Short answer Wegovy (brand semaglutide 2.4 mg weekly): about $1,100–$1,400 per month at typical U.S. retail/list prices (manufacturer WAC is commonly reported ≈ $1,300–$1,400/month). Insurance coverage is variable. Compounded semaglutide (non‑FDA compounded versions): typically much cheaper — commonly $100–$600 per month depending on dose, pharmacy and whether you buy vials or prefilled syringes. Details and practical notes Wegovy dosing: 2.4 mg once weekly (about 4 doses/month). List/WAC price is roughly $1,200–$1,400/month; retail cash prices and pharmacy coupons (GoodRx, SingleCare, Blink Health) can sometimes lower that but usually it remains in the four‑figure range. Novo Nordisk is the manufacturer; check their patient-support/savings programs on the Novo Nordisk website for any available offers. Compounded semaglutide: compounding pharmacies make semaglutide preparations in different concentrations and formats. Because those are compounded (not the brand product), prices vary widely by supplier and dose — many patients report monthly costs in the low hundreds. Compounded products are usually paid out‑of‑pocket (insurers rarely cover them). Safety and quality tradeoffs Wegovy is FDA‑approved for chronic weight management and made under strict manufacturing controls. Compounded semaglutide is not FDA‑approved. Quality, sterility and dose accuracy can vary between compounding pharmacies. If you consider compounded semaglutide, use an accredited pharmacy (look for PCAB/ACHC accreditation and USP <797>/<800> compliance), ask about sterility testing, lot records and how the product is stored/shipped. Where to check prices and reputable sources Wegovy discounts/coupons: GoodRx, SingleCare, Blink Health; check Novo Nordisk’s official patient savings/program page. Reputable compounding pharmacies that many clinicians use: Empower Pharmacy, Wedgewood Pharmacy, PBA Health (verify current services and accreditation). Get written price quotes from several pharmacies. Telehealth clinics that can arrange prescriptions and price options: Hims & Hers, Ro, and specialty weight‑management clinics — they often will quote brand vs compounded options. What I recommend you do next Ask your prescriber what exact monthly dose you’d need. Get a written cash price for Wegovy from local pharmacies and via coupon sites, and request price quotes from 2–3 compounding pharmacies. If choosing compounded product, confirm PCAB/ACHC accreditation and ask about sterility testing and return/lot procedures. If you want, tell me (a) whether you have insurance and (b) the dose your clinician prescribed (or weight-loss target), and I can help estimate a tighter monthly cost range and list phone/website links to coupon services and specific compounding pharmacies to call.
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