Ozempic remains one of the most prescribed medications for type 2 diabetes and off-label weight management. Its popularity has made the price a frequent concern for patients. Costs vary widely depending on insurance coverage, location, and available discounts.
The list price sits around $997 per month for a 28-day supply before any reductions. Manufacturer programs and pharmacy discounts often lower this amount significantly. Many people pay far less than the full price.
This article breaks down current 2026 pricing for Ozempic in the United States. It covers list prices, insurance scenarios, savings cards, and ways to reduce out-of-pocket expenses. Prices can change, so always verify with your pharmacy or prescriber.
Ozempic List Price in 2026
The manufacturer’s list price for Ozempic is approximately $997 to $1,000 per month. This amount covers a 28-day supply regardless of dose strength. The price reflects the cost before insurance or discounts apply.
List prices serve as a starting point for negotiations between drugmakers, insurers, and pharmacies. Patients rarely pay this full amount. Various programs bring costs down for most users.
Recent changes in pricing structures have aimed to improve access. These adjustments respond to high demand and public attention on affordability.
Cost With Commercial Insurance
Most people with private or employer-based insurance pay much less than the list price. Manufacturer savings cards reduce out-of-pocket costs significantly for eligible patients. Many qualify for as little as $25 per month.
The Ozempic savings card covers up to a maximum savings of $100 per month. It applies for up to 48 months if conditions are met. Patients present the card at the pharmacy to activate the discount.
Prior authorization from insurers is common. Coverage often requires meeting specific criteria like previous treatment attempts. Your doctor can help navigate these requirements.
Cost Without Insurance or Self-Pay Options
Uninsured patients or those paying cash face higher costs without assistance. The standard self-pay price is $349 per month for doses up to 1 mg. The 2 mg dose costs $499 monthly.
A limited-time introductory offer provides new self-pay patients $199 per month for the first two months. This applies to 0.25 mg and 0.5 mg doses through March 31, 2026. After the introductory period, prices revert to standard self-pay rates.
These offers come directly from Novo Nordisk and exclude government insurance like Medicare or Medicaid. They process outside regular insurance channels.
Manufacturer Savings Programs and Coupons
Novo Nordisk offers a savings card for commercially insured patients. Eligible users pay as little as $25 per month. The card caps savings at $100 monthly and lasts up to 48 months.
New self-pay patients qualify for the $199 introductory rate for two months. Existing self-pay patients pay $349 for lower doses and $499 for 2 mg. These programs aim to broaden access.
Patient assistance programs exist for those who qualify based on income. They provide free or low-cost medication to uninsured individuals meeting criteria. Apply through NovoCare or your doctor’s office.
Comparison: Ozempic Cost Scenarios in 2026
| Scenario | Approximate Monthly Cost | Key Eligibility Notes | Duration of Offer |
|---|---|---|---|
| Commercial Insurance + Savings Card | As low as $25 | Private/employer plan, prior auth may apply | Up to 48 months, max $100 savings/mo |
| Self-Pay (Standard) | $349 (up to 1 mg), $499 (2 mg) | No insurance or opt out of coverage | Ongoing |
| Self-Pay Introductory Offer | $199 (0.25 mg or 0.5 mg) | New patients, limited time | First 2 months only (until Mar 2026) |
| Medicare/Medicaid | Varies, often $245–$350 negotiated | Government plans, subject to negotiation | Ongoing with program changes |
| Discount Sites (GoodRx etc.) | $800–$1,000+ (before other savings) | Cash pay, no insurance | Varies by pharmacy |
This table outlines typical 2026 costs based on current programs. Actual amounts depend on your specific situation and location.
Pharmacy and Discount Variations
Prices differ between pharmacies even with the same insurance. Some chains offer lower cash prices or accept manufacturer coupons more readily. Use comparison tools to find the best deal.
Discount services like GoodRx provide coupons that reduce costs for cash payers. These may not combine with insurance but help when coverage is limited. Always present the coupon at checkout.
Telehealth platforms sometimes bundle Ozempic with consultations at set rates. These options include shipping and can simplify access for self-pay patients.
International Price Comparison
Ozempic costs significantly less in many other countries. List prices outside the U.S. often fall below $200–$400 per month. This difference stems from pricing regulations and negotiations.
Patients sometimes consider purchasing abroad or through online sources. Import rules are strict and carry risks of counterfeit products. Stick to U.S. pharmacies for safety and authenticity.
Manufacturer programs remain the most reliable way to lower U.S. costs. They provide legitimate medication with proper oversight.
Tips to Lower Your Ozempic Costs
- Check eligibility for savings card – Visit the official Novo Nordisk site to apply online.
- Ask your doctor about samples – Some offices provide starter doses to bridge coverage gaps.
- Compare pharmacies – Use tools to find the lowest price in your area.
- Explore patient assistance – Apply if you meet income criteria for free or low-cost supply.
- Review insurance annually – Plans change; confirm Ozempic coverage each year.
- Consider dose timing – Work with your doctor to optimize dosing for cost efficiency.
These steps help reduce expenses. Consistent use remains key for best results.
Factors That Influence Your Final Cost
Insurance plan type plays a major role in out-of-pocket expenses. Deductibles, copays, and tier placement affect monthly payments. Prior authorization delays can increase temporary costs.
Pharmacy location and network status impact prices. In-network pharmacies often charge less. Specialty pharmacies may handle prior authorizations more efficiently.
Dose strength influences some self-pay rates. Lower doses qualify for introductory offers. Higher doses carry higher standard self-pay prices.
Conclusion
The cost of Ozempic in 2026 varies from $25 per month with insurance and savings cards to $349–$499 for self-pay options. Manufacturer programs and limited-time offers significantly reduce expenses for most eligible patients. List prices remain high without assistance, but few pay full amount. Compare options, check eligibility, and work with your healthcare team to find the most affordable path. Consistent access supports effective diabetes management and weight control.
FAQ
What is the list price of Ozempic in 2026?
The manufacturer’s list price is around $997 per month for a 28-day supply. This is the amount before any insurance or discounts apply. Patients rarely pay this full price.
How much does Ozempic cost with insurance?
With commercial insurance and the savings card, many pay as little as $25 per month. Maximum savings reach $100 monthly for up to 48 months. Coverage and prior authorization affect final costs.
What is the self-pay price for Ozempic?
Standard self-pay is $349 per month for doses up to 1 mg and $499 for 2 mg. New patients pay $199 per month for the first two months on lower doses through March 31, 2026.
Does Medicare cover Ozempic?
Medicare coverage varies with negotiated prices around $245–$350 monthly for eligible beneficiaries. Part D plans and supplemental insurance influence out-of-pocket amounts. Check your specific plan details.
Are there ways to get Ozempic for free or very low cost?
Patient assistance programs provide free medication to qualifying low-income uninsured patients. Savings cards reduce costs to $25 for insured users. Apply through NovoCare for eligibility.
Dr. Usman is a medical content reviewer with 12+ years of experience in healthcare research and patient education. He specializes in evidence-based health information, medications, and chronic health topics. His work is based on trusted medical sources and current clinical guidelines to ensure accuracy, transparency, and reliability. Content reviewed by Dr. Usman is for educational purposes and does not replace professional medical advice.