Wegovy is now a tablet as well as an injection, and the tablet self-pays cheaper. Novo's published prices are $149 a month at 1.5 mg, $199 at 4 mg, and $299 at 9 mg and 25 mg, against $349 a month for the pen at any standard dose.1
One of those numbers is changing this week, and Novo's own two pages do not currently agree about it.
The 4 mg price moved on 31 August
Read on 27 August 2026, the NovoCare Pharmacy page says:1
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.
NovoCare Pharmacy
Novo's Wegovy savings page now says the same thing:2
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.
NovoCare, Wegovy savings offer
Until 31 August the savings page still listed 4 mg at $149 with a deadline. That offer has ended: on 2 October 2026 both of Novo's pages put 4 mg at $199 a month. Confirm the figure at checkout rather than from any article, this one included.
The pill against the pen
For a cash buyer this is the comparison that matters, and it does not go the way most people assume:
| Wegovy, self-pay | Price |
|---|---|
| Tablet, 1.5 mg | $149/mo |
| Tablet, 4 mg | $149/mo until 31 Aug, then $199/mo |
| Tablet, 9 mg and 25 mg | $299/mo |
| Pen, 0.25 to 2.4 mg | $349/mo |
| Pen HD, 7.2 mg | $399/mo |
All quoted from Novo's own pages.12 The entry tablet is well under half the pen. Whether a tablet or an injection is right for you is a clinical question and not one a price table answers, but the money is not the reason to choose the pen. The pen ladder is here.
There are three semaglutide pills now, and they are not the same
This is the part almost every page about "Wegovy weight loss pills" has not caught up with. Per the FDA's own National Drug Code directory:3
| 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 |
If you searched for a semaglutide pill and landed on a page about Rybelsus, you were reading about a different product at different strengths approved for something else. Rybelsus is the 2019 one. The Wegovy pill is the one indicated for weight.
Worth knowing: Novo's own cash pharmacy sells the Wegovy pill and the Ozempic pill and does not list Rybelsus at all.
What the sellers we track charge
Novo is not the only route to an oral semaglutide, and the ranking is closer than the brand-versus-compounded gap usually is:
Read that with the $149 in mind. On today's board, the branded Wegovy pill bought directly from Novo costs less than the same branded pill bought through most of the telehealth programs that resell it, once their membership fees are counted. We would rather point that out than not.
What to actually do about the deadline
Three practical things, none of which requires taking our word for anything:
- If you were at 4 mg before September, check that your bill moved to $199 and nothing else changed with it.
- If you are choosing a dose with a prescriber, the pricing steps are not evenly spaced: 1.5 mg is $149, 4 mg is $199, then 9 mg and 25 mg jump to $299. That is worth knowing, though it is obviously not a reason to pick a dose.
- If you want to be told when this moves, that is what the alert is for. We re-check these numbers weekly and this one has a date on it.
