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

Wegovy® tablets (oral semaglutide) — 25 mg

Your cheapest verified route right now

verified price

$299 /month

NovoCare Pharmacy self-pay

Verified Sep 4, 2026 · novocare.com

Per year at 12 fills
$3,588
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

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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 $2,938 12 fills
Average per fill $244.83 peak $299
Flat at 25 mg $3,588 what multiplying today's price gives you
Climbing saves $650 lower doses cost less on the way up
Cost per fill, 1.5 mg to 25 mg
  • 1.5 mg 1×
  • 4 mg 5×
  • 9 mg 1×
  • 25 mg 5×
$0 $150 $300 1.5 mg — $149 Sep4 mg — $199 Oct4 mg — $199 Nov4 mg — $199 Dec4 mg — $199 Jan4 mg — $199 Feb9 mg — $299 $299 Mar25 mg — $299 Apr25 mg — $299 May25 mg — $299 Jun25 mg — $299 Jul25 mg — $299 Aug

Fills at each dose on the way up

Reset to the label minimum
  • 1.5 mg 1 +
  • 4 mg −5 +
  • 9 mg 1 +
  • 25 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 1.5 mg NovoCare Pharmacy self-pay $149
  2. 2 Oct 27, 2026 4 mg NovoCare Pharmacy self-pay $199
  3. 3 Nov 26, 2026 4 mg NovoCare Pharmacy self-pay $199
  4. 4 Dec 26, 2026 4 mg NovoCare Pharmacy self-pay $199
  5. 5 Jan 25, 2027 4 mg NovoCare Pharmacy self-pay $199
  6. 6 Feb 24, 2027 4 mg NovoCare Pharmacy self-pay $199
  7. 7 Mar 26, 2027 9 mg NovoCare Pharmacy self-pay $299
  8. 8 Apr 25, 2027 25 mg NovoCare Pharmacy self-pay $299
  9. 9 May 25, 2027 25 mg NovoCare Pharmacy self-pay $299
  10. 10 Jun 24, 2027 25 mg NovoCare Pharmacy self-pay $299
  11. 11 Jul 24, 2027 25 mg NovoCare Pharmacy self-pay $299
  12. 12 Aug 23, 2027 25 mg NovoCare Pharmacy 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)

1.5 mg once daily for days 1 to 30, then increase every 30 days as tolerated: 4 mg, then 9 mg, then the 25 mg maintenance dosage from day 91. Take on an empty stomach and wait 30 minutes before eating, drinking or taking other oral medicines.

Verified Aug 31, 2026 ·wegovy.com

Every route we can price

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

  1. Rank 1

    NovoCare Pharmacy self-pay

    $299/mo
    • Start date recorded as the US launch date of the Wegovy pill; the price guide does not publish a separate start date for this tier
    • Novo's direct channel. Free home delivery. Intro offers for new patients are time-limited.

    Verified Sep 4, 2026 · novocare.com

  2. Rank 2

    Discount card at retail (GoodRx and similar)

    verify locally
    $299/mo
    • Dose- and pharmacy-dependent. Verify at your ZIP before relying on it.

    Verified Sep 5, 2026 · investors.goodrx.com

  3. TrumpRx

    reference verify locally
    $149/mo
    • Starting-at price; routes to NovoCare
    • Government referral site — does not sell drugs or process payments; issues coupons or routes to manufacturer DTC channels.

    Verified Sep 2, 2026 · trumprx.gov

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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 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)