How much does Ozempic cost per month?
The cost of Ozempic per month without insurance is $349 for the 0.25 mg, 0.5 mg and 1 mg pen and $499 for the 2 mg pen through Novo Nordisk's NovoCare program, and new patients pay $199 a month for their first two fills through December 31, 2026. The Ozempic pill costs $149 to $299 a month by dose, and Costco lists the same pen prices for members. With commercial insurance that covers it, the savings offer can bring Ozempic down to $25 a month.
Prices are national ranges from the sources listed below. Your price depends on your provider, location and case; confirm the cost with your provider before treatment. How we get these prices
| Item | Low | High | Typical | Notes |
|---|---|---|---|---|
| Pen, 0.25 mg or 0.5 mg, first 2 fills (new patients)[1] | $199 | Offer through December 31, 2026 | ||
| Pen, 0.25 mg, 0.5 mg or 1 mg, self-pay[1][2] | $349 | |||
| Pen, 2 mg, self-pay[1][2] | $499 | |||
| Pill, self-pay[1] | $149 | $299 | $149 (1.5 mg), $199 (4 mg), $299 (9 mg); one bottle of 30 tablets | |
| Pen or pill, commercial insurance with savings offer[1][2] | $25 | Savings capped at $100 a month; government plans excluded | ||
| Costco member price, pen[8] | $199 | $499 | Same tiers as NovoCare: $199 intro, $349 for up to 1 mg, $499 for 2 mg | |
| TrumpRx listed deal price[3] | $199 | TrumpRx lists an original price of $1,028 | ||
| List price from January 1, 2027[4] | $675 | Announced cut; does not change self-pay prices |
Cost of Ozempic per month without insurance
Novo Nordisk sells Ozempic to self-pay patients through its NovoCare program, and the price depends on the form and dose (see the table above).[1] A month is one box with one pen, which holds a month of weekly doses, or one bottle of 30 tablets. The $199 pen price is for patients new to the Ozempic Savings Offer or NovoCare home delivery and covers two monthly fills of 0.25 mg or 0.5 mg through December 31, 2026, then the price moves to $349, or $499 for 2 mg.[2] Novo Nordisk says eligibility and restrictions apply and it can change or end these programs at any time.[2]
TrumpRx lists Ozempic at $199 a month, with an original price of $1,028.[3] NovoCare’s terms tie the $199 price to the first two fills of the lower pen doses, so expect $349 or $499 a month after that.[2]
Ozempic pill cost
The Ozempic pill is a daily tablet for adults with type 2 diabetes.[5] Self-pay prices are $149 a month for 1.5 mg, $199 for 4 mg and $299 for 9 mg, and the $25 savings offer also applies to the pill for commercially insured patients.[1] TrumpRx also lists a 30-tablet bottle of the starting dose at $149.[3] For the semaglutide pill approved for weight management, see the Wegovy pill cost by dose.
Ozempic cost at Costco and Walmart
- Costco: A price check of Costco’s pharmacy tool on October 29, 2026 found the same tiers as NovoCare for members: $199 for the first two fills of the 0.25 mg or 0.5 mg pen, then $349, and $349 for 1 mg and $499 for 2 mg.[8] Costco’s prices are for members paying cash.
- Walmart: We found no posted Walmart self-pay price for Ozempic.[8] NovoCare offers pharmacy pickup, which sends your self-pay prescription to a local pharmacy of your choice, and says to take the savings offer to your local pharmacy if you have commercial coverage.[2] Ask the Walmart pharmacy to fill at the NovoCare self-pay price before you pay.
- Any pharmacy: Self-pay purchases are not billed to your insurer, so confirm the price at the counter for your exact dose.
Ozempic cost with insurance
If your commercial insurance covers Ozempic, the Ozempic Savings Offer lets you pay as little as $25 a month for the pen or pill, for up to a 3-month prescription. The offer covers up to $100 a month in savings for up to 48 months, so your cost can be higher if your plan’s copay is large.[2] Government beneficiaries are excluded.[2]
To check your price, ask your plan whether Ozempic is on its formulary and whether it needs prior authorization.
What Ozempic is approved for
The Ozempic pen and pill are approved, with diet and exercise, to improve blood sugar in adults with type 2 diabetes and to lower the risk of major heart events in certain adults with type 2 diabetes. The pen is also approved to lower the risk of kidney disease getting worse in adults with type 2 diabetes and chronic kidney disease. Novo Nordisk states that Ozempic is not a weight loss drug.[5] Talk with a clinician about which medicine fits your situation. Care Anytime members can reach state-licensed doctors by phone or video for non-emergency care through virtual physician access; we do not sell these drugs.
Ozempic and Medicare
Medicare’s GLP-1 Bridge pays for certain weight loss drugs for $50 a month, and Ozempic is not on its list. If you have type 2 diabetes, your Medicare drug plan may cover a GLP-1 drug for that condition.[6]
Ozempic list price is dropping in 2027
Novo Nordisk announced that the list price of Ozempic 0.5 mg, 1 mg and 2 mg will fall to $675 starting January 1, 2027, about 35% below the current list price. The company says the change does not affect its direct-to-patient self-pay prices.[4] List price mostly matters if you pay a percentage of it through insurance coinsurance or a deductible.
How to pay less for Ozempic
- Check coverage first. With commercial coverage, the savings offer can bring the cost to $25 a month.[2]
- Ask about the new patient price. First-time NovoCare patients pay $199 for each of the first two months of the 0.25 mg or 0.5 mg pen through December 31, 2026.[2]
- Ask your clinician about forms and doses. Monthly self-pay prices differ by dose, from $149 for the lowest pill dose to $499 for the 2 mg pen.[1] Compare them with the cheapest weight loss injections side by side.
- Avoid unverified sellers. The FDA warns that counterfeit Ozempic is sold in the U.S. Fill your prescription at a state-licensed pharmacy.[7] If you are weighing compounded semaglutide prices, note that compounded drugs are not FDA approved.
Frequently asked questions
How much is Ozempic each week?
One Ozempic pen box covers a month of weekly doses. At the $349 self-pay price that is about $87 a week, and at $499 for the 2 mg pen about $125 a week.
How much does Ozempic cost with insurance?
It depends on your plan. If you have commercial insurance that covers Ozempic, Novo Nordisk's savings offer lets you pay as little as $25 a month, with savings capped at $100 a month for up to 48 months. People on Medicare, Medicaid or other government plans cannot use the offer.
What is the most affordable GLP-1 medication?
It depends on your coverage and diagnosis. Paying cash, the lowest maker prices start at $149 a month for the lowest dose of the Ozempic pill or the Wegovy pill. With commercial coverage, savings offers can bring a covered drug to $25 a month. Your clinician decides which drug fits you.
Is Ozempic approved for weight loss?
No. The Ozempic pen and pill are approved to improve blood sugar in adults with type 2 diabetes and to lower certain heart risks, and the pen also lowers kidney risks in adults with type 2 diabetes and chronic kidney disease. The maker states that Ozempic is not a weight loss drug. Wegovy is the Novo Nordisk product approved for weight management.
Does Medicare cover Ozempic?
Medicare drug plans may cover GLP-1 drugs for type 2 diabetes, so ask your Part D plan. Ozempic is not one of the drugs in the Medicare GLP-1 Bridge, which covers Foundayo, Wegovy and the Zepbound KwikPen for weight loss at $50 a month.
Is the TrumpRx price for Ozempic different from NovoCare?
TrumpRx lists Ozempic at $199 a month against an original price of $1,028. NovoCare's own terms limit $199 to the first two fills of the 0.25 mg or 0.5 mg pen for new patients, then $349 or $499 a month by dose. Check the price at checkout for your dose.
Sources
- Novo Nordisk NovoCare. Ozempic pill and pen price guide (May 2026). Accessed October 30, 2026.
- Novo Nordisk NovoCare. Ozempic cost navigator: frequently asked questions. Accessed October 30, 2026.
- TrumpRx.gov. TrumpRx GLP-1 prices. Accessed October 30, 2026.
- Novo Nordisk. Novo Nordisk to lower list prices of Wegovy, Ozempic and Rybelsus (February 24, 2026). Accessed October 30, 2026.
- Novo Nordisk. Ozempic: uses and important safety information. Accessed October 30, 2026.
- Medicare.gov. Weight loss drugs: coverage. Accessed October 30, 2026.
- U.S. Food and Drug Administration. FDA's concerns with unapproved GLP-1 drugs used for weight loss. Accessed October 30, 2026.
- Kymata Health. GLP-1 prices at Costco, Walmart, CVS and GoodRx (prices checked October 29, 2026). Accessed October 30, 2026.