Key findings
- Wegovy's list price is $1,349.02 per four-pen package, and Novo Nordisk will cut the list price of Wegovy and certain Ozempic doses to $675 from January 1, 2027.
- Self-pay prices fell sharply in late 2025: Wegovy and Ozempic dropped from $499 to $349 a month, and Zepbound vials now start at $299 a month.
- 56% of adults who have taken a GLP-1 say the drugs were difficult to afford, and 27% of insured users paid the full cost themselves.
- 43% of firms with 5,000 or more workers covered GLP-1s for weight loss in 2025, compared with 16% of firms with 200 to 999 workers.
- Since July 1, 2026, eligible Medicare beneficiaries can get Wegovy, Zepbound KwikPen or Foundayo for a $50 monthly copay under the Medicare GLP-1 Bridge.
What is the list price of Wegovy, Ozempic and Zepbound?
list price (WAC) of a four-pen package of Wegovy injection, the same for every dose1
The Wegovy pill has the same list price per 30-tablet bottle. Novo Nordisk pricing page dated March 2026.
list price (WAC) of an Ozempic pen package, the same for every dose2
Novo Nordisk pricing page dated May 2026.
per month price of Zepbound cited by the White House before its November 2025 agreement with Eli Lilly3
The same fact sheet cited prior monthly prices of $1,000 for Ozempic and $1,350 for Wegovy.
annual list price of Wegovy ($1,300 a month) cited by KFF in 20244
new list price for Wegovy and certain Ozempic doses from January 1, 2027, a reduction of about 50% for Wegovy and 35% for Ozempic5
How much do weight loss drugs cost without insurance?
standard monthly self-pay price for Wegovy and Ozempic since November 17, 2025, down from $4996
Ozempic 2 mg stayed at $499 per month.
introductory monthly self-pay price for the first two fills of the lowest Wegovy and Ozempic doses for new patients6
Launched November 17, 2025, initially available through March 31, 2026.
monthly self-pay price of Wegovy HD (7.2 mg), available nationwide since April 20267
monthly self-pay price range for the Wegovy pill, depending on dose5
monthly self-pay price range for Zepbound vials through LillyDirect: $299 for 2.5 mg, $399 for 5 mg and $449 for 7.5 mg to 15 mg8
Lower prices for higher doses require refilling within 45 days.
monthly self-pay price for the lowest dose of Foundayo (orforglipron), Lilly's oral GLP-1 approved in April 20269
average monthly price of Wegovy and Ozempic on TrumpRx.gov, as low as $199 depending on dose10
The same February 2026 fact sheet lists Zepbound at an average of $346 (as low as $299) and the Wegovy pill as low as $149.
How much do insured patients pay for GLP-1s?
of adults who have taken a GLP-1 say the drugs were difficult to afford, including 55% of those with health insurance11
KFF poll fielded October 27 to November 2, 2025. About 1 in 4 said very difficult.
of GLP-1 users with health insurance say they paid the full cost themselves11
of GLP-1 users say insurance covered part of the cost and the full cost, respectively12
of adults who have taken a GLP-1 say they stopped because of the cost12
lowest monthly cost for qualifying commercially insured patients using savings offers for Wegovy and Ozempic, respectively6
of Americans with employer-sponsored insurance lack coverage for obesity medications, according to Eli Lilly9
Company estimate stated in an April 2026 press release.
Do employers cover weight loss drugs?
of firms with 5,000 or more workers covered GLP-1s primarily for weight loss in 2025, up from 28% in 202413
of firms with 200 to 999 workers covered GLP-1s primarily for weight loss in 2025, compared with 30% of firms with 1,000 to 4,999 workers13
of firms with 5,000 or more workers that cover GLP-1s for weight loss say it had a significant impact on prescription drug spending13
The figure was 43% for firms with 1,000 to 4,999 workers (2025).
of firms with 5,000 or more workers say GLP-1 use for weight loss was higher than expected13
44% of firms with 1,000 to 4,999 workers said the same (2025).
of firms with 200 or more workers that do not cover GLP-1s for weight loss say they are not likely to start in the next 12 months13
1% said very likely and 24% somewhat likely (2025).
of employers with 500 or more employees covered GLP-1 weight-loss drugs in 2025, up from 44% in 202414
Mercer also found large-employer prescription drug spending rose 9.4% in 2025.
Does Medicare or Medicaid cover weight loss drugs?
monthly copay for eligible Medicare beneficiaries for Wegovy, Foundayo or Zepbound KwikPen under the Medicare GLP-1 Bridge, starting July 1, 202615
Eligibility includes a BMI of 35 or higher, or lower BMI thresholds with certain conditions; prior authorization is valid through December 31, 2027. The copay does not count toward the Part D out-of-pocket limit.
net monthly price manufacturers agreed to for GLP-1s under the Medicare GLP-1 Bridge16
seniors saved a combined $216 million on GLP-1 drugs in the first two months of the $50 Medicare program17
Administration figure from a September 2026 White House fact sheet.
gross Medicare Part D spending on GLP-1 drugs in 2024, before rebates18
Part D could not cover drugs used solely for weight loss before the Bridge, so this spending reflects covered uses such as type 2 diabetes. Ozempic alone made up 47%.
state Medicaid programs covered GLP-1s for obesity under fee-for-service as of January 2026, down from 16 in October 202519
estimated 10-year cost of Medicare Part D coverage of obesity drugs, as cited by KFF16
Weight loss drug cost statistics: FAQ
How much does Wegovy cost per month without insurance?
Novo Nordisk's standard self-pay price for injectable Wegovy is $349 a month (down from $499 in November 2025), with Wegovy HD at $399 and the Wegovy pill at $149 to $299 depending on dose. The list price is $1,349.02 per four-pen package.
How much does Zepbound cost without insurance?
Zepbound vials through LillyDirect cost $299 a month for 2.5 mg, $399 for 5 mg and $449 for 7.5 mg to 15 mg. TrumpRx.gov lists an average Zepbound price of $346 a month.
Does Medicare cover weight loss drugs in 2026?
Yes, through the temporary Medicare GLP-1 Bridge. Since July 1, 2026, eligible beneficiaries can get Wegovy, Foundayo or Zepbound KwikPen for a $50 monthly copay with prior authorization. The White House reported 600,000 seniors saved $216 million in the first two months.
How many employers cover GLP-1s for weight loss?
KFF found 43% of firms with 5,000 or more workers covered them in 2025, vs 30% at firms with 1,000 to 4,999 workers and 16% at firms with 200 to 999 workers. Mercer found 49% of employers with 500 or more employees covered them.
Are GLP-1s hard to afford even with insurance?
Yes, for many people. In KFF's late 2025 poll, 55% of insured GLP-1 users said the drugs were difficult to afford, 27% of insured users paid the full cost themselves, and 14% of all users said they stopped because of cost.
Sources
- Wegovy pricing information. Novo Nordisk, 2026. industry
- Ozempic pricing information. Novo Nordisk, 2026. industry
- Fact Sheet: President Donald J. Trump Announces Major Developments in Bringing Most-Favored-Nation Pricing to American Patients. The White House, 2025. government
- A New Use for Wegovy Opens the Door to Medicare Coverage for Millions of People with Obesity. KFF, 2024. industry
- Financial report for the period 1 January 2026 to 30 June 2026. Novo Nordisk (Form 6-K, SEC), 2026. company-filing
- Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic for $199 per month. Novo Nordisk (PR Newswire), 2025. industry
- Novo Nordisk's Wegovy HD available now nationwide. Novo Nordisk (PR Newswire), 2026. industry
- LillyDirect: Zepbound. Eli Lilly and Company, 2026. industry
- Foundayo (orforglipron), Lilly's new oral GLP-1 pill for weight loss, now available in the U.S.. Eli Lilly and Company (via BioSpace), 2026. industry
- Fact Sheet: President Donald J. Trump Launches TrumpRx.gov to Bring Lower Drug Prices to American Patients. The White House, 2026. government
- Poll: 1 in 8 Adults Say They Are Currently Taking a GLP-1 Drug for Weight Loss, Diabetes or Another Condition, Even as Half Say the Drugs Are Difficult to Afford. KFF, 2025. survey
- KFF Health Tracking Poll: Prescription Drug Costs, Views on Trump Administration Actions, and GLP-1 Use. KFF, 2025. survey
- 2025 Employer Health Benefits Survey. KFF, 2025. survey
- Employers and workers face affordability crunch as health insurance cost is expected to exceed $18,500 per employee in 2026. Mercer, 2025. survey
- Weight loss drugs. Medicare.gov (CMS), 2026. government
- What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge. KFF, 2026. industry
- Fact Sheet: President Donald J. Trump Announces Lower Drug Prices for All 50 State Medicaid Programs. The White House, 2026. government
- Recent Trends in GLP-1 Use and Spending in Medicare. KFF, 2026. industry
- Medicaid Coverage of and Spending on GLP-1s. KFF, 2026. industry
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Lindy Health. “Weight loss drug cost statistics 2026: list prices, cash prices, out-of-pocket costs and coverage.” Updated October 18, 2026. https://lindyhealth.com/statistics/weight-loss-drug-cost-statistics/