What the spread actually is

Cheapest
$69

Embody

Middle of the field
$147

Wellorithm

Dearest we track
$299

Willow

Manufacturer self-pay
$349

$349/mo for the pens at any dose to 2.4 mg, or $149/mo for the tablets

The cheapest prices here are compounded semaglutide, which is not FDA-approved and which the FDA has moved to restrict. The branded pens cost more and carry the approval.

Manufacturer price quoted verbatim from its own published terms, checked Aug 22: “then $349 per month for Wegovy 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, or 2.4 mg and $399 per month for Wegovy HD 7.2 mg. ... Patients pay $149 for each month of 1.5 mg and 4 mg.

How this list is ranked

  • 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.
  • Checked weekly.Every price is read from the seller’s own page and dated. The trail on each row shows the shape; the solid section is our own record.
  • Order is price, nothing else. We earn a commission when you buy through these links, and it never changes the order. No seller can pay for position.
  • 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.

How we verify prices · How we make money

Before you pick a semaglutide program

Doses and injectingSemaglutide dosage chart 2026Semaglutide is titrated upward over months rather than started at the target dose, to let gastrointestinal side effects settle. For Wegovy the pen ladder runs 0.25 mg, 0.5 mg, 1 mg, 1.7 mg and 2.4 mg, with a 7.2 mg high-dose strength above it. The part most charts leave out is the money: Novo's own self-pay price is flat at $349 a month across every pen dose from 0.25 to 2.4 mg, so climbing the ladder does not raise the brand price, while many compounded sellers do charge more at higher doses. Here is the ladder, what each step costs at the cheapest verified seller, and which sellers hold one price the whole way.7 min · checked Aug 27The drugsSemaglutide for weight lossSemaglutide is the molecule. For weight loss the FDA-approved version is Wegovy, sold as a weekly pen and a daily tablet. Ozempic is the same molecule approved for type 2 diabetes, so using it for weight is off-label. Compounded semaglutide is the same molecule from a compounding pharmacy, is not FDA-approved, and is what most cash buyers actually take because it costs a fraction of the brand. All three produce the same side effects. What differs is the approval, the oversight and the price.7 min · checked Aug 27Side effectsSemaglutide side effectsSemaglutide's side effects are gastrointestinal: nausea, vomiting, diarrhoea and constipation, worst early and after each dose increase. Those belong to the molecule, so they are the same whether it came in a Novo Nordisk pen or a compounding pharmacy's vial. What compounding changes is everything around the molecule. A compounded drug is not FDA-approved, so the finished product has not been reviewed for safety, effectiveness or manufacturing quality, and the FDA has said the enforcement discretion that allowed 503A pharmacies to compound semaglutide has ended. It also usually arrives as a vial and a syringe rather than a pre-set pen, which moves dose measurement to you.8 min · checked Aug 27

$69/mo is today’s floor. It moves.

We re-check 37 programs weekly. Get one email when the cheapest semaglutide gets cheaper.