GLP-1 Weight Loss Programs Compared: Price, What Is Included
GLP-1 weight-loss programs charge a monthly membership for the visits, and most bill the medicine on top. Memberships start at $19.99 a month. The lowest brand-name total is $223 a month at WeightWatchers Med+.
- Lowest self-pay
- $149 a month
- Telehealth from, all in
- $223 a month
- Prescription
- Required
- Shortage
- Some products short
Half-life and weight loss overview
Half-life in days shows how quickly the body clears half a dose, using section 12.3 from every FDA label.
Body weight, as a percentage. Because trials, doses and lengths vary, check each result against the placebo on its own page.
Every legit way to get GLP-1, ranked
| Route | Who it is for | What you pay |
|---|---|---|
| Ozempic: Novo Nordisk PAP | Household income at or below 200% of the federal poverty level | Free if approved |
| Trulicity: Lilly Cares | Household income at or below 300% of the federal poverty level | Free for up to 12 months |
| Ozempic: Get it through your doctor with insurance and the savings card | Commercial insurance that covers it | For up to 3 months, the cost can be as little as $25 a month |
| Wegovy: Through your doctor, using insurance and the savings card | Commercial insurance that covers it | As little as $25 a month |
| Mounjaro: Through your doctor, using insurance and the savings card | Commercial insurance that covers it | A fill of up to 3 months can start at $25 |
| Zepbound: Get it through your doctor with insurance and the savings card | Commercial insurance that covers it | A fill of up to 3 months can start at $25 |
| Foundayo: Get it through your doctor with insurance and the savings card | Commercial insurance that covers it | As little as $25 a month |
| Rybelsus: Get it through your doctor with insurance and the savings card | Commercial insurance that covers it | As little as $25 for a 1, 2 or 3-month fill |
| Trulicity: Get it through your doctor with insurance and the savings card | Commercial insurance that covers it | A fill of up to 3 months can start at $25 |
Prices checked November 2026. Each listed price links to the page where it came from.
Sources: Novo Nordisk pricing, NovoCare, TrumpRx, rx.costco.com.
Who qualifies
Every GLP-1 sold in the US requires a prescription. The label lists approved uses. A prescriber writes it for one of those uses:
- Ozempic: Lowers blood sugar in adults with type 2 diabetes when used with diet and exercise.
- Ozempic: For adults with type 2 diabetes and heart disease, it lowers the chance of heart attack, stroke, or heart-related death.
- Wegovy: For adults with heart disease who also have obesity or are overweight, it lowers the chance of heart attack, stroke, or heart-related death (injection and tablets).
- Wegovy: Long-term weight loss and keeping weight off, with diet and activity, for adults and for children 12 and older who have obesity, and for adults who have overweight and a weight-related condition.
- For adults and children 10 and older with type 2 diabetes, Mounjaro lowers blood sugar when used with diet and exercise. The details are here.
- Mounjaro reduces the likelihood of a heart attack, stroke or heart-related death among adults who have type 2 diabetes and face high risk.
- Zepbound: Helps with weight loss and keeping weight off long term, when paired with diet and activity. It is for adults with obesity, or with overweight plus a weight-related condition.
- Zepbound: Treats moderate to severe obstructive sleep apnea in adults with obesity.
- Foundayo: Helps with weight loss and keeping weight off long term, when paired with diet and activity. It is for adults with obesity, or with overweight plus a weight-related condition.
- Rybelsus lowers blood sugar in adults with type 2 diabetes when used with diet and exercise.
- Rybelsus reduces the likelihood of a heart attack, stroke or heart-related death among adults who have type 2 diabetes and face high risk.
- Trulicity: Lowers blood sugar in adults and children 10 and older with type 2 diabetes when used with diet and exercise.
- Trulicity: For adults with type 2 diabetes, it reduces the chance of heart attack, stroke or heart-related death when they have heart disease or several heart risk factors.
- Saxenda: Alongside diet and activity, it aids weight loss and helps maintain the loss over time for adults and children age 12 and up with obesity (over 60 kg), plus overweight adults with a weight-related condition.
- Victoza: It lowers blood sugar for adults and children age 10 and up with type 2 diabetes when taken with diet and exercise.
- Victoza reduces the likelihood of a heart attack, stroke or heart-related death among adults who have type 2 diabetes and also have heart disease.
Source: FDA label (DailyMed).
Telehealth compared
| Program | Medicine option | Medicine price | Membership | All in |
|---|---|---|---|---|
| Foundayo pill (self-pay) | $149 a month | $74 a month | $223 a month | |
| Wegovy pill (self-pay) | $149 a month | $74 a month | $223 a month | |
| Ozempic injectable pen (self-pay) | $199 a month | $74 a month | $273 a month | |
| Wegovy pill, starting dose | $149 a month | $149 a month | $298 a month | |
| Foundayo pill, starting dose | $149 a month | $149 a month | $298 a month | |
| Wegovy pill | $149 a month | $149 a month after first month | $298 a month | |
| Ozempic pen | $199 a month | $149 a month after first month | $348 a month | |
| Zepbound (self-pay) | $299 a month | $74 a month | $373 a month | |
| Sesame (Success by Sesame) | Wegovy or Ozempic pen, after intro months | $349 a month | $59 a month | $408 a month |
| Zepbound KwikPen, starting dose | $299 a month | $149 a month | $448 a month | |
| Wegovy pen, 1 mg to 2.4 mg | $349 a month | $149 a month | $498 a month | |
| Zepbound | $1,899 a month | $149 a month after first month | $2,048 a month | |
| Mounjaro | $1,899 a month | $149 a month after first month | $2,048 a month | |
| Compounded semaglutide (not FDA approved) | $60 a month | $79 a month after free first month | $139 a month | |
| Compounded tirzepatide (not FDA approved) | $90 a month | $79 a month after free first month | $169 a month | |
| Compounded liraglutide (daily injection) (not FDA approved) | $179 a month | Not listed | Included | |
| Tablets or drops containing compounded sublingual semaglutide (FDA approval has not been granted) | $179 a month | Not listed | Included | |
| Microdose GLP-1Rx Program (compounded) (not FDA approved) | billed quarterly at $179 a month after first 4 weeks | Not listed | Included | |
| GLP-1Rx Program (compounded semaglutide) (not FDA approved) | once the first 4 weeks are over, the rate of $249 a month is billed quarterly | Not listed | Included | |
| Compounded GLP-1 plan (not FDA approved) | $99 a month | $169 a month cash | $268 a month | |
| Compounded semaglutide (weekly injection) (not FDA approved) | $297 a month | Not listed | Included | |
| GLP-1Rx Plus Program (compounded GLP-1 and GIP); the FDA has not approved the program | $299 a month, billed quarterly after the first 4 weeks | Not listed | Included |
Each program's pricing page lists these prices. We earn no money from any of them.
| Program | Membership | Type |
|---|---|---|
| $199 a month | insurance-first | |
| $19.99 a month | primary care membership | |
| $79 a month | brand only |
Sources: weightwatchers.com, ro.co, hims.com, sesamecare.com.
Status of supply shortages
Semaglutide: February 21, 2025 marked the end of the injection shortage Rybelsus: discontinuation of the older tablets is under way
| Product | FDA status | Availability |
|---|---|---|
| Rybelsus tablet 3 mg, 7 mg, 14 mg | To Be Discontinued | Replaced by Ozempic (semaglutide) tablets |
- The FDA shortage list first listed it in March 2022
- Shortage resolved: February 21, 2025
- The deadline for state pharmacies to stop making compounded copies was April 22, 2025
- Outsourcing facilities had to stop by May 22, 2025
Tirzepatide: The shortage has been resolved. The FDA confirmed this on December 19, 2024.
- The shortage list first included it on December 15, 2022, added by the FDA
- Shortage resolved: December 19, 2024
- State pharmacies had to stop making compounded copies by February 18, 2025
- Outsourcing facilities had to stop by March 19, 2025
Dulaglutide: Current FDA shortage data does not include it; Lilly reports that every Trulicity dose is available.
Liraglutide: It remains on the shortage list right now. Victoza pens have limited availability, generics are available, and Saxenda is scheduled to end in January 2027.
| Product | FDA status | Availability |
|---|---|---|
| Victoza 6 mg/mL pen (2-pack and 3-pack) | Current | Limited Availability |
| Victoza back order | Current | Back order |
| Saxenda 6 mg/mL pen (5-pack) | To Be Discontinued | Available until January 2027 |
| Generic liraglutide (Meitheal, Teva) | Current | Available |
- The FDA first added it to the shortage list on July 18, 2023
Sources: FDA, api.fda.gov, ashp.org.
Scam signals
- No prescription needed: skipping the prescription means the seller is not a licensed US pharmacy
- A brand price far below what the manufacturer charges: according to the source, the lowest self-pay price is $149 a month.
- Sold as the brand but compounded: compounded drugs lack FDA approval, so none of them are Ozempic, Wegovy, Mounjaro or Zepbound.
- Different salt forms: the active ingredient in approved medicines differs from semaglutide acetate and semaglutide sodium.
- Claims equating a compounded drug with the brand: the FDA sent 30 warning letters to telehealth companies over those misleading claims.
- Harm reports: 990 adverse event reports on compounded semaglutide are held by the FDA
- Harm reports: more than 730 adverse event reports on compounded tirzepatide are held by the FDA
- Monthly pricing that leaves out the drug itself: The FTC acted against one program for this; see the NextMed program review.
Sources: Novo Nordisk pricing, NovoCare, TrumpRx, rx.costco.com.
Find it in your state
- Hims & Hers: Serves fewer than all 50 states
- Noom Med: Does not serve all 50 states
- NovoCare Pharmacy: DC, Puerto Rico and all 50 states are covered by its delivery network
More than anything else, Medicaid rules change the route. 10 state Medicaid programs now cover GLP-1s used for weight loss Select your state to view its drug list and prior authorization rules:
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming