Quick answer: the Wegovy pill cost without insurance is $149 a month for the 1.5 mg starting dose, $199 for 4 mg, and $299 for the 9 mg or 25 mg doses, paid directly through Novo Nordisk as of October 2026.[1] With commercial insurance that covers it, you may pay as little as $25 a month, and eligible Medicare enrollees pay $50 a month through the Medicare GLP-1 Bridge.[7][6]
Prices and program terms checked October 2026. They change often; confirm with the manufacturer or your plan.
The Wegovy pill is oral semaglutide 25 mg for chronic weight management. The FDA approved it on December 22, 2025, and it launched in U.S. pharmacies on January 5, 2026.[2] It is the same medicine as the Wegovy pen, taken as a daily tablet instead of a weekly injection.
Wegovy pill price by dose
| Dose | When it’s used | Self-pay price per month |
|---|---|---|
| 1.5 mg | Month 1 (starting dose) | $149 |
| 4 mg | Month 2 | $199 |
| 9 mg | Month 3 | $299 |
| 25 mg | Month 4 onward (maintenance) | $299 |
| List price (2027) | — | $675 from January 1, 2027 |
A month is one bottle of 30 tablets.[1] Dose steps follow the prescribing information, and your clinician may adjust them.[4] The 2027 list price comes from Novo Nordisk’s February 2026 announcement.[5]
How the Wegovy pill price has changed
- January 5, 2026 (launch): 1.5 mg was $149 a month. The 4 mg dose was also $149, but only through April 15, 2026, after which it rose to $199. The highest doses were $299.[2]
- October 2026: NovoCare lists $149 (1.5 mg), $199 (4 mg) and $299 (9 mg and 25 mg).[1]
- January 1, 2027: the 25 mg tablet’s list price drops to $675. Novo said the list price cut does not affect self-pay prices.[5]
What a year on the Wegovy pill costs
For a new patient who follows the standard dose steps and pays cash:
- Month 1 at 1.5 mg: $149
- Month 2 at 4 mg: $199
- Months 3 to 12 at 9 mg or 25 mg: 10 × $299 = $2,990
- Total: about $3,338 for the first year
After the first year, staying on 25 mg costs $299 a month, or $3,588 a year.
Wegovy pill cost with insurance
Coverage for weight-loss drugs varies widely between employers and plans. If your plan covers the Wegovy pill, the Wegovy savings offer can lower your cost:[2][7]
- Pay as little as $25 a month.
- Maximum savings of $100 a month.
- Requires commercial insurance. Government beneficiaries are excluded.
If your copay is above $125, you will pay more than $25. If your plan does not cover the pill, the self-pay prices above are usually the cheapest route. See our Wegovy pill coupon guide for how to sign up.
Wegovy pill cost with Medicare
Medicare normally cannot cover drugs used only for weight loss. The temporary Medicare GLP-1 Bridge changes that for eligible people from July 1, 2026 through December 31, 2027.[6]
- Cost: $50 copay for a one-month supply. It does not count toward your Part D deductible or out-of-pocket cap, and Extra Help cannot lower it.
- Covered: Wegovy injection or tablet, plus a few other GLP-1 products.
- BMI rules: a BMI of 35 or higher; or 30 or higher with diastolic heart failure, uncontrolled high blood pressure or chronic kidney disease stage 3a or higher; or 27 or higher with prediabetes, a previous heart attack or stroke, or symptomatic peripheral artery disease.
- Not eligible: people with type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease, who may get a GLP-1 through their regular Part D plan instead.[6]
Your prescriber completes a prior authorization, which stays valid through December 31, 2027 unless you switch drugs.[6]
Is the Wegovy pill worth the price?
In the OASIS 4 trial, adults with overweight or obesity and no diabetes who took oral semaglutide 25 mg once daily for 64 weeks lost an average of 13.6% of their body weight, compared with 2.2% on placebo.[3] Gastrointestinal side effects such as nausea were more common on the pill than on placebo (74.0% vs 42.2%), similar to the pattern seen with the injection.[3][4]
Compared with the pen, the pill costs $50 a month less at maintenance ($299 vs $349).[1] For a fuller comparison, see Wegovy cost without insurance, semaglutide cost and semaglutide vs tirzepatide. Lilly’s oral GLP-1, orforglipron, is another pill option your clinician may discuss.
Wegovy pill vs Ozempic pill: same medicine, different approvals
Novo Nordisk now sells two semaglutide tablets in the U.S. The Wegovy pill (up to 25 mg) is approved for weight management, while the Ozempic pill (formerly sold as Rybelsus) is approved for type 2 diabetes. They share the active ingredient but have different doses, labels and insurance rules.
That difference matters for cost. Insurance plans are far more likely to cover a diabetes medicine than a weight-loss one, so someone with type 2 diabetes may pay less for the Ozempic pill through insurance than for the Wegovy pill out of pocket. Someone without diabetes generally cannot get coverage for the Ozempic pill and would use the Wegovy pill’s self-pay price instead.[1] Your clinician decides which one fits your diagnosis. See Rybelsus vs Ozempic and Wegovy vs Ozempic for the clinical differences.
How to fill a Wegovy pill prescription at the self-pay price
- Talk to a licensed clinician. A prescription is required.
- Have it sent to NovoCare Pharmacy, or ask your local pharmacy whether it accepts the self-pay offer.
- Pay by card or FSA/HSA card, then choose home delivery or pickup.[1]
Cash purchases do not count toward an insurance deductible.[1] Prices can change, so check the price at your next refill.
