Medical weight loss in San Antonio

Bexar County's weight and diabetes picture

San Antonio had 1,548,422 residents in the Census Bureau's July 2025 estimate ^[4]. In Bexar County, CDC PLACES estimates that a bit over a third of adults (34.1%) had obesity in 2023, and 13.9% had been told they have diabetes ^[3]. That diabetes figure sits above Dallas County's 12.5% ^[6], which matters because some drugs and some insurance rules depend on a diabetes diagnosis.

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The lowest-cost brand starting points

With half of San Antonio households earning under $65,056 ^[4], the entry price matters. Here is what the first months cost when bought directly from the makers.

Starter-dose cash prices from the manufacturers, Oct 17, 2026

Medicine (form)	First dose and price	Where it tops out	Ref
Foundayo (daily pill)	0.8 mg at $149	$299 for 9 mg and above; 2.5 mg $149 and 5.5 mg $199 are temporary prices through 12/31/2026	[2]
Wegovy (daily pill)	1.5 mg at $149	$299 for 9 or 25 mg	[1]
Wegovy (weekly pen)	0.25 mg at $199 for a new buyer's first two fills	$349 for every standard dose	[1]
Zepbound (weekly vial or pen)	2.5 mg at $299	$449 at 7.5 to 15 mg with on-time refills	[7]

Cheaper is not the same as equal. In Foundayo's main trial, adults without diabetes on the 17.2 mg dose lost an average of 11.1% of body weight at 72 weeks, against 2.1% on placebo ^[8]; tirzepatide's SURMOUNT-1 trial reported larger averages ^[9]. Compare the drugs in Foundayo versus the Wegovy pill and the full GLP-1 price list.

Coverage options for San Antonio households

• Texas Medicaid: no GLP-1 coverage for obesity, per KFF's January 2026 review ^[5].
• Medicare: the GLP-1 Bridge covers Foundayo, Wegovy (pen or pill) and the Zepbound KwikPen at $50 a month from July 2026 through 2027 for those who qualify. Zepbound vials and single-dose pens are not on the list ^[10].
• Job-based plans: about half of workers with employer insurance lack obesity-drug coverage, Lilly says, citing IFEBP ^[11]. If your plan does cover a brand, maker savings cards can bring the copay to $25 ^[1][12].

More on Medicare and GLP-1 coverage.

Finding care in San Antonio

University Health is one of the San Antonio health systems in our research ^[13]. We did not find a published nonsurgical weight program or price on its site, so call and ask what it offers and what self-pay costs. For any program, confirm the prescriber on the Texas Medical Board website ^[14], ask whether the drug is a brand product or compounded, and get the total price in writing. FDA says compounded semaglutide and tirzepatide are not FDA-approved and are not reviewed by FDA for safety, effectiveness or quality ^[15].

Nearby guides

Compare with medical weight loss in Austin, Houston and Dallas, or along the Gulf in New Orleans, or browse the weight loss hub and our guide to choosing a clinic. San Antonio drug pages: semaglutide and tirzepatide.