An independent guide to cash-pay care. Every price is dated and sourced.

How we check

GLP-1 savings calculator

Zepbound costs $299 to $699 a month through LillyDirect and the Wegovy pen $199 to $399 through NovoCare, against list prices of $1,087 and $1,349 a month, so a year of self-pay costs thousands less than list price [1] [3] [4].

Pick a drug and the price tier on your prescription below to see the total. We checked every price on Oct 17, 2026, and each one comes from our cost pages.

Work out your cost

This tool only adds up prices

It does not suggest a drug or a dose. Your prescriber sets the dose. Pick the tier that matches your prescription, labeled the way Lilly and Novo Nordisk label their prices [1] [4].

Cash cost by price tier, checked Oct 17, 2026
Drug and tierMonthly price3 months6 months12 monthsList price, 12 months
Zepbound via LillyDirect: 2.5 mg, $299 a month$299 a month [1]$897$1,794$3,588$13,044 [3]
Zepbound via LillyDirect: 5 mg, $399 a month$399 a month [1]$1,197$2,394$4,788$13,044 [3]
Zepbound via LillyDirect: 7.5 to 15 mg, refilled within 45 days, $449 a month$449 a month [1]$1,347$2,694$5,388$13,044 [3]
Zepbound via LillyDirect: 7.5 mg, refilled after 45 days, $499 a month$499 a month [1]$1,497$2,994$5,988$13,044 [3]
Zepbound via LillyDirect: 10, 12.5 or 15 mg, refilled after 45 days, $699 a month$699 a month [1]$2,097$4,194$8,388$13,044 [3]
Wegovy pen via NovoCare: New to the Wegovy self-pay offer: $199 for the first two 0.25 or 0.5 mg fills, then $349$199 for 2 fills, then $349 a month [4]$747$1,794$3,888$16,188 [3]
Wegovy pen via NovoCare: 0.25 mg to 2.4 mg, $349 a month$349 a month [4]$1,047$2,094$4,188$16,188 [3]
Wegovy pen via NovoCare: Wegovy HD 7.2 mg, $399 a month$399 a month [4]$1,197$2,394$4,788$16,188 [3]
Compounded semaglutide (not FDA-approved): Low end of the programs we track, $99 a month$99 a month [8]$297$594$1,188$16,188 [3]
Compounded semaglutide (not FDA-approved): High end of the programs we track, $297 a month$297 a month [9]$891$1,782$3,564$16,188 [3]
Compounded tirzepatide (not FDA-approved): Low end of the programs we track, $117 a month plus a $75 monthly membership ($192)$117 plus $75 membership ($192) a month [10]$576$1,152$2,304$13,044 [3]
Compounded tirzepatide (not FDA-approved): High end of the programs we track, $399 a month$399 a month [9]$1,197$2,394$4,788$13,044 [3]
Foundayo pill via LillyDirect: 0.8 mg, $149 a month$149 a month [6]$447$894$1,788No list price on our cost pages
Foundayo pill via LillyDirect: 2.5 mg, $149 a month (temporary price through Dec 31, 2026)$149 a month [6]$447$894$1,788No list price on our cost pages
Foundayo pill via LillyDirect: 5.5 mg, $199 a month (temporary price through Dec 31, 2026)$199 a month [6]$597$1,194$2,388No list price on our cost pages
Foundayo pill via LillyDirect: 9, 14.5 or 17.2 mg, $299 a month$299 a month [6]$897$1,794$3,588No list price on our cost pages
Lilly prices are per 28-day fill, so 12 fills cover 336 days and a full year is 13 fills [1]. Compounded drugs are not FDA-approved [11]; their list price column uses the brand list price (Wegovy for semaglutide, Zepbound for tirzepatide) for comparison only [3].

Where these prices come from

Every tier above is copied from one of our cost pages, with the same source and check date: Zepbound cost, Wegovy cost, Foundayo, semaglutide cost and tirzepatide cost. The GLP-1 cost tracker puts every channel in one table.

List prices come from TrumpRx: $1,087 a month for Zepbound and $1,349 for Wegovy, before any discount [3]. Novo Nordisk cuts the Wegovy list price to $675 on Jan 1, 2027, and says that cut does not change self-pay prices [5].

When your insurance covers the drug

Choose Yes, I pay a copay and enter your copay. If a commercial plan covers the Zepbound single-dose pen, Lilly's savings card can bring the copay to as little as $25, with savings capped at $100 per one-month fill and $1,300 a year; card savings end Dec 31, 2026; the KwikPen card has different terms [2]. Novo Nordisk's Wegovy offer also starts at $25, with savings capped at $100 a month [4]. Foundayo's card starts at $25 for covered commercial plans [7]. Eligible Medicare Part D members can pay $50 for a one-month supply under the GLP-1 Bridge [12]. See GLP-1 coverage and Medicare and the insurer tracker.

What the total leaves out

  • Telehealth fees. Many online programs bill a membership or visit fee on top of the drug. Compare them on online GLP-1 programs compared.
  • Late refills. Zepbound 7.5 mg to 15 mg costs $499 or $699 instead of $449 when you refill more than 45 days after the last fill [1].
  • Intro prices that end. The Wegovy $199 starter offer and the Foundayo 2.5 mg and 5.5 mg prices run through Dec 31, 2026 [4] [6].
  • Compounded programs change prices often and many charge less for the first month than later months. Our ranges are standard rates in the programs we track [8] [9] [10].

Questions people ask

How much does Zepbound cost for a year without insurance?

Through LillyDirect, Zepbound costs $299 to $449 per 28-day fill when you refill within 45 days, so 13 fills, one full year, cost $3,887 to $5,837 [1].

How much does Wegovy cost for a year without insurance?

Wegovy pens cost $349 a month self-pay through NovoCare, so 12 months cost $4,188. New self-pay patients pay $199 for the first two starter fills, which brings a first year to $3,888 if the offer applies [4].

How much do you save versus list price?

At list price, 12 months of Zepbound would cost $13,044 and 12 months of Wegovy $16,188, based on TrumpRx list prices of $1,087 and $1,349 a month [3]. Self-pay at $449 per Zepbound fill and $349 a month for Wegovy saves $7,656 over 12 Zepbound fills and $12,000 over 12 months of Wegovy [1] [4].

Is compounded semaglutide or tirzepatide cheaper?

Usually, yes. The compounded semaglutide programs we track list $99 to $297 a month and compounded tirzepatide $117 to $399 a month, but compounded drugs are not FDA-approved and are not the same as Wegovy or Zepbound [8] [9] [10] [11].

Does the calculator recommend a dose?

No. It multiplies the price tier you pick by the months you enter and compares the total with list price. Your prescriber sets the dose; the tiers are labeled the way Lilly and Novo Nordisk label their prices [1] [4].

Medical review: pending. A licensed clinician has not yet reviewed this page.

Sources

12 cited
  1. Zepbound on LillyDirect: self-pay prices. Eli Lilly and Company (LillyDirect), Oct 17, 2026.
  2. Zepbound coverage and savings. Eli Lilly and Company, Oct 17, 2026.
  3. TrumpRx.gov home page. TrumpRx.gov (US government), Oct 17, 2026.
  4. Wegovy self-pay offer. Novo Nordisk (NovoCare Pharmacy), Oct 17, 2026.
  5. Novo Nordisk announces reduction in US list price for Wegovy, Ozempic and Rybelsus. Novo Nordisk via PR Newswire, Feb 24, 2026.
  6. Foundayo on LillyDirect: self-pay prices. Eli Lilly and Company (LillyDirect), Oct 17, 2026.
  7. Foundayo now available: Lilly's oral GLP-1 pill for weight loss. Eli Lilly and Company, Apr 9, 2026.
  8. Eden home page and prices. Eden, Oct 17, 2026.
  9. DirectMeds pricing. DirectMeds, Oct 19, 2026.
  10. IVIM Health home page and prices. IVIM Health, Oct 17, 2026.
  11. FDA's concerns with unapproved GLP-1 drugs used for weight loss. US Food and Drug Administration, Oct 1, 2026.
  12. Medicare GLP-1 Bridge: information for pharmacies. Centers for Medicare & Medicaid Services, Oct 17, 2026.

This page is general information, not medical advice. Talk with a licensed clinician about your own care.