How Much Does Wegovy Cost?

Wegovy insurance coverage has expanded significantly since launch but remains inconsistent. Approximately 40-50% of commercially insured Americans now have some level of coverage. When covered, copays typically range from $0-$150/month depending on plan design, tier placement, and deductible status.

Medicare Part D does not cover Wegovy for weight loss. Some Medicare Advantage plans may offer supplemental coverage. Medicaid coverage varies by state.

The Wegovy Savings Card can reduce copays to as low as $0/month for eligible commercially insured patients. The card covers up to $500 in out-of-pocket costs per 28-day supply, for up to 28 fills. This is one of the most generous manufacturer savings programs in the GLP-1 category.

Important: the savings card is only valid for patients with commercial insurance that covers Wegovy. It cannot be used if Wegovy is not on your formulary, and it's not valid for government insurance.

Compounded semaglutide offers the same active ingredient at $149-$450/month, a fraction of Wegovy's cost. For patients without insurance coverage, this is often the most practical option. The key considerations are sourcing from a reputable 503A or 503B pharmacy and understanding that compounded products are not FDA-approved finished dosage forms.

Many telehealth providers have built their business models around compounded semaglutide, offering all-inclusive pricing that bundles medication, clinical oversight, and support.