in 4 days Aetna (CVS Health) — Zepbound back as additional preferred on templates See the changelog
WalletNoise

Foundayo™ (orforglipron) — 14.5 mg

Your cheapest verified route right now

verified price

$299 /month

LillyDirect self-pay

Verified Sep 5, 2026 · foundayo.lilly.com

Per year at 12 fills
$3,588
Medicaid coverage of GLP-1s for obesity is state-by-state (13 states as of Jan 2026). See the Medicaid policy page for the current picture and your appeal rights.
Ramp cost calculator

What the climb costs

Close

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 5×
  • 9 mg 1×
  • 14.5 mg 1×
$0 $150 $300 Jan 1: LillyDirect self-pay — Foundayo™ (orforglipron) 2.5 mg moves to $199/month 0.8 mg — $149 Sep0.8 mg — $149 Oct0.8 mg — $149 Nov0.8 mg — $149 Dec2.5 mg — $199 Jan5.5 mg — $299 $299 Feb5.5 mg — $299 Mar5.5 mg — $299 Apr5.5 mg — $299 May5.5 mg — $299 Jun9 mg — $299 Jul14.5 mg — $299 Aug
  1. Jan 1 LillyDirect self-pay — Foundayo™ (orforglipron) 2.5 mg moves to $199/month
  2. Already priced into the totals above — each fill uses the price in force on its own date. See the changelog

Fills at each dose on the way up

Reset to the label minimum
  • 0.8 mg −4
  • 2.5 mg 1
  • 5.5 mg −5
  • 9 mg 1
  • 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 Sep 27, 2026 0.8 mg LillyDirect self-pay $149
  2. 2 Oct 27, 2026 0.8 mg LillyDirect self-pay $149
  3. 3 Nov 26, 2026 0.8 mg LillyDirect self-pay $149
  4. 4 Dec 26, 2026 0.8 mg LillyDirect self-pay $149
  5. 5 Jan 25, 2027 2.5 mg LillyDirect self-pay $199
  6. 6 Feb 24, 2027 5.5 mg LillyDirect self-pay $299
  7. 7 Mar 26, 2027 5.5 mg LillyDirect self-pay $299
  8. 8 Apr 25, 2027 5.5 mg LillyDirect self-pay $299
  9. 9 May 25, 2027 5.5 mg LillyDirect self-pay $299
  10. 10 Jun 24, 2027 5.5 mg LillyDirect self-pay $299
  11. 11 Jul 24, 2027 9 mg LillyDirect self-pay $299
  12. 12 Aug 23, 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 Sep 4, 2026 ·uspl.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
    • If you refilled within 45 days but were charged $349 because Lilly could not verify the refill at the counter, you can claim the difference back; claims close March 31, 2027
    • Lilly's direct channel. Vial and KwikPen at identical self-pay prices at every tier. Telehealth not included.

    Verified Sep 5, 2026 · foundayo.lilly.com

  2. Rank 2

    Discount card at retail (GoodRx and similar)

    verify locally
    $149/mo
    • Starting-at price announced when GoodRx opened the channel; GoodRx publishes no per-dose ladder above it
    • Dose- and pharmacy-dependent. Verify at your ZIP before relying on it.

    Verified Sep 4, 2026 · investors.goodrx.com

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Markdown Summary

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 itCommercial plan — denied or excludedMedicare

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)