Ozempic Cost Without Insurance: Cash Prices by Route
Self-pay starts at $149 a month (NovoCare Pharmacy: Ozempic pill (from 1.5 mg)). Ozempic has a list price of $1,027.51 per pen before insurance. A patient assistance program can make it free if your income qualifies.
- Self-pay from
- $149 a month
- List price
- $1,027.51 per pen
- Free if eligible
- Patient assistance
The cost of Ozempic without insurance depends on where you buy it. Different prices apply when you buy without insurance through Pharmacy coupons, TrumpRx, or a manufacturer self-pay program.
Ozempic in brief
About 1 week is the half-life. Once 7 d pass, half is gone, and five half-lives (35 d) leave about 3%.
In the 30-week SUSTAIN 1 trial of type 2 diabetes, people lost 4.7 kg compared with 1.2 kg on placebo.
Sources: FDA label (DailyMed).
Cost of Ozempic without insurance: the price table
| Route | Who it is for | What you pay | Limits and dates |
|---|---|---|---|
| List price | Before insurance or any discount | $1,027.51 per pen | Not listed |
| NovoCare Pharmacy: Ozempic pill (from 1.5 mg) | Self-pay, no insurance needed | $149 a month | Not listed |
| Ozempic pen intro at NovoCare Pharmacy: 2 starting fills, 0.25 mg along with 0.5 mg | Self-pay, no insurance needed | $199 a month | Not listed |
| Ozempic pen strengths available through NovoCare Pharmacy: 0.25 mg, 0.5 mg, and also 1 mg | Self-pay, no insurance needed | $349 a month | Not listed |
| NovoCare Pharmacy: Ozempic pen 2 mg | Self-pay, no insurance needed | $499 a month | Not listed |
| TrumpRx listing (pen, starting) | Self-pay only, not with insurance | $199 a month | The offer runs from November 17, 2025 to December 31, 2026 |
| Novo Nordisk PAP | Household income at or below 200% of the federal poverty level | Free if approved | The income cap is 200% of the poverty level. Not for anyone who has Medicare drug coverage |
| Costco Pharmacy: member price | pen, 0.25 mg to 0.5 mg | $199 a month | Not listed |
| Walmart Pharmacy: GoodRx price without insurance | pill, 1.5 mg (30 tablets) | $149 a month | Not listed |
| Walgreens: GoodRx price without insurance | pill, 1.5 mg (30 tablets) | $149 a month | Not listed |
| GoodRx: GoodRx lowest price | pill, 1.5 mg (30 tablets) | $149 a month | Not listed |
| SingleCare: SingleCare coupon price | 2 mg/3 mL pen, with each dose at 0.25 mg or 0.5 mg | $791.97 per pen | Not listed |
| SingleCare: typical cash price (SingleCare) | pen | $1,408.72 per pen | Not listed |
| Publix Pharmacy: discount card (limited time, Feb 2026) | pen, 0.25 mg and 0.5 mg | $199 a month | Not listed |
Prices checked November 2026. Each price links to the page where it comes from.
Sources: Novo Nordisk pricing, NovoCare, TrumpRx, rx.costco.com.
For each month and year
One year includes 12 monthly fills. These totals assume the price stays the same for the full year.
| Route | Who it is for | Per month | Per year (12 fills) |
|---|---|---|---|
| NovoCare Pharmacy: Ozempic pill (from 1.5 mg) | Self-pay, no insurance needed | $149 a month | $1,788 |
| Ozempic pen intro at NovoCare Pharmacy: 2 starting fills, 0.25 mg along with 0.5 mg | Self-pay, no insurance needed | $199 a month | $2,388 |
| Ozempic pen strengths available through NovoCare Pharmacy: 0.25 mg, 0.5 mg, and also 1 mg | Self-pay, no insurance needed | $349 a month | $4,188 |
| NovoCare Pharmacy: Ozempic pen 2 mg | Self-pay, no insurance needed | $499 a month | $5,988 |
| TrumpRx listing (pen, starting) | Self-pay only, not with insurance | $199 a month | $2,388 |
| Costco Pharmacy: member price | pen, 0.25 mg to 0.5 mg | $199 a month | $2,388 |
| Walmart Pharmacy: GoodRx price without insurance | pill, 1.5 mg (30 tablets) | $149 a month | $1,788 |
| Walgreens: GoodRx price without insurance | pill, 1.5 mg (30 tablets) | $149 a month | $1,788 |
| GoodRx: GoodRx lowest price | pill, 1.5 mg (30 tablets) | $149 a month | $1,788 |
| Publix Pharmacy: discount card (limited time, Feb 2026) | pen, 0.25 mg and 0.5 mg | $199 a month | $2,388 |
What changes the Ozempic price
- Strength affects self-pay pricing, which runs from $149 a month to as much as $499 a month, based on your prescriber's choice.
- An announced list price change sets $675 a month from January 2027.
- Coupon pricing changes often, GoodRx notes, and the price varies by pharmacy.
Sources: Novo Nordisk, investors.goodrx.com.
The cheapest Ozempic option for your coverage
| If you have | Cheapest route | You pay |
|---|---|---|
| Commercial insurance that covers it | Ozempic Savings Offer | The cost starts at $25 a month and can continue for up to 3 months |
| Commercial insurance that does not cover it | NovoCare Pharmacy: Ozempic pill (from 1.5 mg) | $149 a month |
| No insurance | NovoCare Pharmacy: Ozempic pill (from 1.5 mg) | $149 a month |
| Low income, no insurance | Novo Nordisk PAP | Free if approved |
| Medicaid | Your state's Medicaid drug list decides | Ozempic and Medicaid by state |
Over time, Ozempic prices change
| Month | Price | What it was |
|---|---|---|
| January 2027 | $675 a month | List price announced (from January 1, 2027) |
| November 2026 | $1,027.51 per pen package | List price |
| November 2025 | $349 a month | Self-pay price (standard self-pay) |
| November 2025 | $199 a month | Self-pay intro price (first 2 months, new patients) |
| August 2025 | $499 a month | Self-pay price |
| August 2023 | $936 a month | List price (KFF list price comparison) |
Sources: Novo Nordisk, Novo Nordisk pricing, prnewswire.com, healthsystemtracker.org.
Telehealth services that prescribe Ozempic
Program from Mochi Health
$60 a month
Compounded semaglutide
Found
$99 a month
Compounded GLP-1 plan
NovoCare Pharmacy
$149 a month
Pill form of Ozempic
Henry Meds
$179 a month
Semaglutide that is compounded, given under the tongue (tablets or drops)
Noom Med
after the first 4 weeks, the price is $179 a month, with quarterly billing
Microdose GLP-1Rx Program (compounded)
Hims & Hers
$199 a month
Ozempic pen
The prices come from each program's own pricing page. We do not earn money from any of these programs.
Sources: hims.com, henrymeds.com, noom.com, joinfound.com.