13 boxes. Pills come 30 to a bottle, so a year is counted as 12.
Buying direct (NovoCare Pharmacy, LillyDirect) has no membership, but you need a prescription from your own doctor. That visit is not in the numbers.
Compounded semaglutide and tirzepatide are mixed by compounding pharmacies. They are not FDA-approved, strengths and added ingredients differ by pharmacy, and availability can change. The monthly figure is the plan price spread over the weeks that plan lasts at your dose.
Prepaid plans are charged up front in one payment. The monthly figure is that payment spread out.
Anything marked assumed or secondhand was not read off the seller's own page. See sources.
Recent price changes
Sources
Advertise here
Three banner spots per page (top, middle, bottom), 728 × 90, shown to people who are actively pricing a GLP-1. Ads are labeled, and they never change a price or the order of the table. See placements, rules and the contact form.