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Statistics · 30 figures · 19 sources

Weight loss drug cost statistics 2026: list prices, cash prices, out-of-pocket costs and coverage

This page tracks what GLP-1 weight loss drugs such as Wegovy, Zepbound, Ozempic and the newer pills cost in the US: list prices, self-pay and TrumpRx prices, what insured patients pay, and how employers, Medicare and Medicaid cover them. The most striking number: Wegovy's list price is $1,349.02 per package, while Novo Nordisk's standard self-pay price is $349 a month.

By Lindy Health editorialUpdated October 18, 2026Sources: industry, government, company-filing, survey

Key findings

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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?

$1,349.02

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.

Novo Nordisk, 2026
$1,027.51

list price (WAC) of an Ozempic pen package, the same for every dose2

Novo Nordisk pricing page dated May 2026.

Novo Nordisk, 2026
$1,086

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.

The White House, 2025
$15,600

annual list price of Wegovy ($1,300 a month) cited by KFF in 20244

KFF, 2024
$675

new list price for Wegovy and certain Ozempic doses from January 1, 2027, a reduction of about 50% for Wegovy and 35% for Ozempic5

Novo Nordisk (Form 6-K, SEC), 2026

How much do weight loss drugs cost without insurance?

$349

standard monthly self-pay price for Wegovy and Ozempic since November 17, 2025, down from $4996

Ozempic 2 mg stayed at $499 per month.

Novo Nordisk (PR Newswire), 2025
$199

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.

Novo Nordisk (PR Newswire), 2025
$399

monthly self-pay price of Wegovy HD (7.2 mg), available nationwide since April 20267

Novo Nordisk (PR Newswire), 2026
$149 to $299

monthly self-pay price range for the Wegovy pill, depending on dose5

Novo Nordisk (Form 6-K, SEC), 2026
$299 to $449

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.

Eli Lilly and Company, 2026
$149

monthly self-pay price for the lowest dose of Foundayo (orforglipron), Lilly's oral GLP-1 approved in April 20269

Eli Lilly and Company (via BioSpace), 2026
$350

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.

The White House, 2026

How much do insured patients pay for GLP-1s?

56%

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.

KFF, 2025
27%

of GLP-1 users with health insurance say they paid the full cost themselves11

KFF, 2025
48% and 22%

of GLP-1 users say insurance covered part of the cost and the full cost, respectively12

KFF, 2025
14%

of adults who have taken a GLP-1 say they stopped because of the cost12

KFF, 2025
$0 and $25

lowest monthly cost for qualifying commercially insured patients using savings offers for Wegovy and Ozempic, respectively6

Novo Nordisk (PR Newswire), 2025
about half

of Americans with employer-sponsored insurance lack coverage for obesity medications, according to Eli Lilly9

Company estimate stated in an April 2026 press release.

Eli Lilly and Company (via BioSpace), 2026

Do employers cover weight loss drugs?

43%

of firms with 5,000 or more workers covered GLP-1s primarily for weight loss in 2025, up from 28% in 202413

KFF, 2025
16%

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

KFF, 2025
66%

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).

KFF, 2025
59%

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).

KFF, 2025
67%

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).

KFF, 2025
49%

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.

Mercer, 2025

Does Medicare or Medicaid cover weight loss drugs?

$50

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.

Medicare.gov (CMS), 2026
$245

net monthly price manufacturers agreed to for GLP-1s under the Medicare GLP-1 Bridge16

KFF, 2026
600,000

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.

The White House, 2026
$27.5 billion

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%.

KFF, 2026
13

state Medicaid programs covered GLP-1s for obesity under fee-for-service as of January 2026, down from 16 in October 202519

KFF, 2026
$25 billion to $35 billion

estimated 10-year cost of Medicare Part D coverage of obesity drugs, as cited by KFF16

KFF, 2026

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

  1. Wegovy pricing information. Novo Nordisk, 2026. industry
  2. Ozempic pricing information. Novo Nordisk, 2026. industry
  3. Fact Sheet: President Donald J. Trump Announces Major Developments in Bringing Most-Favored-Nation Pricing to American Patients. The White House, 2025. government
  4. A New Use for Wegovy Opens the Door to Medicare Coverage for Millions of People with Obesity. KFF, 2024. industry
  5. Financial report for the period 1 January 2026 to 30 June 2026. Novo Nordisk (Form 6-K, SEC), 2026. company-filing
  6. Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic for $199 per month. Novo Nordisk (PR Newswire), 2025. industry
  7. Novo Nordisk's Wegovy HD available now nationwide. Novo Nordisk (PR Newswire), 2026. industry
  8. LillyDirect: Zepbound. Eli Lilly and Company, 2026. industry
  9. 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
  10. Fact Sheet: President Donald J. Trump Launches TrumpRx.gov to Bring Lower Drug Prices to American Patients. The White House, 2026. government
  11. 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
  12. KFF Health Tracking Poll: Prescription Drug Costs, Views on Trump Administration Actions, and GLP-1 Use. KFF, 2025. survey
  13. 2025 Employer Health Benefits Survey. KFF, 2025. survey
  14. Employers and workers face affordability crunch as health insurance cost is expected to exceed $18,500 per employee in 2026. Mercer, 2025. survey
  15. Weight loss drugs. Medicare.gov (CMS), 2026. government
  16. What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge. KFF, 2026. industry
  17. Fact Sheet: President Donald J. Trump Announces Lower Drug Prices for All 50 State Medicaid Programs. The White House, 2026. government
  18. Recent Trends in GLP-1 Use and Spending in Medicare. KFF, 2026. industry
  19. 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/