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

Ozempic® (semaglutide) — 0.25 mg

Your cheapest verified route right now

verified price

$349 /month

NovoCare Pharmacy self-pay

First 2 fills at $199/month, then $349 — offer ends Dec 31, 2026

Verified Sep 2, 2026 · novocare.com

Your first 12 months
$3,888
Per year at 12 fills
$4,188
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.
Plan the whole climb, not just this month Price every fill between any two doses, over 3 to 24 months, on the dates each one actually falls. Dated price changes are already in the arithmetic. Calculate ramp cost

Every route we can price

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

  1. Rank 1

    NovoCare Pharmacy self-pay

    $349/mo
    intro
    offer     Ozempic Savings Offer: first 2 fills at $199/month, then $349. Patients new to the Ozempic Savings Offer or NovoCare Pharmacy. Covers the 0.25 mg and 0.5 mg starting doses only — 1 mg and 2 mg are the standing price from the first fill. Offer ends Dec 31, 2026.
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Sep 2, 2026 · novocare.com

  2. TrumpRx

    reference verify locally
    $199/mo
    • Starting-at price mirroring the NovoCare intro offer; ongoing price $349
    • Government referral site — does not sell drugs or process payments; issues coupons or routes to manufacturer DTC channels.

    Verified Sep 2, 2026 · trumprx.gov

  3. Retail list price (reference)

    reference verify locally until Dec 31, 2026
    $1,028/mo
    • Context anchor only — what the drug costs with no route at all. Walk-in cash at retail typically exceeds WAC.

    Verified Sep 2, 2026 · trumprx.gov

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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 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)