How to get Ozempic, and what it costs without insurance

The short answer: you need a prescription from a licensed clinician, and once you have it, the cheapest place we found to fill it is Novo Nordisk itself. Novo, the company that makes Ozempic, sells it to self-pay patients through its own pharmacy, NovoCare Pharmacy, for $349 a month at the 0.25 mg, 0.5 mg and 1 mg doses and $499 a month at 2 mg. New patients pay $199 a month for their first two fills of the two starting doses.

The online clinics we track that sell brand Ozempic as a bundle charge $499 to $1,498 a month for it. That gap is the most useful fact on this page, and it holds for clinics we have a commercial relationship with as well as for those we don't. Every price here was read on the seller's own page and re-checked on October 5, 2026, the day this page was published.

What Ozempic is approved for

Ozempic is semaglutide, made by Novo Nordisk. In Novo's words it is used "along with diet and exercise to improve blood sugar (glucose) in adults with type 2 diabetes," and the injection is also approved to lower the risk of heart attack, stroke and kidney disease worsening in adults with type 2 diabetes and certain heart or kidney conditions.

Weight loss is not one of its approved uses. A clinician can still prescribe it for weight loss, but that is an off-label prescription. The same molecule is approved for chronic weight management under a different name, Wegovy, which Novo sells self-pay at the same $349 a month for its standard pen doses. If weight loss is the goal, that is worth raising with whoever writes the prescription.

Ozempic now comes in two forms: the weekly pen, and a daily pill. Novo's indication text names the 4 mg and 9 mg tablets, and its price guide also lists a 1.5 mg tablet.

What Novo Nordisk charges

These are Novo's self-pay prices through NovoCare Pharmacy, quoted from novocare.com and Novo's own Ozempic price guide. Novo defines a month as one box with one pen, or one bottle of 30 tablets.

Ozempic	Dose	Self-pay price
Pen	0.25 mg, 0.5 mg	$199 a month for the first 2 fills (new patients, through December 31, 2026), then $349
Pen	1 mg	$349 a month
Pen	2 mg	$499 a month
Pill	1.5 mg	$149 a month
Pill	4 mg	$199 a month
Pill	9 mg	$299 a month

The introductory offer, in Novo's words: patients new to the savings offer or to NovoCare Pharmacy "pay $199 for each month of 0.25 mg and 0.5 mg. Offer for 2 monthly fills through December 31, 2026, then $349 per month for Ozempic 0.25 mg, 0.5 mg, or 1 mg, and $499/month for Ozempic 2 mg."

Novo says the self-pay price is available for home delivery from NovoCare Pharmacy or for pickup at a local pharmacy with the savings offer. Its instructions to pharmacists also cover "eligible Medicare Part D or other applicable government insured patient using the self-pay offer," so the self-pay route is not limited to people without insurance.

If you have insurance

We only repeat what Novo itself says here, because coverage depends on your plan and we have no way to check it.

• Commercial insurance. If your plan covers Ozempic, Novo's savings offer lets you pay as little as $25, "subject to a maximum savings of $100 per 1-month prescription, $200 per 2-month prescription, or $300 per 3-month prescription," and the activation "is valid for up to 48 months from date of enrollment." One condition matters here: "Patients may only participate in this program if they have been prescribed Ozempic for an FDA-approved indication." An off-label prescription for weight loss does not qualify.
• Government insurance. The copay offer excludes it: "Government beneficiaries excluded," and Novo counts anyone with both commercial and government coverage as government-insured.
• Coverage in general. Novo's coverage FAQ says Ozempic "is typically covered by insurance when prescribed for its FDA-approved uses," and that it "is typically covered by Medicaid and Medicare when prescribed for its FDA-approved uses." A prescription for weight loss is not one of those uses.

What the online clinics we track charge

We re-read all ten clinics on our list that sell Ozempic by name and recorded what the price pays for. They are listed from the lowest published price to the highest, then the two that sell the care without the drug. A fair comparison needs that, because a clinic's price covers the clinician as well as the drug, and NovoCare's covers only the drug. The card from Welludr (formerly Wellmedr) does not say whether its Ozempic is the brand-name product or compounded.

Clinic	Ozempic price, as published	What it includes, per the clinic
Synergy Rx	Starting at $499	Consultation, medication and shipping ("Price Includes Consult + Medication ... + Shipping")
Wellorithm	$1,199 a month (a footnote ties it to a 3-month plan paid upfront)	Consultation, medication, shipping
RxSpan MD	$1,299 "for the first month"	Consultation, medication, supplies, shipping and support
He & She MD	$1,299 a month, priced for a 12-month supply	Online visit, prescription, medication, free shipping, ongoing support
Gala Health	From $1,299 a month	Provider visit, medication, free shipping, ongoing support
Luvo Health	$1,299 per 4 weeks	Clinician review, medication, shipping, check-ins
Welludr	Starting at $1,399	Provider review and oversight; the card does not say whether the drug is brand or compounded
Fridays	$1,498 a month, month to month	Unlimited provider visits, medication; lab work per its general FAQ
MEDGm	"$171 membership + medication cost"	The drug is not included and its price is not published
Sesame	Care fee only; you buy the drug separately	Visits, messaging, a prescription if appropriate, lab work at Quest in most states

RxSpan MD, Gala Health, MEDGm, Sesame and Wellorithm are affiliate partners: we may earn a commission if you sign up through our links. Synergy Rx and He & She MD are not partners: their affiliate programs are paused, and we earn nothing from them. That has no effect on the prices above, which are theirs, or on what this section says about them.

Two cautions on reading the table. A clinic bundle includes the clinician's time, so the fair comparison is the bundle against Novo's $349 plus whatever a prescription costs you. And the units differ: Luvo bills every four weeks (thirteen times a year, not twelve), and He & She MD's $1,299 is the monthly figure for a twelve-month supply paid for up front.

The cheapest legitimate route: a prescription from a clinic, filled at NovoCare

NovoCare Pharmacy sells the drug but does not write prescriptions. So the useful question is which clinics will write a brand Ozempic prescription without requiring you to buy the drug through them.

Of the ten clinics above, one says so plainly: Sesame. Its weight-loss program says a prescribed medication "can be sent to your pharmacy of choice for pickup or delivery," and its Ozempic page says "The subscription fee does not include the cost of Ozempic." The care fee is $59 a month on a 12-month commitment, or $99 a month on its month-to-month plan, billed every 28 days. Sesame's own Ozempic page quotes Novo's self-pay prices for the drug itself.

On those published numbers, Sesame's care plus Novo's self-pay price comes to about $408 a month on the 12-month plan ($59 + $349) or $448 month to month ($99 + $349), at the 0.25 mg to 1 mg doses. That is our arithmetic, not a price either company quotes. Sesame is a marketplace of independent clinicians who set their own prices, and whether a clinician prescribes Ozempic, and for what, is their decision.

Luvo Health says it will send a brand-name prescription elsewhere: "For branded medications, your prescription can be sent to any retail or mail-order pharmacy you prefer," with "a coordination fee" that may apply. Luvo doesn't publish that fee or a prescription-only price, so we can't put a number on that route.

The other eight publish only bundles that include the drug (or, in MEDGm's case, a membership whose drug cost and pharmacy are not stated). None of them says it will send the prescription to a pharmacy of your choice.

You don't have to use an online clinic at all. Any clinician who decides Ozempic is appropriate for you can write the prescription, and Novo's self-pay price then applies at NovoCare Pharmacy or at a local pharmacy with the savings offer.

Two things to avoid

Counterfeit pens. FDA warns that it "is aware of counterfeit Ozempic marketed in the U.S." Buying from NovoCare Pharmacy or a licensed US pharmacy with a prescription avoids that risk.

A different drug sold under Ozempic's name. Compounded semaglutide is not Ozempic. It is made by a compounding pharmacy, it is not FDA-approved, and FDA has warned telehealth companies over claims "implying sameness with FDA-approved products." If a seller calls a compounded product Ozempic, or a generic version of it, that is the claim FDA has objected to. No generic Ozempic is approved in the US: FDA's Orange Book lists every semaglutide product as a Novo Nordisk application and none as a generic, in its September 2026 edition.