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Weight loss · medicine cost

Ozempic cost without insurance

Ozempic is a prescription semaglutide injection taken once a week.

General information, not medical advice. Last reviewed: pending clinical review.

Novo Nordisk sells the Ozempic pen to people paying for it themselves through NovoCare Pharmacy, Novo Nordisk’s self-pay program. The price depends on the dose. Every figure on this page is a published price with its source beside it.

Ozempic’s label is for type 2 diabetes

Ozempic’s label is for adults with type 2 diabetes: to improve blood sugar control, to lower cardiovascular risk in those with cardiovascular disease, and to lower kidney and cardiovascular risk in those with chronic kidney disease. It has no use for weight management on its label.Source: Ozempic prescribing information (Novo Nordisk) (opens in a new tab), revised 05/2026. Checked October 11, 2026.

Novo Nordisk’s self-pay price

Published price

$349 – $499a month, by dose · pen

$349 at 0.25 mg to $499 at 2 mg. An introductory $199 applies for the first 2 fills, through December 31, 2026, at 0.25 mg and 0.5 mg. Seen October 11, 2026 on novocare.com (opens in a new tab).

By dose

Ozempic price at each dose

Novo Nordisk’s self-pay price for a month of the pen, dose by dose.

Novo Nordisk’s self-pay price for a month of Ozempic at each dose, with the source page and the day each price was seen.
DosePrice (a month)
0.25 mg$349Introductory price: $199 (first 2 fills, through December 31, 2026)novocare.com (opens in a new tab)seen Oct 11, 2026
0.5 mg$349Introductory price: $199 (first 2 fills, through December 31, 2026)novocare.com (opens in a new tab)seen Oct 11, 2026
1 mg$349novocare.com (opens in a new tab)seen Oct 11, 2026
2 mg$499novocare.com (opens in a new tab)seen Oct 11, 2026

  • Ozempic 0.25 mg price

    $349 a month from Novo Nordisk; $199 for the first 2 fills, through December 31, 2026.

  • Ozempic 0.5 mg price

    $349 a month from Novo Nordisk; $199 for the first 2 fills, through December 31, 2026.

  • Ozempic 1 mg price

    $349 a month from Novo Nordisk.

  • Ozempic 2 mg price

    $499 a month from Novo Nordisk.

The conditions printed with these prices

What each price depends on, by form and dose, as Novo Nordisk states it.
  • Introductory price, 0.25 mg and 0.5 mg: New self-pay patients only; first 2 monthly fills; offer through December 31, 2026
  • 0.25 mg to 1 mg: Self-pay standard price after the two introductory fills
  • 2 mg: Self-pay standard price

Other sellers

Ozempic at other sellers

Published Ozempic prices from programs, pharmacies and price sites, A to Z, as each seller’s own page printed them. Open a row for its conditions and what it covers. A program’s own fee is separate unless the row says otherwise.

  • Lemonaid Health$1,199 a monthTelehealth program · sells nationallyInjection · Before insurance or discounts

    Telehealth program · sells nationally

    $1,199 a monthInjection

    Conditions: Before insurance or discounts

    Includes: The medication

    Does not include: The $49 monthly membership

    lemonaidhealth.com (opens in a new tab)seen Oct 11, 2026
    lemonaidhealth.com (opens in a new tab)seen Oct 11, 2026
  • TrumpRx.gov$199–$499 a monthGovernment price portal · sells nationallyPen · first 2 fills, through December 31, 2026

    Government price portal · sells nationally

    • $349 at 0.25 mg to 1 mg

    Each a month · Pen

    One pen, a month of weekly doses

    Conditions: Each fill after the two introductory fills

    Includes: The medication only, bought with a coupon at a retail pharmacy that dispenses it

    Does not include: Prescription and visit; insurance cannot be used; the site itself sells nothing

    trumprx.gov (opens in a new tab)seen Oct 11, 2026
    • $199 at 0.25 mg and 0.5 mg

    Each a month · Penfirst 2 fills, through December 31, 2026

    One pen, a month of weekly doses

    Conditions: New self-pay patients; first two monthly fills; 11/17/2025 to 12/31/2026

    Includes: The medication only, bought with a coupon at a retail pharmacy that dispenses it

    Does not include: Prescription and visit; insurance cannot be used; the site itself sells nothing

    trumprx.gov (opens in a new tab)seen Oct 11, 2026

    $499 a month2 mg · Pen

    One pen, a month of weekly doses

    Conditions: Self-pay

    Includes: The medication only, bought with a coupon at a retail pharmacy that dispenses it

    Does not include: Prescription and visit; insurance cannot be used; the site itself sells nothing

    trumprx.gov (opens in a new tab)seen Oct 11, 2026
    trumprx.gov (opens in a new tab)seen Oct 11, 2026

What the Ozempic self-pay price covers

Includes: One box containing 1 Ozempic pen (one month); home delivery or pharmacy pickup. Does not include: Prescriber visit; not billable to insurance and does not count toward a deductible.

What Novo Nordisk’s page says its self-pay price includes and leaves out, in the seller’s words above and counted here across the 6 prices on this page. “Not stated” is never read as included.

Of 6 published prices, how many say each item is included, not included, included in part, or do not say.
WhatWhat the prices say
The medicine itself
  • 6 included
Prescriber or clinician visits
  • 6 not included
Program or membership fee
  • 6 not stated
Lab work
  • 6 not stated
Needles and injection supplies
  • 6 not stated
Shipping or delivery
  • 6 included
Coaching or dietitian support
  • 6 not stated

What changes after the introductory Ozempic fills

Novo Nordisk’s $199 price applies at 0.25 mg and 0.5 mg, for the first 2 fills, through December 31, 2026. After that, a month at those doses is $349.

Every other dose is priced as in the table at the top of this page. The condition as printed: New self-pay patients only; first 2 monthly fills; offer through December 31, 2026

What a program adds on top

$19.99 to $299 a month for the program itself, across the 10 programs whose month-to-month fee we have checked: $239.88 to $3,588 over twelve months (12 × the fee), before the medicine.

Program by programAdd a program to a year

Will insurance or Medicare cover it?

CMS says type 2 diabetes, moderate to severe obstructive sleep apnea, and MASH with moderate to advanced liver fibrosis are uses eligible for Part D coverage, received through the person’s Part D plan rather than the Bridge. (CMS: Medicare GLP-1 Bridge, information for Part D plans, page last modified 08/06/2026.) More from Medicare.gov, CMS and the IRS inside, each linked and dated.
  • CMS says type 2 diabetes, moderate to severe obstructive sleep apnea, and MASH with moderate to advanced liver fibrosis are uses eligible for Part D coverage, received through the person’s Part D plan rather than the Bridge.Source: CMS: Medicare GLP-1 Bridge, information for Part D plans (opens in a new tab), page last modified 08/06/2026. Checked October 11, 2026.
  • CMS says Medicare and Medicaid generally do not cover GLP-1 drugs for weight loss, and that Medicaid coverage under its voluntary BALANCE model depends on participation by states and drug manufacturers.Source: CMS: the BALANCE model (opens in a new tab), page last modified 09/29/2026. Checked October 11, 2026.

What we could not confirm

Which state Medicaid programs cover these medicines for weight loss: no official page we could read names them. Check with your state’s Medicaid agency, and for Medicare with Medicare.gov (opens in a new tab).

HSA and FSA

IRS Publication 502 says weight-loss costs can be included as medical expenses only when the weight loss is a treatment for a disease diagnosed by a physician, such as obesity, and that prescribed medicines can be included.Source: IRS Publication 502, Medical and Dental Expenses (opens in a new tab), Publication 502 (2025), for 2025 returns. Checked October 11, 2026.

Questions people ask about Ozempic cost

4 questions, each answered from the prices on this page.
How much is Ozempic without insurance?
Novo Nordisk sells the Ozempic pen to self-pay patients for $349 to $499 a month, depending on the dose: $349 at 0.25 mg and $499 at 2 mg. Those are the manufacturer’s published prices as seen on October 11, 2026; a prescriber’s visit is separate. Every dose
Does the price of Ozempic go up with the dose?
In steps: $349 at 0.25 mg to 1 mg, $499 at 2 mg. The price at each dose
What happens to the Ozempic price after the introductory fills?
Novo Nordisk’s $199 price is for the first 2 fills, through December 31, 2026, at 0.25 mg and 0.5 mg. After that the price is $349 a month at those doses. What changes
What does a telehealth program add to the cost of Ozempic?
The 10 programs whose month-to-month fee we have checked charge $19.99 to $299 a month for the program itself. Where a program sells a brand medicine, that fee is on top of the medicine’s price. Program by program

Not medical advice. This page is about what things cost. Prices change: the newest here was seen on its source page on October 11, 2026.

What that means, and how we check prices

Not medical advice

This page is about what things cost. It does not say what anyone should take or have done; that is a decision for you and a licensed clinician. Statements from labels and agencies are quoted from the sources linked beside them and have not been clinically reviewed.

Prices change

Every price here is a published price as it was seen on its source page — the newest on October 11, 2026. Sellers change prices and end offers; the seller’s page is the authority.

How we check prices

Each price is read from the seller’s own page and checked against its source before it appears, with the unit it is quoted in and the conditions printed beside it. Published prices are re-checked monthly. How we estimate · How this site works