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What Ozempic costs, and who each price is for

A month of Ozempic costs $25 if your commercial plan covers it. Paying cash it is $349 a month, or $499 once you reach the 2 mg dose.

Source: Read from Novo Nordisk’s own program terms, 2026-08-12

What matters first

Commercial insurance
Ozempic Savings Offer: As little as $25 for any dose, for up to a 3-month prescription
Without insurance
NovoCare Pharmacy self-pay: $199 or $349 or $499
Medicare
Ozempic is not in the Medicare GLP-1 Bridge. Medicare says people with type 2 diabetes are not eligible for the Bridge at all, and that their Part D plan might cover the drug instead.

Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewerReviewed 2026-08-12every price here is sourced

Every price here was read from the manufacturer’s own program terms on 2026-08-12. Those terms say they can change at any time, without notice. The terms themselves state that they expire on 2026-12-31 — after that date, treat every figure on this page as history until it has been read again.

What does Ozempic cost if your plan covers it?

The Ozempic offer is the simplest of the four and the longest running. One price, $25, for any dose, on a fill of up to three months, with the offer paying up to $100 a month. Novo Nordisk puts a duration on it that the others do not: up to 48 months. It also counts a month differently from its own Wegovy offer, as one box holding one pen rather than a box of four, which is worth checking before comparing the two on price.

Ozempic Savings Offer offers by insurance situation, read from the program terms on 2026-08-12
Your situationWhat Ozempic costsWhat the card paysFills a year
Commercial insurance that covers OzempicAs little as $25 for any dose, for up to a 3-month prescriptionThe offer pays up to $100 a month, and runs for up to 48 monthsNot stated

Read from Novo Nordiskmanufacturer program terms · retrieved 2026-08-12 · the card’s own terms say it expires 2026-12-31

What does Ozempic cost without insurance?

Ozempic is the one product here whose cash price is set by where you are on the ladder. The first two months cost $199 if you are new to the offer. After that it is $349 on 0.25, 0.5 or 1 mg. It is $499 once you move to 2 mg.

That last step adds $150 a month for the same weekly injection. The label puts 2 mg at the top of the schedule rather than at the start. So the rise arrives late enough to miss when you are budgeting. There is also a patient assistance program that supplies the drug free on an income test. It is closed to anyone with Medicare or Medicaid drug coverage.

NovoCare Pharmacy self-pay prices by dose, read from the program terms on 2026-08-12
DoseA month costsWhat is attached to it
0.25 mg and 0.5 mg$199New patients only, first two months, through 2026-12-31
0.25 mg, 0.5 mg and 1 mg$349Everyone else
2 mg$499Everyone else. The top dose costs $150 a month more

Read from Novo Nordiskmanufacturer program terms · retrieved 2026-08-12 · a month here means one box holding one pen

The catch on that price

The price goes up as the dose does. Moving from 1 mg to 2 mg adds $150 a month, and the label puts 2 mg at the top of the ladder rather than at the start.

Novo Nordisk also runs a patient assistance program that gives Ozempic free to people who meet an income test and have no drug coverage through Medicare or Medicaid. Anyone with Part D coverage is not eligible for it.

What if you are on Medicare?

Ozempic is not in the Medicare GLP-1 Bridge. Medicare says people with type 2 diabetes are not eligible for the Bridge at all, and that their Part D plan might cover the drug instead.

Being a diabetes drug puts Ozempic outside the Bridge entirely. Medicare rules out anyone whose reason for a GLP-1 is type 2 diabetes. Its reasoning is that a Part D plan should already cover it, and Novo Nordisk agrees that most do. So the useful question here is a formulary question rather than a program one. The Medicare Prescription Payment Plan is the tool for spreading what is left.

Who qualifies for the Medicare route, in full covers the weight thresholds, the conditions that go with them, and who is ruled out.

Read from Centers for Medicare & Medicaid Servicesfederal program page · retrieved 2026-08-12

4Price detailsPharmacy acquisition cost, eligibility rules, and price context

What does a pharmacy pay for Ozempic?

The Ozempic pen is the cheapest thing on this page to buy, and the file shows why the cash ladder does not follow. All three pens cost a pharmacy the same. The 2 mg pen is not dearer to stock than the 0.5 mg one.

Novo Nordisk charges $150 a month more for that top dose anyway. Both statements are true at once, and the second is a pricing decision rather than a consequence of the first.

There is also an Ozempic tablet now, listed under the Rybelsus application since April 2026. It costs a pharmacy about the same per month as the pen does.

The pen

What a pharmacy reports paying for Ozempic, multi-dose pen, from the CMS weekly file of 12 August 2026
DoseCMS publishesA month works out atHow that was worked outIn force since
0.25 mg and 0.5 mg$331.97 per mL$995.90$331.97 per mL × 3 mL a pen × 1 pen = $995.902026-07-22
1 mg$331.89 per mL$995.68$331.89 per mL × 3 mL a pen × 1 pen = $995.682026-07-22
2 mg$331.94 per mL$995.81$331.94 per mL × 3 mL a pen × 1 pen = $995.812026-07-22

A month here means one box holding one pen, which is how Novo Nordisk counts a month for Ozempic. The per-unit figures are CMS’s; the monthly figures are ours, from that arithmetic.

The tablet

What a pharmacy reports paying for Ozempic, tablet, from the CMS weekly file of 12 August 2026
DoseCMS publishesA month works out atHow that was worked outIn force since
1.5 mg$33.09 per tablet$992.72$33.09 per tablet × 30 tablets = $992.722026-07-22
4 mg$33.07 per tablet$991.96$33.07 per tablet × 30 tablets = $991.962026-07-22

A month here means 30 days, one tablet a day, which is the schedule on the label. The per-unit figures are CMS’s; the monthly figures are ours, from that arithmetic.

Read down the multi-dose pen table and the dose stops mattering. Every strength sits within 0.02 percent of every other, from $995.68 to $995.90 a month. What a pharmacy pays does not climb as the dose does.

What this number is not

  • It is an acquisition cost, not a patient price. What you pay is set by your plan, your pharmacy and any manufacturer program you qualify for, and none of those are in this file.
  • CMS prices these products per milliliter or per tablet. Any monthly figure on this site is our arithmetic on top of that, using the package size from the product’s own label, and it is labeled as derived wherever it appears.
  • Wholesalers, pharmacy benefit managers, plans and manufacturers settle further amounts between themselves that are not public. A difference between what a pharmacy pays and what anyone is charged is not evidence of wrongdoing, and this site does not present it as one.
  • Each row carries its own effective date, and CMS marks whether the figure came from the latest survey or was carried forward from an earlier file. Both are printed rather than averaged away.

Can you use the card at all?

Novo Nordisk sets conditions beyond the exclusion above, and you attest to all of them when you enroll. Getting one wrong is what turns a $25 month into a full-price one.

  • You have commercial insurance that covers Ozempic.
  • Novo Nordisk states the offer runs for up to 48 months.
  • A month here means one box holding one pen, which is not how Wegovy counts a month.

We do not print a code, and there is none to print. The card is issued by Novo Nordisk to you, after you say you meet those terms. Nothing on this page is an offer, and we do not supply, arrange or guarantee any discount.

What makes Ozempic different on price

Ozempic is a diabetes drug, and that changes the Medicare answer completely. It is not in the GLP-1 Bridge, because the Bridge is for weight. Novo Nordisk says most Part D plans already cover Ozempic, so the route for a Medicare reader is their own plan rather than a program.

Ozempic is semaglutide from Novo Nordisk, approved under NDA 209637. Its price ladder tracks its dose ladder, which starts at 0.25 mg and stops at 2 mg. That is why a quote taken in your first month is a quote for a dose you are meant to leave.

Where to read next

Use the links below to continue with the pages available for this brand. Cost stays separate so each topic can be updated from its own source.

Questions readers ask

How do I get Ozempic for $25 a month?

Through the manufacturer’s own savings offer, and only with commercial insurance that covers the drug. It is one price at any dose, on a fill of up to three months. It pays up to $100 a month, for up to 48 months.

Medicare and Medicaid are shut out of it. There is also a patient assistance program that supplies the drug free on an income test, closed to the same two groups.

Can I lose 20 pounds in 3 months on Ozempic?

Nothing published answers that, and Ozempic’s label does not carry weight as an approved use at all.

The weight figures people have seen come from trials of other products, at doses this label does not offer.

What is the cheapest alternative to Ozempic?

There is no cheaper copy of it on sale. Compounded semaglutide had a legal window while FDA listed a shortage, and FDA declared that shortage resolved on 21 February 2025.

The cheapest published route to the drug itself is the $25 savings offer with commercial coverage. Paying cash it is $199 for the first two months if you are new to the offer, then $349, rising to $499 at 2 mg.

How much is Ozempic at Walmart?

Not a number this site can source. Retail pharmacies do not publish cash prices anywhere readable. The figures that circulate come from discount services that change them weekly and by zip code.

The manufacturer’s own cash ladder is published, and it is on this page with the date it was read.

3 program documents — every price on this page was read from one of them
  1. Save on Ozempic — savings offer, self-pay pricing and coverage answers · Novo Nordisk · manufacturer program terms · retrieved 2026-08-12
  2. Weight loss drugs — what Medicare covers under the Medicare GLP-1 Bridge · Centers for Medicare & Medicaid Services · federal program page · retrieved 2026-08-12
  3. Medicare GLP-1 Bridge — frequently asked questions for plans and pharmacies · Centers for Medicare & Medicaid Services · federal program page · retrieved 2026-08-12

The pages beside this price

Ozempic is a registered trademark of Novo Nordisk. This page is not written, reviewed or endorsed by Novo Nordisk, and nothing here is medical or financial advice. It reports what a public program document states, on the date it was read, so that you can check it before you budget.