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

Ozempic® (semaglutide) — 0.5 mg

Your cheapest verified route right now

verified price

$349 /month

NovoCare Pharmacy self-pay

Verified Aug 10, 2026 · novocare.com

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.
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 $4,537 13 fills
Average per fill $349 peak $349
Flat at 0.5 mg $4,537 what multiplying today's price gives you
Cost per fill, 0.25 mg to 0.5 mg
  • 0.25 mg 9×
  • 0.5 mg 4×
$0 $200 $400 Jan 1: Retail list price (reference) — Ozempic® (semaglutide) moves to $675/month 0.25 mg — $349 $349 Aug0.25 mg — $349 Sep0.25 mg — $349 Oct0.25 mg — $349 Nov0.25 mg — $349 0.25 mg — $349 Dec0.25 mg — $349 Jan0.25 mg — $349 Feb0.25 mg — $349 Mar0.5 mg — $349 Apr0.5 mg — $349 May0.5 mg — $349 Jun0.5 mg — $349 Jul
  1. Jan 1 Retail list price (reference) — Ozempic® (semaglutide) moves to $675/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
  • 0.25 mg −9 +
  • 0.5 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 (13)
  1. 1 Aug 10, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  2. 2 Sep 7, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  3. 3 Oct 5, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  4. 4 Nov 2, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  5. 5 Nov 30, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  6. 6 Dec 28, 2026 0.25 mg NovoCare Pharmacy self-pay $349
  7. 7 Jan 25, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  8. 8 Feb 22, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  9. 9 Mar 22, 2027 0.25 mg NovoCare Pharmacy self-pay $349
  10. 10 Apr 19, 2027 0.5 mg NovoCare Pharmacy self-pay $349
  11. 11 May 17, 2027 0.5 mg NovoCare Pharmacy self-pay $349
  12. 12 Jun 14, 2027 0.5 mg NovoCare Pharmacy self-pay $349
  13. 13 Jul 12, 2027 0.5 mg NovoCare Pharmacy self-pay $349
This is arithmetic, not a plan. Fills are spaced 28 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 weekly)

Initiate at 0.25 mg once weekly for 4 weeks. The 0.25 mg dosage is for initiation and is not effective for glycemic control. After 4 weeks, increase to 0.5 mg once weekly, and after at least a further 4 weeks the dosage may be increased to 1 mg and then to 2 mg. Maximum 2 mg once weekly.

Verified Aug 8, 2026 ·novo-pi.com

Every route we can price

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

  1. Rank 1

    NovoCare Pharmacy self-pay

    $349/mo
    • $199/month for each of the first 2 monthly fills, patients new to the Ozempic Savings Offer or NovoCare Pharmacy, through Dec 31, 2026
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Aug 10, 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. Displayed prices are starting-at tiers mirroring LillyDirect / NovoCare offers.

    Verified Aug 8, 2026 · trumprx.gov

  3. Retail list price (reference)

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

    Verified Aug 8, 2026 · trumprx.gov

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)