- Our #1 pick is TotalRx: $129 a month on a 12-month plan, $1,548 for the year, with no membership and the price locked for life.
- Cheapest full year: Embody at $828 on its 12-month plan, but all payments are final, so you cannot get it back if you stop.
- Watch the second payment. $179 becomes $299 at MEDVi, and Hers adds a $149 monthly membership to the medication.
- Brand-name Wegovy® starts at $149 a month for the pill and $199 for the pen, self-pay, rising to $299 and $349 at the usual dose.
Our picks at a glance
Ranked on what a year really costs and how sure you can be of the price, not on the lowest number in an advert. Each line shows the first-year cost on the program's cheapest published plan, and the one thing to check before you pay.
The lowest price you can lock inPrice locked for life, refund if not approved$1,548first year, 12-month planVisit Site
Same price at every doseMembership rises after month oneAbout $2,320first year, as recently listedVisit Site
Lowest sale priceBilled every 21 days, not monthlyAbout $880first year, at the sale priceVisit Site
Cheapest brand-name semaglutideMembership plus a dose-based priceAbout $5,000first year, at the usual doseVisit SiteSponsored. We may earn a commission when you visit a provider through our links. Prices read from each provider's own site between October 11 and October 22, 2026. How we ranked them.
The first month is not the price
Almost every cheap semaglutide offer is built around the first payment. The chart shows what each program charges in month one, and what it charges after that on the same plan. A single dot means the price does not move.
Lowest published plan for each program. Hers is shown for the Wegovy® pill: the starting dose with membership in month one, the usual dose with membership later. WellMedr's sale price is converted to a calendar month.
The programs with a single dot fall into two groups. Embody and AltRx are cheaper than TotalRx, but treat every payment as final. TotalRx is the lowest price on the chart that is locked for life and comes with a full refund if you are not approved, which is why it ranks first.
Five ways a cheap semaglutide price gets expensive
- The introductory month
A low first payment, then a much higher refill. $179 becomes $299 at MEDVi; SkinnyRx shows its $99 first month and the rest at sign-up.
Ask: what will month two cost, in writing? - The membership on top
A separate monthly fee for access to the clinician, charged on top of the medication. At Hers it is $149 a month after the first month, $1,678 in a year.
Ask: is there any fee besides the medication? - Pricing by dose
Semaglutide starts at 0.25 mg and usually steps up every four weeks. If the price follows the dose, your first month is the cheapest you will pay.
Ask: what will I pay at 1.7 mg or 2.4 mg? - The short billing cycle
A plan billed every 21 or 28 days charges you 13 to 18 times a year instead of 12. WellMedr's $49 is per 21-day shipment.
Ask: how many times will I be charged in a year? - The prepaid plan you cannot get back
Longer plans cost less per month, but with an "all payments final" policy, a 12-month plan is lost if you are not approved or need to stop.
Ask: what is refunded if I stop after two months?
Each pick, and the catch
The lowest price you can lock in
- What you pay
- $129 a month on the 12-month plan ($1,548), $139 on 6 months, $149 on 3, or $199 month to month. No membership, and the same price at every dose.
- Why it is here
- Every plan's price is locked for life, so it cannot rise at renewal or as your dose goes up. You get a full refund if a clinician does not approve you, and unshipped months back if you stop a longer plan. Unlimited clinician follow-ups are included.
- The catch
- It is compounded semaglutide only, as a weekly injection. The lowest rate is on the 12-month plan, paid up front.
Lowest 12-month price
- What you pay
- $79 for one month, $76 a month on 3 months, or $69 a month on a 12-month plan ($828). No membership, and the price does not rise with your dose.
- Why it is here
- It is the lowest full-year price we found for compounded semaglutide, with flat pricing customers like.
- The catch
- All subscription payments are final and prepaid plans cannot be refunded. Its terms list different, higher prices for some programs than its store does, and it is only available in some states.
Lowest flat monthly price
- What you pay
- $89 a month, including the clinician, medication, supplies and shipping. No membership, and AltRx says the price does not rise with your dose.
- Why it is here
- For people who want to pay month by month without committing, $89 is about as low as an established program goes.
- The catch
- All payments are final and multi-month plans cannot be refunded. FDA sent the company a warning letter about its marketing in June 2026, and Trustpilot has removed its profile.
Most support included
- What you pay
- $179 for the first month of injections, then $299 a month. Tablets start at $249. No membership on compounded plans.
- Why it is here
- MEDVi bundles dietitian visits, care coaching and unlimited appointments and messaging, and its $299 refill does not rise as your dose does.
- The catch
- The jump after month one. A year costs more than twice TotalRx's 12-month plan. FDA sent MEDVi a warning letter about its marketing in February 2026.
Same price at every dose
- What you pay
- Compounded semaglutide from $99 a month plus a membership of $39 in the first month and $99 after, as recently listed: about $138, then $198 a month.
- Why it is here
- Eden is available in all 50 states and DC, and the medication price stays the same at every dose.
- The catch
- Offers differ depending on where you sign up, so the price you see may not match. FDA sent Eden a warning letter about its marketing in June 2026.
Lowest sale price
- What you pay
- From $49 per shipment during its current sale, billed every 21 days. That is up to 18 charges a year, about $74 a calendar month. Regular prices are not published.
- Why it is here
- While the sale lasts it is the lowest price we found, and it refunds your first payment in full if a clinician does not approve you.
- The catch
- The 21-day cycle, the time-limited sale, and a money-back promise on its landing page that its refund policy does not back up. The BBB has flagged a pattern of complaints about delivery and billing.
Cheapest brand-name semaglutide
- What you pay
- The Wegovy® pill from $149 a month and the Wegovy® pen from $199, plus a membership of $39 in the first month and $149 after.
- Why it is here
- If you want FDA-approved semaglutide rather than a compounded version, the Wegovy® pill through Hers is one of the lowest-cost ways to get it with a prescription included.
- The catch
- Both the membership and the medication go up. At the usual dose of the pill, $299, the total is about $448 a month.
How we ranked them
We scored each program on five things: the cost of a first year at the dose most people reach (35%), whether the price can rise with your dose, after an introductory month or at renewal (20%), what you get back if you are not approved or stop early (15%), whether the full price is shown before you pay and how often you are charged (15%), and the clinical care included in the price (15%). A low price with no refunds and a fluctuating one both score lower than a slightly higher price you can rely on.
Pay monthly or prepay? The numbers
Longer plans are where the real savings are, if the program refunds what you do not use. Here is what a year costs on each plan length at the two programs with the clearest plan pricing:
| Plan | TotalRx | Embody |
|---|---|---|
| Month to month12 monthly payments | $199/mo$2,388 a year | $79/mo$948 a year |
| 3 months | $149/mo$447 per 3 months | $76/mo$228 per 3 months |
| 6 months | $139/mo$834 per 6 months | Not listed |
| 12 months | $129/mo$1,548 a year | $69/mo$828 a year |
| If you stop early on a prepaid plan | Unshipped months refunded | Not refunded |
At TotalRx, the 12-month plan saves $840 a year over paying month to month, and you keep the protection of a refund for months not yet shipped. At Embody, prepaying saves $120, but you cannot get any of it back. If you are not sure you will stay on treatment for a year, that difference matters more than the monthly figure.
The cheapest brand-name semaglutide
Novo Nordisk sells Wegovy® directly to people paying cash through NovoCare Pharmacy, and the same prices appear on TrumpRx.gov 12. Ozempic® is the same medicine approved for type 2 diabetes, not weight management.
| Medication | Starting price | At the usual dose | First 12 months |
|---|---|---|---|
| Wegovy® pillonce daily | $1491.5 mg | $2999 or 25 mg | About $3,340 |
| Wegovy® penonce weekly | $199first two fills | $3492.4 mg | About $3,890 |
Self-pay prices before any telehealth membership, as listed by Novo Nordisk, read October 19, 2026. The $199 starting price for the pen is for new patients and runs to December 31, 2026 1.
The savings card that brings Wegovy® to $25 a month only applies if you have commercial insurance that covers it 1. On Medicare, the GLP-1 Bridge offers Wegovy® for $50 a month to people who qualify 3. Our guide to GLP-1 costs without insurance covers every route.
Is cheap compounded semaglutide safe?
A low price is not a warning sign on its own, since every program here buys from licensed pharmacies. But compounded semaglutide is a different product from Wegovy®, and some checks matter more than the price:
- It is not FDA-approved. Compounded drugs are not FDA-approved. The FDA does not verify their safety, effectiveness, or quality 4.
- Ask which pharmacy fills it. It should be a state-licensed 503A pharmacy or an FDA-registered 503B outsourcing facility, and the program should name it.
- Avoid salt forms. The FDA has warned about products made with semaglutide sodium or semaglutide acetate, which are not the form used in approved medicines 4.
- Get your dose in milligrams and units. The FDA has received reports of overdoses from people measuring compounded semaglutide in syringe units 5. Our dosing guide has a conversion chart.
- Know the rules may change. The FDA has said compounders should only make semaglutide to meet an individual patient's medical need now that the shortage is over 6.
In the STEP 1 trial of brand-name semaglutide 2.4 mg, people lost an average of about 15% of their body weight over 68 weeks 7. There are no trials of that kind for compounded versions. Our compounded vs brand-name guide goes further.
Questions and answers
What is the cheapest semaglutide online?
On a full year, Embody's 12-month plan is the lowest at $828, and AltRx is $89 month to month. Both treat payments as final. TotalRx is $129 a month on its 12-month plan with the price locked for life and a refund if you are not approved, which is why we rank it first.
Is $49 semaglutide real?
WellMedr advertises compounded semaglutide from $49 during a sale, but that is per shipment every 21 days, which can mean 18 charges a year. Its regular prices are not published. Check how often you will be charged and what happens when the sale ends.
Why does my semaglutide price go up after the first month?
Usually because of an introductory first-month price, a membership that rises after month one, or pricing by dose. Programs that charge one flat price, such as TotalRx, Embody and AltRx, do not change it as your dose goes up.
Is compounded semaglutide the same as Wegovy?
No. Wegovy® is made by Novo Nordisk and approved by the FDA. Compounded semaglutide is made by compounding pharmacies, is not FDA-approved, and has not been through the FDA's review of safety, effectiveness or quality.
What is the cheapest way to get Wegovy without insurance?
The Wegovy® pill at $149 a month at the starting dose, or the pen at $199 for the first two fills, self-pay through NovoCare Pharmacy. Both rise at higher doses: $299 for the pill and $349 for the pen at the usual dose. You also need a prescription, which some programs charge a membership for.
Can I switch to a cheaper semaglutide provider partway through?
Yes. A new provider will want your current dose and recent history so you do not restart at the lowest dose. Our guide to switching providers explains how to avoid a gap.
Can I pay for semaglutide with an HSA or FSA?
Usually, when it is prescribed to treat a diagnosed condition such as obesity. Some plans want a letter of medical necessity, and membership fees are less clear-cut.
Keep reading
Sources
- NovoCare Pharmacy: Wegovy® self-pay prices and savings offer
- TrumpRx.gov: listed GLP-1 prices
- CMS: Medicare GLP-1 Bridge launch
- FDA: concerns with unapproved GLP-1 drugs used for weight loss
- FDA: dosing errors associated with compounded semaglutide (July 26, 2024)
- FDA: clarifies policies for compounders as national GLP-1 supply begins to stabilize
- Wilding et al., Once-weekly semaglutide in adults with overweight or obesity (STEP 1), NEJM 2021
How we write our guides. We read the manufacturers' prescribing information, FDA and other official sources, published trials and each provider's own pricing and policies, and link to them so you can check our work. Figures were correct when we last checked them on October 22, 2026; prices and rules change often, so confirm them before you act. Medical disclaimer. This guide is general information, not medical advice, and no one at ProviderCompare is your clinician. Talk to a licensed healthcare professional before starting, changing or stopping any medication. Compounded GLP-1 medications are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality. Brand names are trademarks of their owners, used for identification only.