Wegovy pill
semaglutide · Novo Nordisk
- What it costs
- $149a month5
- Paying cash, the lowest self-pay monthly price is at NovoCare for the pill, 1.5 mg.
- Self-pay $149
- TrumpRx $149
- Insured from $25
- Medicare $50
- List $1,349.02
All 10 FDA-approved GLP-1 medicines side by side: what each is approved for, trial weight loss, the most common side effect and the monthly price. Then pick a head-to-head below.

Half-life in days: how long your body needs to get rid of half a dose. Section 12.3 of each FDA label gives the number.
Percentage of body weight. Trials, doses and lengths differ, so compare each result with the placebo from the same study on that drug's page.
semaglutide · Novo Nordisk
semaglutide · Novo Nordisk
orforglipron · Eli Lilly
semaglutide · Novo Nordisk
semaglutide · Novo Nordisk
tirzepatide · Eli Lilly
liraglutide · Novo Nordisk
dulaglutide · Eli Lilly
tirzepatide · Eli Lilly
liraglutide · Novo Nordisk
| Medicine | Form | FDA-approved for | Weight loss in trials | Most common side effect | Price a month |
|---|---|---|---|---|---|
| Daily pill | Weight loss, Heart risk, MASH liver disease | OASIS 4, 64 weeks: 13.6% of body weight, placebo 2.4%22 | Like the pen, mostly nausea22 | Self-pay $149 NovoCare, pill 1.5 mg5 | |
| Daily pill | Type 2 diabetes, Heart risk | PIONEER 1, type 2 diabetes, 26 weeks: 3.7 kg lost, placebo -1.4 kg23 | Nausea 20% 14 mg, placebo 6%23 | Self-pay $149 NovoCare, Ozempic pill, which replaces Rybelsus1 | |
| Daily pill | Weight loss | in ATTAIN-1, 72 weeks, 11.1% of body weight against 2.1% on placebo24 | Nausea 35% 17.2 mg, placebo 10%24 | Self-pay $149 LillyDirect, 0.8 mg and 2.5 mg15 | |
| Weekly pen | Kidney disease in type 2 diabetes, along with Type 2 diabetes and Heart risk | in SUSTAIN 1, for type 2 diabetes over 30 weeks, 4.7 kg lost versus -1.2 kg on placebo25 | Nausea 20.3% 1 mg, placebo 6.1%25 | Self-pay $199 NovoCare, pen intro (first 2 fills, 0.25 mg and 0.5 mg)1 | |
| Weekly pen | Weight loss, Heart risk, MASH liver disease | in STEP 1, 68 weeks, 14.9% of body weight versus 2.4% on placebo22 | Nausea 44% 2.4 mg, placebo 16%22 | Self-pay $199 NovoCare, pen intro (first 2 fills, 0.25 mg and 0.5 mg)4 | |
| Weekly pen or vial | Weight loss, Sleep apnea | in SURMOUNT-1, 72 weeks, 20.9% of body weight versus 3.1% on placebo26 | Nausea 29% 10 mg, placebo 8%26 | Self-pay $299 LillyDirect, vial or KwikPen 2.5 mg12 | |
| Daily pen | Type 2 diabetes, Heart risk | in LEAD-3, for type 2 diabetes over 52 weeks, 2.5 kg lost, while glimepiride gave +1.1 kg27 | Nausea 20% 1.8 mg, placebo 5%27 | List $543.51 per 2 pens20 | |
| Weekly pen | Type 2 diabetes, Heart risk | in AWARD-11, for type 2 diabetes over 36 weeks, 4.6 kg lost while taking Dulaglutide 4.5 mg each week28 | Nausea 21.1% 1.5 mg, placebo 5.3%29 | List $1,006.93 per fill19 Other ways to pay
| |
| Weekly pen | Type 2 diabetes, Heart risk | in SURPASS-1, for type 2 diabetes over 40 weeks, 7.8 kg lost versus -1.0 kg on placebo in the trial30 | Nausea 18% 15 mg, placebo 4%30 | List $1,112.16 per fill11 | |
| Daily pen | Weight loss | in SCALE Obesity and Prediabetes, 56 weeks, 7.4% of body weight versus 3% on placebo31 | Nausea 39.3% Saxenda, placebo 13.8%31 | List $1,349.02 per 5 pens21 |
| Trial | Who | Length | Average weight loss by arm | Placebo | Source |
|---|---|---|---|---|---|
| STEP 1 | Adults with obesity or overweight, without diabetes | 68 weeks | Semaglutide 2.4 mg weekly 14.9% | 2.4% | FDA label (DailyMed) |
| OASIS 4 | Adults with obesity or overweight, without diabetes | 64 weeks | Wegovy pill 25 mg daily 13.6% | 2.4% | FDA label (DailyMed) |
| SURMOUNT-1 | Adults with obesity or overweight, without diabetes | 72 weeks | 15% Tirzepatide 5 mg weekly; 19.5% Tirzepatide 10 mg weekly; 20.9% Tirzepatide 15 mg weekly | 3.1% | FDA label (DailyMed) |
| SURMOUNT-2 | Adults who have obesity or overweight plus type 2 diabetes | 72 weeks | 12.8% Tirzepatide 10 mg weekly; 14.7% Tirzepatide 15 mg weekly | 3.2% | PubMed |
| SURMOUNT-5 | Adults with obesity, without type 2 diabetes | 72 weeks | Zepbound: Tirzepatide 10 or 15 mg each week, 20.2%; Wegovy: Semaglutide 1.7 or 2.4 mg each week, 13.7% | Not listed | PubMed |
| SCALE Obesity and Prediabetes | Adults with obesity or overweight who do not have type 2 diabetes | 56 weeks | Liraglutide 3.0 mg daily 7.4% | 3% | FDA label (DailyMed) |
| ATTAIN-1 | Adults with obesity or overweight, without diabetes | 72 weeks | 7.4% Foundayo 5.5 mg daily; 8.3% Foundayo 9 mg daily; 11.1% Foundayo 17.2 mg daily | 2.1% | FDA label (DailyMed) |
| ATTAIN-2 | Adults who have obesity or overweight plus type 2 diabetes | 72 weeks | 5.1% Foundayo 5.5 mg daily; 7% Foundayo 9 mg daily; 9.6% Foundayo 17.2 mg daily | 2.5% | FDA label (DailyMed) |
| STEP 2 | Adults who have obesity or overweight plus type 2 diabetes | 68 weeks | Semaglutide 2.4 mg weekly 9.6% | 3.4% | PubMed |
| STEP-HFpEF | Adults with obesity and heart failure with preserved ejection fraction | 52 weeks | Semaglutide 2.4 mg weekly 13.3% | 2.6% | PubMed |