How Much Does Wegovy Cost 2026: Pill & Injection Complete Insurance & Savings Guide

Wegovy (semaglutide) is approved GLP-1 receptor agonist prescribed for chronic weight management alongside a reduced-calorie diet and increased physical activity. As of January 2026, Wegovy is available as both a weekly injection and a new daily pill, making it the first oral GLP-1 medication approved for weight loss in adults.

The cost of Wegovy varies significantly based on insurance coverage, dosage, and delivery method. Self-pay patients can access the Wegovy pill starting at ~$149 per month for the 1.5 mg and 4 mg doses through Novo Nordisk’s NovoCare Pharmacy. Injectable Wegovy is available at a reduced cash price of ~$349 per month for uninsured patients. 

Patients with commercial insurance that covers Wegovy can pay as little as ~$25 per month with the official Wegovy Savings Offer.

Important medical disclaimer: Wegovy requires a prescription. Prices vary by dosage and insurance plan. This information does not constitute professional medical advice. Always consult your healthcare provider before starting any weight loss medication.

TL;DR

• Wegovy costs ~$149/month for the pill (1.5mg-4mg), ~$349/month for injections (self-pay), or as low as ~$25/month with commercial insurance using the Novo Nordisk savings offer. 
• The list price without any discounts is ~$1,349.02 per 28-day supply. Medicare coverage for obesity begins mid-2026 with an expected ~$50/month copay for eligible beneficiaries.
• At Pandameds, you can get Wegovy Pre-filled Multi-Dose Pens at $599.95. 

Wegovy Monthly Cost Breakdown – USA 2026

Understanding the cost of Wegovy requires examining multiple pricing tiers based on insurance status, dosage, and delivery method. Novo Nordisk offers a savings program to help lower the out-of-pocket cost for eligible patients.

Through NovoCare Pharmacy, self-pay patients access preferential pricing: ~$149/month for the pill starter doses and ~$199/month for injection starter doses (limited to the first two monthly fills through March 31, 2026), then ~$349/month for maintenance doses. Patients with commercial insurance can use the Wegovy Savings Offer to pay as little as ~$25/month (maximum savings of $100 per 28-day supply). Wegovy has a list price of ~$1,349.02 for a 28-day supply without insurance or savings offers.

Wegovy Cost With Insurance vs Cash 

Your insurance plan significantly impacts what you’ll pay for Wegovy. Over 80% of commercial insurers provide some coverage for weight loss medications, though terms vary by insurance plan.

Commercial insurance combined with the Novo Nordisk savings card typically results in the lowest monthly cost at ~$25/month. Government health insurance plans like Medicare historically do not cover obesity medications, but the Centers for Medicare & Medicaid Services (CMS) now allows coverage when prescribed to reduce cardiovascular risk. 

Most self-pay patients are either uninsured or have a health plan that does not cover obesity medications like Wegovy.

Wegovy Canada Cost vs USA – Pandameds Pricing

Canadian pharmacies offer an alternative for patients seeking Wegovy, though prices and availability vary. Licensed Canadian pharmacies typically price Wegovy injections at approximately ~$500-600 USD per month (converted from CAD).

Pandameds is a prescription referral service, offers Wegovy at $599.95/month for injections with cold-chain shipping to USA addresses. This option appeals to patients who prefer straightforward pricing without navigating insurance complexities. Prescription upload is required and shipments typically arrive within 5-10 business days.

When comparing international options, patients should verify that any pharmacy is properly licensed and that medications are shipped with appropriate temperature control, as Wegovy injections require refrigeration between 36-46°F.

Wegovy Mexico Price vs Canada Comparison

Cross-border pricing reveals important differences in cost, quality assurance, and convenience. Understanding these factors helps patients make informed decisions about where to purchase their weight loss medication.

Mexico pharmacies in cities like Tijuana and Mexico City offer Wegovy at ~$250-500 USD cash, often without requiring a prescription. However, the FDA has issued warnings about counterfeit medications with estimates suggesting up to 30% counterfeit risk for weight loss medications purchased abroad without proper verification. Canadian regulated pharmacies maintain Novo Nordisk quality standards and require valid prescriptions.

Wegovy Cost Per Month By Dose & Pen

Patients typically begin Wegovy treatment with a low dose that is gradually increased over 16-20 weeks to minimize gastrointestinal side effects like nausea, dry mouth, and trouble swallowing. Understanding the dosing schedule helps patients anticipate costs at each stage of their weight loss journey.

• Injection dosing: Each pre-filled pen contains 4 weekly doses. At ~$349/month, this breaks down to approximately ~$87 per pen (one pen per month). The injection is administered once weekly.
• Pill dosing: The Wegovy pill is a daily oral medication taken once per day. A 30-day supply equals one month of treatment. Starter doses (1.5 mg and 4 mg) cost ~$149/month, while maintenance doses (9 mg and 25 mg) cost ~$299/month for self-pay patients.

The newer oral pill is generally less expensive for cash-paying patients than the pre-filled injectable pens, though both options achieve similar weight loss results. In clinical trials, the 25mg oral dose achieved up to 16.6% body weight reduction versus 14.9% for the injection.

Wegovy Cheapest Price Options 2026

Finding the lowest cost for Wegovy depends on your insurance status and eligibility for various savings programs. There is no generic, lower-cost alternative currently available for Wegovy.

The cheapest option for insured patients is combining commercial insurance coverage with the Novo Nordisk savings card, resulting in a ~$25/month copay. For self-pay patients, the Wegovy pill starter dose at ~$149/month (promotional pricing through April 2026) offers the lowest entry point. 

Purchasing through direct-to-consumer platforms like NovoCare Pharmacy can offer lower standardized rates than traditional retail pharmacies without coupons.

Note: Many commercial plans have tightened or eliminated coverage for weight-loss medications recently. Always verify your current benefits before assuming coverage.

References & Resources

NovoCare Pharmacy Official Pricing  

Kaiser Family Foundation – Medicare Coverage Analysis

 OASIS 4 Clinical Trial Results – NEJM

Wegovy Savings Offer Official Terms