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

Ozempic® (semaglutide) — 2 mg

Your cheapest verified route right now

verified price

$499 /month

NovoCare Pharmacy self-pay

Verified Aug 8, 2026 · novocare.com

Per year at 12 fills
$5,988
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

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 $4,837 13 fills
Average per fill $372.07 peak $499
Flat at 2 mg $6,487 what multiplying today's price gives you
Climbing saves $1,650 lower doses cost less on the way up
Cost per fill, 0.25 mg to 2 mg
  • 0.25 mg 6×
  • 0.5 mg 3×
  • 1 mg 2×
  • 2 mg 2×
$0 $250 $500 0.25 mg — $349 Aug0.25 mg — $349 Sep0.25 mg — $349 Oct0.25 mg — $349 Nov0.25 mg — $349 0.25 mg — $349 Dec0.5 mg — $349 Jan0.5 mg — $349 Feb0.5 mg — $349 Mar1 mg — $349 Apr1 mg — $349 May2 mg — $499 $499 Jun2 mg — $499 Jul

Fills at each dose on the way up

Reset to the label minimum

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 0.5 mg NovoCare Pharmacy self-pay $349
  8. 8 Feb 22, 2027 0.5 mg NovoCare Pharmacy self-pay $349
  9. 9 Mar 22, 2027 0.5 mg NovoCare Pharmacy self-pay $349
  10. 10 Apr 19, 2027 1 mg NovoCare Pharmacy self-pay $349
  11. 11 May 17, 2027 1 mg NovoCare Pharmacy self-pay $349
  12. 12 Jun 14, 2027 2 mg NovoCare Pharmacy self-pay $499
  13. 13 Jul 12, 2027 2 mg NovoCare Pharmacy self-pay $499
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

    $499/mo
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Aug 8, 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
    $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 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)