What OZEMPIC costs
Paying yourself, Novo Nordisk publishes $199 a month for a new patient’s first two pen fills and $349 or $499 a month after that, by dose. With commercial insurance its savings offer can take a month to $25, for up to three months.2
On this page
The published prices, and the date on them
These are the numbers Novo Nordisk printed on its own NovoCare page on 12 September 2026. They are prices the manufacturer publishes, not prices this site saw at a pharmacy counter, and the page prints no revision date of its own. What it prints instead is an expiry, further down this page.
| How you pay | What the page publishes |
|---|---|
| Pen, self-pay, new patient | $199 a month for the first two monthly fills, at 0.25 mg and 0.5 mg only. |
| Pen, self-pay, after that | $349 a month at 0.25 mg, 0.5 mg or 1 mg; $499 a month at 2 mg. |
| Pill, self-pay | From $149 a month at the 1.5 mg dose; the page says the price varies by dose. |
| With commercial insurance | As little as $25 a month for up to three months, capped at $100 of savings a month. |
NovoCare, Ozempic savings offer, read 12 September 2026. The pen and pill figures sit in separate tab panels on that page and were read from the rendered panels. It is listed under Sources.
A month is defined, which is more than most published prices manage: for the pen it is one box containing one pen, and for the pill one bottle of 30 tablets.2
What the $25 offer actually does
This is the number people arrive looking for, and the sentence that governs it is a footnote rather than a headline:
Pay as little as $25, subject to a maximum savings of $100/month. Eligibility and restrictions apply. Government beneficiaries excluded.
Read “as little as” and “maximum savings of $100/month” together, because one limits the other. The offer takes up to $100 off what you would otherwise pay. If your plan leaves you a $125 copay, $100 off it is $25 and the headline is true. If your plan leaves you $300, the same offer leaves you $200. The $25 is the floor the offer can reach, not the price it sets, and which one you get is decided by your own plan rather than by the card.2
Self-pay: the first two months are not the price
The $199 is an introductory figure and the footnote that carries it says so in detail: patients new to the Ozempic savings offer or to the NovoCare pharmacy pay $199 for each month of 0.25 mg and 0.5 mg, for two monthly fills through 31 December 2026, and after that the published price is $349 a month for 0.25 mg, 0.5 mg or 1 mg and $499 a month for 2 mg.2
Two things follow from that, and both are arithmetic rather than opinion. The first is that 0.25 mg and 0.5 mg are the two starting steps of the schedule, so the introductory price covers exactly the period before a maintenance dose: the cheapest months are the ones a prescriber intends you to pass through. The dosage chart sets the steps out. The second is that a year does not cost twelve times $199: two months at $199 and ten at $349 is $3,888, and a year that reaches 2 mg costs more again.
And the page states its own shelf life, in small type above the price panel:
Pricing to be updated after December 31, 2026
If your coverage is Medicare or Medicaid
The savings offer is not for you: its footnote excludes government beneficiaries, which covers Medicare, Medicaid, TRICARE and the VA. What exists instead is the Medicare GLP-1 Bridge program, which since 1 July 2026 has charged $50 a month for certain GLP-1 weight loss medicines outside a drug plan’s formulary. Its covered list is a closed one that names Foundayo tablets, WEGOVY in either form and the Zepbound KwikPen. OZEMPIC is not among them.2,1
That leaves the ordinary route: your own Part D plan, its formulary and its rules. The coverage pathway page sets out what a plan is deciding, and the prior authorization page covers what to do when it asks for paperwork first.
A telehealth price is not this price
Search for what semaglutide costs and most of the figures you will meet are not for this product at all. Of the 92 sellers priced on this site, 2 state that they dispense a branded drug and 36 state compounded, meaning a preparation mixed by a pharmacy with no approved label and no published dose schedule of its own. A $199 telehealth month and a $199 NovoCare month are not the same purchase, and the difference is not a discount.
What those published figures do and do not include is the subject of what a semaglutide price includes, and the page on “starting at” figures counts how often a floor is the only number a seller gives you. If what you are looking at is advertised as a generic, what FDA’s records show is worth a minute first. The Ro review and LifeMD review examine program fees separately from medication costs, so an enrollment price is not mistaken for a pharmacy quote.
Questions
How do I get OZEMPIC for $25 a month?
Through the manufacturer’s savings offer, with commercial insurance, for up to three months. Its footnote caps the saving at $100 a month, so the price reaches $25 only if your plan has already brought your share close to that. Beneficiaries of government programs, Medicare and Medicaid among them, are excluded.2
How much is OZEMPIC without insurance?
On Novo Nordisk’s own page, read 12 September 2026: $199 a month for a new patient’s first two fills at 0.25 mg or 0.5 mg, then $349 a month at 0.25 mg, 0.5 mg or 1 mg and $499 a month at 2 mg. The pill starts at $149 a month for the 1.5 mg dose.2
Will these prices last?
The page says of itself that pricing is to be updated after December 31, 2026, and the $199 offer runs for two monthly fills through that date. Every figure on this page was read on 12 September 2026 and carries that date beside it.
Read next
Sources
A reference, not medical advice, and not a substitute for your prescriber or pharmacist. It is not insurance advice either: only your plan’s own documents and your plan’s own staff can tell you what it covers. If you think you are having a medical emergency, call your local emergency number.