- TrumpRx.gov is a price directory, not a pharmacy. It links you to each manufacturer's own cash-price program.
- It lists the Wegovy® pill from $149 a month, the Wegovy® pen and Ozempic® from $199, and Zepbound® from $299. Those are starting-dose or introductory prices.
- You still need a prescription, and the price does not count toward an insurance deductible.
- It is cash-pay only. People on Medicare should look at the $50 Medicare GLP-1 Bridge instead.
What TrumpRx actually is
TrumpRx.gov went live on February 5, 2026, listing 43 brand-name drugs from five manufacturers 2. It came out of agreements announced in November 2025, under which drug makers agreed to offer lower cash prices to Americans paying out of pocket 3. For each drug, the site shows the lowest cash price and sends you to the manufacturer's own program, such as LillyDirect for Zepbound® or NovoCare Pharmacy for Wegovy®, to complete the purchase 1.
So TrumpRx is best understood as a signpost. It brings the manufacturers' cash prices together in one place, which is genuinely handy, but it does not add a discount of its own.
GLP-1 prices on TrumpRx, and what they leave out
The site shows one "from" price per drug. That is the cheapest dose or an introductory rate, and you will pay more once your dose goes up:
| Medication | Listed on TrumpRx | What you will usually pay later |
|---|---|---|
| Wegovy® pill | $149/mo | $199 at 4 mg, $299 at 9 and 25 mg 5 |
| Wegovy® pen | $199/mo | $349 after the first two fills; $399 at 7.2 mg 5 |
| Ozempic® | $199/mo | Higher after the introductory period; confirm with NovoCare |
| Zepbound® | $299/mo | $399 at 5 mg; $449 at 7.5 mg and up if refilled within 45 days, otherwise $499 to $699 4 |
TrumpRx prices read October 19, 2026 1. Ozempic® is approved for type 2 diabetes and is prescribed off-label for weight loss.
Compared with the list prices these drugs carried a couple of years ago, often more than $1,000 a month, these are big reductions. But a usual dose of Zepbound® still costs about $449 a month, or roughly $5,200 in a first year.
How buying through TrumpRx works
- Get a prescription. From your own doctor or a telehealth provider. TrumpRx does not prescribe.
- Find the drug on TrumpRx.gov and follow the link to the manufacturer's program.
- Buy through the manufacturer's pharmacy or partner, which checks your prescription and ships it or sends it to a pharmacy.
Because the site hands you on to the manufacturer, you can skip TrumpRx entirely and go straight to LillyDirect or NovoCare if you prefer. The price is the same.
Who TrumpRx is not for
- Medicare and other government program members. The manufacturer cash offers exclude them 4. If you are on Medicare, the Medicare GLP-1 Bridge is likely to cost far less, at $50 a month if you qualify 6.
- People with commercial insurance that covers GLP-1s. A manufacturer savings card on a covering plan can bring the cost to as little as $25 a month, much less than the cash price.
- Anyone hoping to save on their deductible. Cash purchases do not count toward it 2.
TrumpRx vs a telehealth program vs compounded
| TrumpRx (via manufacturer) | Membership telehealth program | Compounded program | |
|---|---|---|---|
| Medication | FDA-approved brand-name | FDA-approved brand-name | Compounded, not FDA-approved |
| Prescription | Bring your own | Included | Included |
| Typical monthly cost at the usual dose | $299 to $449 | $448 to $598 with a $149 membership | About $129 to $300 |
| Ongoing clinical support | From your own doctor | Included in membership | Usually included |
If you already have a doctor willing to prescribe and you want brand-name medication, buying at the manufacturer's price, through TrumpRx or directly, is the cheapest brand-name route. If you need a prescriber as well, a telehealth program adds its fee on top. If cost is the deciding factor and you are comfortable with a compounded medication, programs such as TotalRx, our #1 pick at $129 a month on a 12-month plan, cost less again. Our compounded vs brand-name guide explains that choice.
Questions and answers
What is TrumpRx?
TrumpRx.gov is a federal website, launched in February 2026, that lists cash prices for brand-name drugs from participating manufacturers and links to where you can buy at those prices. It does not dispense or sell medication itself.
How much is Zepbound on TrumpRx?
TrumpRx lists Zepbound® from $299 a month. That is Lilly's self-pay price for the 2.5 mg starting dose; higher doses cost $399 to $449 a month, or more if a refill is late.
How much is Wegovy on TrumpRx?
The Wegovy® pill is listed from $149 a month and the Wegovy® pen from $199. The pill rises to $299 at the higher doses, and the $199 pen price is an introductory rate for the first two fills, after which it is $349.
Is TrumpRx cheaper than LillyDirect or NovoCare?
No. TrumpRx sends you to those same manufacturer programs, so the price is the same.
Do I need a prescription to use TrumpRx?
Yes. These are prescription medications, so you need a valid prescription from a licensed clinician, either your own doctor or a telehealth provider.
Can I use TrumpRx if I have Medicare?
The manufacturer cash offers it links to exclude people on government programs. Medicare members should look at the Medicare GLP-1 Bridge, which costs $50 a month for those who qualify.
Does TrumpRx count toward my insurance deductible?
No. Purchases are cash-pay and are not counted toward an insurance deductible or out-of-pocket maximum.
Keep reading
Sources
- TrumpRx.gov
- Axios: TrumpRx drug price site goes live (February 6, 2026)
- The White House: fact sheet on most-favored-nation pricing deals (November 2025)
- Eli Lilly: Zepbound® coverage, savings and self-pay prices
- NovoCare Pharmacy: Wegovy® self-pay prices
- CMS: Medicare GLP-1 Bridge
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 19, 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.