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

Wegovy® tablets (oral semaglutide) — 4 mg

Your cheapest verified route right now

verified price

$149 /month

NovoCare Pharmacy self-pay

Verified Aug 8, 2026 · novocare.com

Per year at 12 fills
$1,788
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.
Dated change ahead: NovoCare Pharmacy self-pay moves from $149 to $199/month on September 1, 2026. Verified Aug 8, 2026 ·novocare.com
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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 $1,888 12 fills
Average per fill $157.33 peak $199
Flat at 4 mg $1,788 what multiplying today's price gives you
Climbing costs more +$100 this plan crosses a dated price rise
Cost per fill, 1.5 mg to 4 mg
  • 1.5 mg 10×
  • 4 mg 2×
$0 $100 $200 Sep 1: NovoCare Pharmacy self-pay — Wegovy® tablets (oral semaglutide) 4 mg moves to $199/month 1.5 mg — $149 Aug1.5 mg — $149 Sep1.5 mg — $149 Oct1.5 mg — $149 Nov1.5 mg — $149 Dec1.5 mg — $149 Jan1.5 mg — $149 Feb1.5 mg — $149 Mar1.5 mg — $149 Apr1.5 mg — $149 May4 mg — $199 $199 Jun4 mg — $199 Jul
  1. Sep 1 NovoCare Pharmacy self-pay — Wegovy® tablets (oral semaglutide) 4 mg moves to $199/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
  • 1.5 mg −10 +
  • 4 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 Aug 10, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  2. 2 Sep 9, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  3. 3 Oct 9, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  4. 4 Nov 8, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  5. 5 Dec 8, 2026 1.5 mg NovoCare Pharmacy self-pay $149
  6. 6 Jan 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  7. 7 Feb 6, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  8. 8 Mar 8, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  9. 9 Apr 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  10. 10 May 7, 2027 1.5 mg NovoCare Pharmacy self-pay $149
  11. 11 Jun 6, 2027 4 mg NovoCare Pharmacy self-pay $199
  12. 12 Jul 6, 2027 4 mg NovoCare Pharmacy self-pay $199
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 8, 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

    until Aug 31, 2026
    $149/mo
    • Promotional price ends Aug 31, 2026
    • 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
    $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. Displayed prices are starting-at tiers mirroring LillyDirect / NovoCare offers.

    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)