in 5 days Optum Rx (UnitedHealthcare) — Weight-loss PA policy P 1114-22 adds Foundayo (orforglipron) to the covered drug list at 6 months initial authorization, footnoted as possibly excluded at launch on some plans See the changelog
WalletNoise

Ozempic® tablets (oral semaglutide) — 4 mg

Your cheapest verified route right now

verified price

$199 /month

NovoCare Pharmacy self-pay

Verified Aug 27, 2026 · novocare.com

Per year at 12 fills
$2,388
Before your next appointment: at 9 mg your cheapest route (NovoCare Pharmacy self-pay) goes to $299/month — $100/month more than your current dose. WalletNoise shows the cost of a dose change, never whether to make one — that's your prescriber's call. Verified Aug 27, 2026 ·novocare.com
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Ozempic® tablets (oral semaglutide) has no manufacturer titration schedule in the corpus, so there is nothing here to price a climb against. WalletNoise will not assume one — a projection built on a guessed schedule is worse than no projection.

Every route we can price

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

  1. Rank 1

    NovoCare Pharmacy self-pay

    $199/mo
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Aug 27, 2026 · novocare.com

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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 excludedMedicaid

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)