in 22 days NovoCare Pharmacy self-pay — Wegovy® tablets (oral semaglutide) 4 mg moves to $199/month See the changelog
WalletNoise

Foundayo™ (orforglipron) — 14.5 mg

Your cheapest verified route right now

verified price

$299 /month

LillyDirect self-pay

Verified Aug 8, 2026 · foundayo.lilly.com

Per year at 12 fills
$3,588
A plan exclusion is not the end. Under ACA rules you have 180 days to appeal, and secondary indications (sleep apnea for Zepbound, cardiovascular risk for Wegovy) run through different criteria. See your PBM's policy page.
Ramp cost calculator

What the climb costs

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Both doses are yours to state, not ours to suggest. WalletNoise prices the schedule you describe and never recommends a dose, a target, or a pace — that is your prescriber's call.

12-month total $2,888 12 fills
Average per fill $240.66 peak $299
Flat at 14.5 mg $3,588 what multiplying today's price gives you
Climbing saves $700 lower doses cost less on the way up
Cost per fill, 0.8 mg to 14.5 mg
  • 0.8 mg 4×
  • 2.5 mg 1×
  • 5.5 mg 1×
  • 9 mg 5×
  • 14.5 mg 1×
$0 $150 $300 0.8 mg — $149 Aug0.8 mg — $149 Sep0.8 mg — $149 Oct0.8 mg — $149 Nov2.5 mg — $199 Dec5.5 mg — $299 $299 Jan9 mg — $299 Feb9 mg — $299 Mar9 mg — $299 Apr9 mg — $299 May9 mg — $299 Jun14.5 mg — $299 Jul

Fills at each dose on the way up

Reset to the label minimum
  • 0.8 mg −4
  • 2.5 mg 1
  • 5.5 mg 1
  • 9 mg −5
  • 14.5 mg then hold

Minus stops at the label's minimum interval — this never shows a schedule faster than the manufacturer's. Staying longer on a dose is yours to choose.

Every fill, dated and priced (12)
  1. 1 Aug 10, 2026 0.8 mg LillyDirect self-pay $149
  2. 2 Sep 9, 2026 0.8 mg LillyDirect self-pay $149
  3. 3 Oct 9, 2026 0.8 mg LillyDirect self-pay $149
  4. 4 Nov 8, 2026 0.8 mg LillyDirect self-pay $149
  5. 5 Dec 8, 2026 2.5 mg LillyDirect self-pay $199
  6. 6 Jan 7, 2027 5.5 mg LillyDirect self-pay $299
  7. 7 Feb 6, 2027 9 mg LillyDirect self-pay $299
  8. 8 Mar 8, 2027 9 mg LillyDirect self-pay $299
  9. 9 Apr 7, 2027 9 mg LillyDirect self-pay $299
  10. 10 May 7, 2027 9 mg LillyDirect self-pay $299
  11. 11 Jun 6, 2027 9 mg LillyDirect self-pay $299
  12. 12 Jul 6, 2027 14.5 mg LillyDirect self-pay $299
This is arithmetic, not a plan. Fills are spaced 30 days apart — the label's own supply length — and priced on the date each one falls, so dated price changes are already included. Your prescriber decides whether you step at all, and many people stay at a lower dose.
The label's own words (once daily)

Initiate at 0.8 mg once daily. Increase to 2.5 mg after at least 30 days, then to 5.5 mg after at least 30 days. The dosage may then be increased to 9 mg, 14.5 mg or 17.2 mg after at least 30 days on the current dosage. Maximum 17.2 mg once daily.

Verified Aug 8, 2026 ·foundayo.lilly.com

Every route we can price

Verified prices outrank cheaper estimates. Reference rows inform, never win.

  1. Rank 1

    LillyDirect self-pay

    $299/mo

    Rises to $349/month if the refill condition is missed.

    • Refill within 45 days to keep this price; otherwise $349
    • Lilly's direct channel. Vial and KwikPen at identical self-pay prices at every tier. Telehealth not included.

    Verified Aug 8, 2026 · foundayo.lilly.com

Not your situation?

The same dose, priced the other ways it can be paid for. Most people arrive unsure which of these they are in — and it changes the answer more than anything else on this page.

Paying cash — uninsured, or not using insuranceCommercial plan that covers itMedicareMedicaid

Fighting a denial instead?

Coverage criteria and appeal routes, from the payers' own documents:

Aetna (CVS Health)Blue Cross Blue Shield Federal Employee Program (FEP)CVS CaremarkElevance Health / Anthem (CarelonRx)Express Scripts (Evernorth / Cigna)HumanaKaiser PermanenteMedicaid (state-by-state)Medicare (Part D + GLP-1 Bridge)Optum Rx (UnitedHealthcare)