Compounded semaglutide typically costs $129–$400 per month without insurance, while brand-name Wegovy costs $1,000–$1,865 per month, making the compounded version roughly 60–85% cheaper [1][3][4]. Detailed Cost Breakdown Medication Type Monthly Cost (Without Insurance) Key Notes Compounded Semaglutide $129–$400 Not FDA-approved; prices vary by online provider and may exclude membership/visit fees [1][3][4] Wegovy (Brand Name) $1,000–$1,865 FDA-approved; list price is ~$1,349/month, but cash prices can reach $1,865 depending on dosage and pharmacy [1][2][3] Wegovy (via NovoCare) $199–$650 Manufacturer cash-pay program; $199 offer is limited to new patients/certain doses [2][3] Important Considerations Hidden Fees: Compounded prices often exclude prescriber visit fees, membership fees, or lab test costs [1]. Availability: Compounded semaglutide availability is "collapsing" in 2026 due to regulatory changes, which may affect pricing and access [3]. Safety: Compounded versions are not FDA-approved and lack official safety/quality review, whereas Wegovy is fully regulated [1][4]. Insurance Impact: With insurance, Wegovy can cost $0–several hundred dollars monthly, while compounded versions are rarely covered [1][2]. If you seek the lowest cost and are uninsured, compounded semaglutide from providers like Ro ($199–$349), Mochi ($99–$179), or QueenRx ($133/month average) offers significant savings [2][6][7]. However, for FDA-approved safety and insurance compatibility, Wegovy via the NovoCare program is a strong alternative if you qualify for their discounted rates [2].
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