Ozempic is a widely used medication for managing type 2 diabetes and aiding weight loss. Many people want to know what is the monthly cost of Ozempic to plan their budget. This article explains the costs in clear, easy terms.
The price of Ozempic can vary based on insurance, pharmacy, and discounts. Without coverage, it can be expensive, but savings options exist. Understanding these factors helps you manage expenses effectively.
This guide covers list prices, insurance coverage, and ways to save. By the end, you’ll know what is the monthly cost of Ozempic and how to afford it. Let’s dive into the details.
What Is Ozempic?
Ozempic is a weekly injection containing semaglutide, a GLP-1 receptor agonist. It’s FDA-approved for type 2 diabetes to control blood sugar and reduce heart risks. It’s also used off-label for weight loss.
Semaglutide mimics the GLP-1 hormone, slowing digestion and reducing appetite. This helps manage glucose and promotes weight loss. It’s used with a low-calorie diet and exercise.
Ozempic comes in pre-filled pens with doses from 0.25 mg to 2 mg. Its cost depends on coverage and pharmacy. Knowing its uses helps clarify pricing.
List Price of Ozempic
What is the monthly cost of Ozempic without insurance? The average list price is $998 to $1,200 for a 28-day supply. This covers one pen with multiple doses.
Prices vary by pharmacy and location. For example, Walmart may charge $1,000, while CVS might list $1,050. The dose (0.25 mg to 2 mg) doesn’t affect the pen’s price.
Without coverage, annual costs can exceed $12,000. This makes insurance or discounts crucial for affordability. Always compare pharmacy prices for the best deal.
Insurance Coverage for Ozempic
Insurance significantly lowers Ozempic’s cost. Medicare Part D covers it for type 2 diabetes, with copays of $25 to $300 monthly. Commercial plans, like Aetna or Cigna, often cover it too.
Coverage for off-label weight loss is less common. Many plans require prior authorization, proving medical necessity. Check your plan’s formulary for details.
Some plans exclude weight loss drugs, affecting coverage. Contact your insurer to confirm copays and restrictions. Your doctor can help with authorization.
Medicaid Coverage
Medicaid coverage for Ozempic varies by state. Most states cover it for type 2 diabetes with low copays, like $0 to $10. For example, North Carolina has a $4 copay.
Off-label weight loss coverage is rare but possible in states like California or Wisconsin. Prior authorization is often required. Check your state’s Medicaid formulary online.
Use NovoCare’s coverage checker tool for state-specific details. Your doctor or pharmacist can verify eligibility. Medicaid makes Ozempic more affordable for many.
Savings Programs and Discounts
Several programs reduce Ozempic’s cost. Below are key options to explore:
- Ozempic Savings Card: Lowers copays to $25 for eligible patients with commercial insurance. It’s valid for up to 24 fills.
- GoodRx Coupons: Reduces costs to about $499–$600 monthly without insurance. Prices vary by pharmacy.
- Novo Nordisk Patient Assistance: Offers free Ozempic for low-income patients with diabetes. Apply through NovoCare’s website.
- Pharmacy Discounts: Chains like Walmart or Costco may offer lower prices. Compare local options.
These programs make Ozempic more accessible. Check eligibility and terms before applying. Your doctor can guide you to savings.
Cost Without Insurance
Without insurance, Ozempic’s full price is $998 to $1,200 monthly. This can total over $14,000 annually. Many find this unaffordable without help.
GoodRx coupons lower the cost to around $499–$600 at participating pharmacies. Websites like SingleCare offer similar discounts. Always compare prices online.
Some pharmacies, like NovoCare Pharmacy, provide Ozempic for $499 without coverage. Ask your doctor about patient assistance programs. These options ease the financial burden.
Factors Affecting Ozempic’s Cost
Several factors influence what is the monthly cost of Ozempic. Pharmacy choice impacts pricing; chains like CVS may differ from independents. Location also affects costs, with urban areas sometimes higher.
Insurance plans vary in coverage and copays. Medicare Part D has a $2,000 out-of-pocket cap in 2025. Commercial plans may have higher or lower copays.
Dose strength (0.25 mg to 2 mg) doesn’t change the pen’s price. Shortages may increase costs if supply is limited. Check multiple pharmacies for availability.
Comparing Ozempic to Other GLP-1 Drugs
Other GLP-1 drugs have different costs. Wegovy, also semaglutide, costs $1,350 monthly for weight loss. Trulicity (dulaglutide) is $900–$1,000 for diabetes.
Mounjaro (tirzepatide) costs $1,000–$1,200, often covered for diabetes. Saxenda (liraglutide) is $1,300 for weight loss. Coverage varies by drug and indication.
Ozempic is often cheaper than Wegovy or Saxenda. Discuss alternatives with your doctor. They can compare costs and coverage.
Challenges in Affording Ozempic
High list prices make Ozempic hard to afford without coverage. Insurance denials, especially for weight loss, are common. Prior authorization delays access.
Ozempic shortages, due to high demand, can limit availability. This may force you to pay more at certain pharmacies. Check stock early to avoid issues.
Some plans require trying cheaper drugs, like metformin, first. Appeals or assistance programs can help. Your doctor can navigate these challenges.
How to Lower Ozempic Costs
To reduce costs, start by checking your insurance coverage. Confirm if Ozempic is on your plan’s formulary. Ask about prior authorization requirements.
Use GoodRx or SingleCare to find discounts, often lowering costs to $499. Apply for Novo Nordisk’s patient assistance program if uninsured. Compare prices at local pharmacies.
Ask your doctor about free samples to start treatment. These can bridge gaps while seeking coverage. Always verify pharmacy legitimacy.
Lifestyle Support for Ozempic
Ozempic works best with a low-calorie diet, cutting 500–750 calories daily. Include lean proteins, vegetables, and whole grains. This boosts blood sugar and weight loss results.
Exercise, like 150 minutes of walking weekly, enhances insulin sensitivity. Start slowly if new to exercise. It supports Ozempic’s effects.
Stay hydrated with 8–10 cups of water daily. This reduces side effects like nausea. A dietitian can tailor a plan to your needs.
Monitoring and Safety
Regular check-ups monitor Ozempic’s effects. Your doctor tracks A1C, weight, and heart health every 1–3 months. Blood tests check kidney or thyroid function.
Side effects include nausea, diarrhea, and low blood sugar. Rare risks, like pancreatitis, need immediate attention. Report severe symptoms to your doctor.
Ozempic is not safe for those with thyroid cancer or pregnancy. Share your medical history with your doctor. This ensures safe use.
| Option | Cost Range (28 Days) | Eligibility | How to Access |
|---|---|---|---|
| List Price | $998–$1,200 | No insurance | Pharmacy purchase |
| Medicare Part D | $25–$300 copay | Diabetes diagnosis | Check plan formulary |
| GoodRx Coupon | $499–$600 | No coverage needed | Online or pharmacy |
| Savings Card | $25 copay | Commercial insurance | NovoCare website |
Summary
Understanding what is the monthly cost of Ozempic reveals a list price of $998–$1,200, but insurance, Medicaid, or discounts like GoodRx can lower it to $25–$600. Medicare and commercial plans cover it for diabetes, while weight loss coverage varies. Savings cards, patient assistance, and pharmacy comparisons reduce costs. With a doctor’s guidance, lifestyle changes, and coverage checks, Ozempic can be affordable for managing diabetes or weight loss.
FAQ
What is the monthly cost of Ozempic?
Ozempic costs $998–$1,200 without insurance. With coverage, copays range from $25–$300. GoodRx can lower it to $499–$600.
Does insurance cover Ozempic?
Medicare Part D and commercial plans cover Ozempic for diabetes, with copays of $25–$300. Weight loss use may face restrictions. Check your plan’s formulary.
Does Medicaid cover Ozempic?
Most states cover Ozempic for diabetes with $0–$10 copays. Weight loss coverage is rare but possible in states like California. Verify with your state’s Medicaid.
How can I lower Ozempic’s cost?
Use GoodRx coupons for $499–$600 or the Ozempic Savings Card for $25 copays. Apply for Novo Nordisk’s patient assistance. Compare pharmacy prices.
What if insurance denies Ozempic coverage?
Appeal with your doctor’s help or use GoodRx for discounts. Ask about patient assistance programs. Explore alternatives like Trulicity or Wegovy.
Are there cheaper alternatives to Ozempic?
Trulicity costs $900–$1,000, and Mounjaro is $1,000–$1,200. Wegovy is pricier at $1,350. Discuss options with your doctor for coverage.
Dr. Hamza is a medical content reviewer with over 12+ years of experience in healthcare research and patient education. He specializes in evidence-based health information, medications, and chronic conditions. His reviews are grounded in trusted medical sources and current clinical guidelines to ensure accuracy, transparency, and reliability. Content reviewed by Dr. Hamza is intended for educational purposes and is not a substitute for professional medical advice.