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Cost

What Ozempic costs without insurance in 2026

Novo Nordisk lists Ozempic at $1,027.51 a package, the same figure against every dose and both forms, and almost nobody pays it. Through NovoCare Pharmacy the published self-pay prices are $149 a month at 1.5 mg, and $199 a month for the 0.25 mg and 0.5 mg pens if you are new to the offer.

What that is based on

That $199 covers the first two months. From 31 December 2026 it becomes $349 a month for the 0.25, 0.5 and 1 mg pens and $499 a month for the 2 mg pen. Novo publishes no self-pay price at all for the 4 mg and 9 mg doses, which is worth knowing before you plan around one. Those dates are printed in Novo Nordisk’s own footnotes, so a price quoted anywhere without one may already have moved: the equivalent Wegovy offer ended on schedule in August 2026.

By John Weeks Updated September 12, 2026

Cash price · per month

$149 to $499

NovoCare self-pay, by dose and form. Two of these prices step up on 31 December 2026.

What it costs at each dose

What What Ozempic costs without insurance in 2026 costs at each dose, with the caveat on each figure.
Dose and form Per month Note
1.5 mg $149 Novo defines a month at this dose as 1 bottle of 30 tablets
0.25 mg and 0.5 mg $199 First 2 months, and only if you are new to the offer or to NovoCare Pharmacy
0.25, 0.5 or 1 mg $349 After the first 2 fills, from 31 December 2026
2 mg $499 After the first 2 fills, from 31 December 2026
  • 1.5 mg $149

    Novo defines a month at this dose as 1 bottle of 30 tablets

  • 0.25 mg and 0.5 mg $199

    First 2 months, and only if you are new to the offer or to NovoCare Pharmacy

  • 0.25, 0.5 or 1 mg $349

    After the first 2 fills, from 31 December 2026

  • 2 mg $499

    After the first 2 fills, from 31 December 2026

NovoCare Pharmacy self-pay, read from Novo Nordisk’s own pages on 12 September 2026. List price is $1,027.51 a package against every dose line, injection and tablet alike, and it sits on a separate page reached from a "List price explained" link rather than beside the price you are offered. The $199 covers two fills and then steps up on 31 December 2026. With commercial insurance a separate offer pays as little as $25 a month for up to three months, capped at $100 of savings, and government beneficiaries are excluded. A month is not one unit on this page: Novo defines it three different ways, as 1 bottle of 30 tablets, as 1 box of 1 pen, and as both together.

The short version

List price
$1,027.51 per package, every dose and both forms
Self-pay, lowest published
$149 a month at 1.5 mg. Novo publishes none for 4 mg or 9 mg
Self-pay, starting pens
$199 a month for the first two months if you are new to the offer
From 31 December 2026
$349 a month, and $499 for the 2 mg pen
With commercial coverage
As little as $25 a month for up to 3 months, capped at $100 off. Government beneficiaries excluded
Why your plan may treat it differently from Wegovy
Ozempic and Wegovy are the same molecule under two licenses: Ozempic is approved for type 2 diabetes and Wegovy for chronic weight management. Across the 51 US Medicaid jurisdictions this site has read, semaglutide is covered for weight management subject to prior authorization in 13, refused in 12, and covered for a diabetes indication only in 22

Where you can actually get it

Three ways to pay cash for the same medicine. The cheapest price on the drug is not the cheapest way to get it, because two of these do not include a prescriber.

  • NovoCare, direct from Novo Nordisk

    $149 a month

    At 1.5 mg. The 0.25 mg and 0.5 mg pens are $199 a month for the first two months if you are new to the offer, then $349 from 31 December 2026.

    What that includes
    • The lowest published price on the medication itself
    • Dispensed by NovoCare Pharmacy, which Novo Nordisk names
    • No membership and no care subscription
    What it does not include
    • A prescriber. You bring a prescription you already hold
    • The price after 31 December 2026, which is $349 and $499 for the 2 mg pen
    • Any published self-pay price for the 4 mg and 9 mg doses
    Compare Ozempic and Wegovy

  • Sesame, with a prescriber included

    $99 a month for the care

    From $59 a month on annual prepay. Medication is a separate bill and starts at $149 a month.

    What that includes
    • A prescriber, labs and ongoing review
    • Same-day pickup at a local pharmacy or delivery, if prescribed
    • Named on Lilly’s own list of independent telehealth companies
    What it does not include
    • The medication, which is charged separately from $149 a month
    • Any guarantee of the NovoCare price on the drug itself
    • Controlled weight loss medications, which providers there do not prescribe

    Referral fee. It never changes what you pay, or the order of these routes. How we make money

    See Sesame pricing (opens in a new tab, we are paid a referral fee)

  • Through your insurance plan

    Varies by plan

    As little as $25 a month on Novo’s commercial offer for up to three months, capped at $100 of savings. Government beneficiaries are excluded.

    What that includes
    • The lowest possible cost when a plan does pay
    • No membership and no care subscription
    What it does not include
    • Any certainty. More than half of weight-management claims are refused at first pass
    • Speed. A prior authorization is a process, not a checkout
    Check what your state covers

Referral fee from some of these. It never changes what you pay. How we make money

Providers offering this medication

More on Semaglutide

Sources

Every claim above is checked against the primary text, and the date is the day we last opened it.

4 cited records
  1. 1
    Ozempic savings offer

    Novo Nordisk (NovoCare) Primary text read and checked Checked September 12, 2026

  2. 2
    Ozempic list price and insurance coverage explained

    Novo Nordisk (NovoCare) Primary text read and checked Checked September 12, 2026

  3. 3
    NovoCare Pharmacy

    Novo Nordisk Primary text read and checked Checked August 26, 2026

  4. 4
    Online weight loss program

    Sesame Primary text read and checked Checked September 4, 2026