Wegovy on the NHS: price, eligibility and time limits
In England, an NHS specialist service handles Wegovy for weight loss. NICE lists three prices for one four-dose pen: £73.25, £124.53 and £175.80. The strength sets the price; these figures are not what the NHS pays or one national private price. NHS use is capped at 2 years. NICE also says to consider stopping if weight loss is less than 5% after 6 months.
Source: NICE and NHS England, checked 2026-08-16
Access setting
Specialist service
Not a staged GP rollout.
NICE maximum
2 years
For this NHS recommendation.
Response check
6 months
Consider stopping below 5% loss.
These are entry rules, not a promise of treatment. A specialist team decides whether Wegovy fits the case. Local integrated care boards may differ in who can reach an assessment. The weight-loss pathway is separate from semaglutide products used for diabetes.
The published number
Three prices across five strengths
One pen · four doses
NICE groups the three starting strengths at one price. Each of the two higher strengths has its own price. Every figure excludes VAT.
NICE Wegovy list prices by pen strength, excluding VAT. Each pen delivers four once-weekly doses.
Pen strength
List price
Pack basis
0.25 mg, 0.5 mg and 1 mg
£73.25
1 pen · 4 doses · excluding VAT
1.7 mg
£124.53
1 pen · 4 doses · excluding VAT
2.4 mg
£175.80
1 pen · 4 doses · excluding VAT
NICE list price
NICE publishes list prices by strength. They are not a private offer or the amount the NHS pays.
NHS price
The NHS receives a confidential commercial discount. NICE does not publish its size.
Private price
Private patient prices vary by prescriber and dispensing pharmacy. There is no single national private price.
What an NHS prescription costs in England
£9.90 per item unless exempt. That is the NHS prescription charge per item, not Wegovy’s list price or the NHS purchase price. NHS exemptions still apply.
NICE TA875 · NHS England
Who can enter the specialist pathway
Both groups need at least one health problem linked to weight. The lower BMI group must also meet NICE’s rules for a specialist referral.
NICE Wegovy eligibility groups for specialist weight management, checked 16 August 2026.
BMI group
Comorbidity
Service boundary
BMI at least 35
At least 1 weight-related comorbidity
Specialist weight management service
BMI 30 to 34.9
At least 1 weight-related comorbidity
Must also meet NICE referral criteria for a specialist service
NICE lowers the BMI threshold for some family backgrounds. It usually falls by 2.5 kg/m² for people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean backgrounds.
The time boundary
Two rules that answer different questions
Maximum duration
Two years
Maximum 2 years on the NHS under NICE TA875. This is the duration in the NICE NHS recommendation, not a claim that every private prescription stops on the same date.
Response decision
Six months
NICE says to consider stopping if a person has lost less than 5% of initial weight after 6 months of treatment.
NHS England does not publish a staged primary-care rollout for Wegovy like the one for Mounjaro. Its current page places Wegovy in a specialist weight management service.
The service and prescription-charge details are for England. Scotland, Wales and Northern Ireland run their own health services and pathways.
Questions people actually ask
Can a GP prescribe Wegovy on the NHS?
NHS England’s current public route says Wegovy for weight management is prescribed through a specialist weight management service. That differs from the staged Mounjaro primary-care rollout. Ask the local integrated care board how its referral pathway works.
How much does Wegovy cost in the UK?
NICE lists £73.25, £124.53 or £175.80 for one four-dose pen, depending on strength, excluding VAT. The NHS discount is confidential, England’s prescription charge is £9.90 per item unless exempt, and private prices vary.
How long can I take Wegovy on the NHS?
NICE TA875 recommends a maximum of 2 years in a specialist service. It separately says to consider stopping if less than 5% of initial weight is lost after 6 months. A clinician applies those rules to the individual case.
What remains uncertain
It does not turn NHS England’s specialist Wegovy route into the staged Mounjaro primary-care rollout.
It does not treat NICE’s list price, the confidential NHS purchase price and a private patient’s bill as one number.
It does not say that meeting a BMI and comorbidity threshold guarantees referral, assessment or a prescription.
It does not copy England’s service or prescription-charge details onto Scotland, Wales or Northern Ireland.
JM
Medically reviewed by Jennifer Montecillo, MD· non-practicing medical reviewer