Compounded semaglutide typically costs between $129 and $500 per month without insurance, whereas brand-name Wegovy® costs approximately $1,300 to $1,865 per month out of pocket, making compounded semaglutide significantly cheaper for self-pay patients. Cost Breakdown Comparison Medication Type Typical Self-Pay Range (Without Insurance) Typical List Price (Retail) Compounded Semaglutide $129 – $500 per month [1][2][3] Not applicable (Custom dose) [1] Wegovy® (Brand Name) $1,300 – $1,865 per month [2][3][4] $1,349.02 per month [1][4] Key Details & Considerations Significant Savings: For patients without insurance, compounded semaglutide can cost up to 70% less than Wegovy®. For example, online providers like Mochi Health or Amble advertise rates as low as $99–$199 per month, compared to Wegovy's $1,349+ list price [5][6]. Insurance Impact: If you have commercial insurance and a Wegovy® savings card, your cost could drop to as little as $25 per month, which is cheaper than most compounded options [1]. However, insurance often does not cover compounded medications, so you would pay the full self-pay rate for compounded semaglutide regardless [2]. FDA Approval Warning: Compounded semaglutide is not FDA-approved and has not been reviewed for safety, effectiveness, or quality by the FDA, whereas Wegovy® is an FDA-approved medication [2][3]. Additional Fees: Some compounded providers may bundle additional costs such as membership fees, prescriber visit fees, or lab test costs, so the $129–$500 range may not reflect the total monthly expense for all patients [2]. Recommendation: If you are paying out of pocket and do not have insurance coverage for Wegovy®, compounded semaglutide (via providers like Mochi, Amble, or Master Rx) is the most affordable option. However, if you have commercial insurance and can access a Wegovy® savings card, the cost of Wegovy® may be lower than compounded semaglutide. Always verify total costs, including membership fees, before choosing a provider.
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