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What is the cheapest semaglutide pill right now?
As of October 2026: Wellorithm at $147 a month, month to month, all in; then Sesame Care at $208, month to month, and Direct Meds GLP-1 at $249, month to month.
All in per month, membership fees included, read 3 Oct 2026. Trustpilot is the public score and review count, shown as published.
| # | Program | All in | Links |
|---|---|---|---|
| 1 | WellorithmmonthlyCheapest month to month | $147/mo | Check price$147/mo |
| 2 | Sesame Caremonthly | $208/mo | Check price$208/mo |
| 3 | Direct Meds GLP-1monthly | $249/mo | Check price$249/mo |
| 4 | SkinnyRxmonthly | $249/mo | Check price$249/mo |
| 5 | MangoRxmonthly | $299/mo | Check price$299/mo |
A Best for label means the program is the cheapest on this page for that buying condition, computed from the same verified offers as the ranking. It never changes the order.
Cheapest $147 WellorithmMiddle $249 SkinnyRxDearest $299 WillowManufacturer self-pay $149
Read the spread twice before you buy. Novo sells the branded Wegovy pill direct for $149 a month, and on today's ranking every seller of that same branded pill charges more than that once their membership fee is counted. The prices that beat Novo's are compounded, and compounded semaglutide is not FDA-approved.
Manufacturer self-pay: quoted verbatim from the maker’s own published terms, checked August 2026: “Self-pay pricing varies by dose. Patients pay $149 for each month of 1.5 mg, $199 per month for 4 mg and $299 per month for 9 mg and 25 mg. One month defined as 1 bottle of 30 tablets.”
Cheapest semaglutide pill todayWellorithm, $147/mo all in month to month. Checked October 2026.
$147/mo at Wellorithm on Wellorithm’s site ↗Has the cheapest semaglutide pill price moved?
The floor moved 1 time since 20 Aug 2026 and stands at $147 a month all in.
The cheapest all-in price among these sellers on each day we read their pages. Real reads only; nothing modeled is drawn here.
What is the cheapest semaglutide pill with no prepay?
Wellorithm at $147 a month, billed monthly with no prepay, all in, as of October 2026.
The cheapest headline price often needs a long prepay. These are the winners for each kind of plan, ranked the same way as the full list.
The 5 cheapest, reviewed
Same seven questions for every seller, in the same order, answered from what each one publishes and what patients post. Where we could not verify something, the block says so.
Wellorithm
Cheapest month to monthCheapest with no membership fee$147/moVerdict: Compounded GLP-1 from $147/mo, as injections or needle-free dissolving tablets.
What patients say
Only 2 public reviews on Trustpilot so far, too few to rate.
“I had to reschedule my appointment twice, they should really look into their user experience of their app, but overall the doctor was nice and delivery was quicker then…”Trustpilot review, 5 of 5
Pricing
| month to month | $147/mo |
all in · read 14 Oct 2026
Insurance and payment
Cash only: it does not bill insurance. No membership fee. Consultation: Free.
Cancellation and refunds
Cancel anytime, by its own published terms. Refund terms are not part of what we verify; read them at checkout.
Clinical oversight
Licensed providers via virtual consultation. What it sells here is compounded, which is not FDA-approved.
Our take
- Needle-free oral dissolving tablet (ODT) option as well as injections
- Free shipping and no insurance required to start
- Skip it if you want to pay through insurance, or you want an FDA-approved brand drug.
Sesame Care
$208/moVerdict: Best for patients who want brand-name GLP-1s at manufacturer cash prices behind a low monthly care fee, keeping in mind the medication is billed separately.
What patients say
4.5 of 5 on Trustpilot from 4,406 public reviews.
“Talking with the doctor was a pleasant experience, she listened to what I had to say, she looked over what medications I am taking and we came up with a game plan for my…”Trustpilot review, 5 of 5
Pricing
| month to month | $208/mo |
all in, incl. $59/mo membership · read 14 Oct 2026
Insurance and payment
Takes insurance for eligible plans. A $59/mo membership on top of the medication. Consultation: Included in the $59/mo subscription.
Cancellation and refunds
Cancel anytime, by its own published terms. Refund terms are not part of what we verify; read them at checkout.
Clinical oversight
Licensed physicians booked one visit at a time. Sells the FDA-approved brand drug here.
Our take
- Program care runs from $59/month, and GLP-1 medication from $149/month
- Writes scripts for FDA-approved brand-name drugs at manufacturer cash prices
- What the drug costs is billed on its own, apart from the subscription fee
- No compounded route here: brand-name only, so the drug runs pricier
Direct Meds GLP-1
$249/moVerdict: Best for anyone who wants simple, all-in pricing and isn't using insurance.
What patients say
4.6 of 5 on Trustpilot from 14,673 public reviews.
“Mia Parker was extremely helpful and kind in getting my account active again. Shes an exceptional customer service support employee. An asset to Direct Meds !!!!”Trustpilot review, 5 of 5
Pricing
| month to month | $249/mo |
all in · read 14 Oct 2026
Insurance and payment
Cash only: it does not bill insurance. No membership fee. Consultation: Included.
Cancellation and refunds
Cancel anytime, by its own published terms. Refund terms are not part of what we verify; read them at checkout.
Clinical oversight
Licensed clinicians. Compounded medication, which is not FDA-approved.
Our take
- One bundled price that already covers the medication each month
- An uncomplicated, easy-to-follow sign-up
- Carries compounded formulas only, not FDA-approved brand drugs
- A lesser-known name with a thinner online review trail
- Skip it if you want to pay through insurance, or you want an FDA-approved brand drug.
SkinnyRx
$249/moVerdict: Best for people who want their GLP-1 in several formats — tablet, sublingual, or injection.
What patients say
4.8 of 5 on Trustpilot from 5,340 public reviews.
“The assistant was very patient with me as I was having connecting issues. She stayed with me all the way and never lost her cool. Also she gave me the answers to the…”Trustpilot review, 5 of 5
Pricing
| month to month | $249/mo |
all in · read 4 Oct 2026
Insurance and payment
Cash only: it does not bill insurance. No membership fee. Consultation: Included.
Cancellation and refunds
Cancel anytime, by its own published terms. Refund terms are not part of what we verify; read them at checkout.
Clinical oversight
U.S.-licensed doctors who turn around prescription reviews in 24-48 hours. What it sells here is compounded, which is not FDA-approved.
Our take
- Take it three ways — as a shot, under the tongue, or as a tablet
- Overnight delivery is free and ships from FDA-regulated U.S. pharmacies
- You'll pay cash — they don't run anything through insurance
- Only compounded formulas here; brand-name versions aren't offered
- Skip it if you want to pay through insurance, or you want an FDA-approved brand drug.
MangoRx
$299/moVerdict: Best for people who want one telehealth account that spans weight loss and men's health.
What patients say
Only 18 public reviews on Trustpilot so far, too few to rate.
“Great service, awesome product. I recommend to all my friends.”Trustpilot review, 5 of 5
Pricing
| month to month | $299/mo |
all in · read 3 Oct 2026
Insurance and payment
Cash only: it does not bill insurance. No membership fee. Consultation: Free.
Cancellation and refunds
Cancel anytime, by its own published terms. Refund terms are not part of what we verify; read them at checkout.
Clinical oversight
Licensed U.S. physicians who stay available for continued support. What it sells here is compounded, which is not FDA-approved.
Our take
- Handles more than weight loss — ED, hair loss, and skincare too
- Every prescription is written by a licensed U.S. physician
- You won't see the full pricing until you finish the intake form
- Stocks compounded formulas only, with no brand-name versions
- Skip it if you want to pay through insurance, or you want an FDA-approved brand drug.
How much does semaglutide pill cost at each seller?
From $147 to $299 a month all in across 6 sellers (median $249), checked October 2026.
All 6 sellers, last checked 3 Oct 2026. The price shown is what leaves your account: the advertised price plus any membership fee we have confirmed.
- WellorithmCheapest month to monthCheapest with no membership feeCompounded Semaglutide (Oral Dissolving Tablets)Trustpilot: too few reviews yet (2)$147/mono membership feeCheck price on Wellorithm’s site ↗Full breakdown
- Sesame CareWegovy pill (brand oral semaglutide)Trustpilot4.5 (4.4k reviews)$208/mo$149 + $59 membershipCheck price on Sesame Care’s site ↗Full breakdown
- Direct Meds GLP-1Sublingual SemaglutideTrustpilot4.6 (14.7k reviews)$249/mono membership feeCheck price on Direct Meds GLP-1’s site ↗Full breakdown
- SkinnyRxCompounded Semaglutide TabletsTrustpilot4.8 (5.3k reviews)$249/moFirst month from $99first month from $99no membership feeCheck price on SkinnyRx’s site ↗Full breakdown
- MangoRxSlim (Compounded Oral Semaglutide)Trustpilot: too few reviews yet (18)$299/mono membership feeCheck price on MangoRx’s site ↗Full breakdown
- WillowSemaglutide TabletsTrustpilot3.9 (360 reviews)$299/mono membership feeCheck price on Willow’s site ↗Full breakdown
Brand vs compounded: what you actually pay
More on semaglutide pill prices
Rybelsus, the Wegovy pill and the Ozempic pill are three different products
All three are semaglutide in a tablet, and that is where the similarity stops. They come in different strengths, they are approved for different things, and two of the three went on sale this year. Anything you read that treats Rybelsus as the semaglutide pill was written before April.
| Pill | Strengths | On sale since | Approved for |
|---|---|---|---|
| Rybelsus | 3, 7, 14 mg | September 2019 | Type 2 diabetes |
| Wegovy pill | 1.5, 4, 9, 25 mg | January 2026 | Obesity |
| Ozempic pill | 1.5, 4, 9 mg | April 2026 | Type 2 diabetes |
Strengths and first marketing dates read from the FDA National Drug Code directory on 27 August 2026; the indication is each brand's own FDA label. Rybelsus is still listed there, with no end date.
Novo will not sell you Rybelsus for cash
NovoCare Pharmacy is Novo Nordisk's own self-pay counter. It lists the Wegovy pill and the Ozempic pill. It does not list Rybelsus. If you are paying cash, the useful question is therefore not what Rybelsus costs but which pill you can actually buy, and the answer is above. If you have commercial insurance, the savings card is the cheaper route: Novo advertises as little as $25 a month on it, capped at $100 of savings per month, with government beneficiaries excluded.
What is on this list, and what is not
Eight sellers on our board carry a semaglutide you swallow, and all eight are ranked above. Most of them compound it. Two sell the branded Wegovy pill. None of them carries Rybelsus, so Rybelsus has no row, no price and no rank here. We would rather show you an empty space than a number we did not read off a seller's own page.
How to choose a semaglutide pill program
How to choose a semaglutide pill program: 7 checks
Price ranks the list. These decide whether the cheapest is cheapest for you. Each count is from the programs on this page, today.
- The price at your dose
- Few sellers publish dose prices
- Advertised prices are usually the starting dose. A seller that charges more as you step up can end up dearer than one with a higher entry price.
- How long you commit
- 6 of 6 sell semaglutide pill month to month
- 6 of 6 publish cancel-anytime terms. A low price that needs a 6 or 12-month prepay is a loan to the seller if you stop early.
- Fees on top
- 1 of 6 add a membership fee
- None charge a separate consultation. We rank on the all-in price so a fee cannot hide.
- Insurance
- 1 of 6 take insurance
- Most cash programs cannot bill your plan. If your plan covers a brand GLP-1, a copay can beat every cash price here.
- Brand or compounded
- 2 of 6 also sell an FDA-approved brand
- Compounded versions are cheaper and not FDA-approved. If you want the approved drug later, a seller that stocks both saves a switch.
- Who stands behind it
- 6 of 6 say who does the prescribing
- A real program names its clinician network and its pharmacy. LegitScript certifies telehealth sellers; check a certificate on legitscript.com, not on a badge the seller hosts.
- Where you live
- 3 of 6 ship to all 50 states
- State rules decide who can prescribe and dispense. Check your state before you pay an intake fee.
Cheapest semaglutide pill: common questions
What is the cheapest semaglutide pill right now?
Wellorithm, at $147 a month all in month to month, read off its own site in October 2026. That is the lowest of 6 sellers we track for semaglutide pill, ranked on what actually leaves your account, membership fees included.
How much does semaglutide pill cost per month?
Across the 6 sellers we verified, the entry price runs from $147 to $299 a month all in, with a median of $249. Entry prices are usually the starting dose; the page lists each seller's term and fee.
Do semaglutide pill programs charge a membership fee?
5 of the 6 we verified charge no separate fee. 1 adds one on top of the medication price (Sesame Care $59), which is why we rank on the all-in price.
Does the price of semaglutide pill go up with the dose?
It depends on the seller: some charge the same at every dose and some charge more as you step up. The advertised entry price is usually the lowest dose, so check the price at your dose on the seller's page before you compare.
Is compounded semaglutide pill FDA-approved?
No. Compounded GLP-1s are prepared by licensed pharmacies for individual prescriptions and are not FDA-approved products; the FDA does not review them for safety or effectiveness before sale. Brand versions (Wegovy, Ozempic, Zepbound, Mounjaro) are FDA-approved. Each seller page here names the pharmacy we could identify.
Can I pay for semaglutide pill with an HSA or FSA?
Usually, for the medication. The IRS counts "prescribed medicines and drugs" as medical expenses, and an HSA pays for "medical care" as defined in Code section 213(d) (IRS Publications 502 and 969, read October 2026). Program fees count when the weight loss is "a treatment for a specific disease diagnosed by a physician (such as obesity...)". Your plan administrator decides what it reimburses, so check before you pay; we track prices, not tax rules.
Do I need a prescription for semaglutide pill?
Yes. Every GLP-1 here is sold on a prescription from a licensed clinician after an intake; 6 of the 6 programs we track say who does the prescribing, and none charges a separate consultation fee. FDA says compounded drugs "should only be used in patients whose medical needs cannot be met by an FDA-approved drug", so a seller that ships without assessing you is a red flag.
Why trust this page, and our sources
Why trust this page
- PricesRead from each seller’s own page and dated, weekly. 66 recorded checks across 6 sellers since August 2026. How we verify
- OrderPrice only, all in. We earn a commission from some programs and it never moves a row. How we make money
- Written byJulian Caraulani, Founder, PriceTracker GLP-1.
- All in, not advertised. A $149 program with a $74 monthly membership is a $223 program, and it ranks as one. Where a seller has not published a fee we could verify, the row says so rather than assuming zero.
- Same money, shorter plan first. On a tie, the price you can walk away from after a month ranks above the same number on a prepay; then the name, alphabetically.
- Only sellers we can verify. Programs we cannot check, or that have stopped taking patients, drop off the list rather than sitting on it stale.
Guides for choosing a semaglutide pill program
- Rybelsus for type 2 diabetes (2026)The drugs
- Wegovy Pill Cost (2026)What it costs
References
- IRS Publication 502, Medical and Dental Expenses (Medicines; Weight-Loss Program), read October 2026
- IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, read October 2026
- Novo Nordisk, self-pay price list, read August 2026
Three programs to consider next
The three cheapest partner programs, in price order, all in per month.