How much is Ozempic without insurance?
Without insurance, Novo Nordisk’s US self-pay price for Ozempic (semaglutide) pens is $349 a month for 0.25, 0.5 or 1 mg and $499 for 2 mg. Ozempic tablets cost $149 to $299 a month, per Novo’s May 2026 price guide. A limited offer lets new patients pay $199 a month for their first 2 months, through December 31, 2026.
- GLP‑1 medicines are prescription-only in the US. A licensed clinician has to decide they suit you before any price applies.
- Prices here are list prices or the makers’ own published self-pay prices, each with its source and the date we checked it. We never quote a seller’s price, and we don’t name or rank pharmacies or telehealth companies.
- Prices and offers change often. Check the date next to each one.
- Nothing here promises any result, and nothing here is for sale.
What does each Ozempic dose cost without insurance?
Novo Nordisk’s May 2026 price guide sets the Ozempic pen at $349 a month for 0.25, 0.5 or 1 mg, and $499 for 2 mg.1
| Ozempic form and dose | Self-pay price a month |
|---|---|
| Pen, 0.25, 0.5 or 1 mg | $349 |
| Pen, 2 mg | $499 |
| Tablets, 1.5 mg | $149 |
| Tablets, 4 mg | $199 |
| Tablets, 9 mg | $299 |
| Limited offer: pen, 0.25 or 0.5 mg, first 2 months for new patients, through Dec 31, 2026 | $199 |
Novo Nordisk’s self-pay prices from its Ozempic price guide (May 2026), checked October 14, 2026.1 A month is 1 pen (4 weekly doses) or 30 tablets.
The $199 offer covers 2 monthly fills, through December 31, 2026. Novo says it can change or cancel the program at any time.1 The government site TrumpRx.gov lists the same offer.4 You still need a prescription: see Can I get Ozempic over the counter?
What does a year of Ozempic cost, and what is the list price?
A year is 52 weekly doses, or 13 pens, so a year at $349 a pen comes to $4,537 before any discount.
That is our arithmetic from the price guide.1 A first year starting on the $199 offer comes to $4,237: 2 pens at $199, then 11 at $349. A year at 2 mg comes to $6,487.
The list price is different. It is what Novo charges wholesalers before discounts or rebates, and Novo says most people with insurance don’t pay it. Ozempic’s list price is $1,027.51 a pen at every dose.2 Novo says it falls to $675 a month on January 1, 2027, and that self-pay prices won’t change.3
What if you have insurance or Medicare?
With commercial insurance that covers Ozempic, Novo’s savings offer lets you pay as little as $25 a month, with savings capped at $100 a month.1
The offer excludes government beneficiaries, such as people with Medicare or Medicaid.1 Medicare Part D plans can cover GLP‑1s for type 2 diabetes, the use Ozempic is approved for.5,6 Medicare can’t pay for drugs used only for weight loss, and its $50 GLP‑1 Bridge doesn’t include Ozempic.6,7
If you’re insured but pay cash, TrumpRx’s terms say the payment can’t count toward your deductible or out-of-pocket limit.4 See getting a prescription in the US for how coverage works.
- Stomach effects are common. In placebo-controlled trials, 16 to 20 in 100 adults on Ozempic 0.5 or 1 mg had nausea, against 6 in 100 on a placebo (dummy injection), on the US label.5
- Pancreas and gallbladder. The US label warns of inflammation of the pancreas (pancreatitis) and gallbladder problems, including gallstones.5
- Thyroid warning. Don’t use Ozempic if you or a family member has had medullary thyroid carcinoma (MTC, a rare thyroid cancer), or if you have MEN 2, an inherited condition that causes gland tumors.5
- Pregnancy. The label says to stop Ozempic at least 2 months before a planned pregnancy.5
Read the full picture
Related questions
Sources
- Novo Nordisk. Ozempic pill and pen price guide (US26NC00009, May 2026): self-pay pen $349 a month for 0.25, 0.5 or 1 mg and $499 for 2 mg; new patients $199 for each of the first 2 monthly fills of 0.25 or 0.5 mg through Dec 31, 2026; pill $149 (1.5 mg), $199 (4 mg), $299 (9 mg); insured copay “as little as $25, subject to a maximum savings of $100/mo”, “Government beneficiaries excluded”; a month is 1 pen or 30 tablets. Maker’s price document. novocare.com (PDF)
- Novo Nordisk Pricing. Ozempic wholesale acquisition cost (list price): $1,027.51 per pen at every dose, and per bottle of 30 tablets. Checked Oct 14, 2026. novopricing.com
- Novo Nordisk. “Novo Nordisk announces significant reduction in US list price for Wegovy, Ozempic, and Rybelsus.” Company announcement, Feb 24, 2026 (list price $675 a month from Jan 1, 2027; no impact on self-pay prices). novonordisk.com
- TrumpRx.gov (US federal government website). Ozempic pen page: “Original Price” $1,027.51; new self-pay patients $199 for the first 2 monthly fills of 0.25 or 0.5 mg, then $349 (0.25 to 1 mg) or $499 (2 mg); terms say self-pay purchases can’t be counted toward an insurance deductible or out-of-pocket limit. Checked Oct 14, 2026. trumprx.gov
- Novo Nordisk. Ozempic (semaglutide) injection, US prescribing information and Medication Guide, revised 05/2026. US label. novo-pi.com
- KFF. What to know about the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge. May 11, 2026. kff.org
- Centers for Medicare & Medicaid Services. Medicare GLP-1 Bridge: information for prescribers (covers Foundayo, Wegovy and the Zepbound KwikPen). June 2026. cms.gov (PDF)
Last checked Oct 14, 2026 · Next review due Apr 14, 2027 · Report an error
How this answer was made. Written by the GLP Guidebook team from the sources above, all checked on Oct 14, 2026. It’s general information, not medical advice. Talk to a doctor, pharmacist or other licensed prescriber before starting, stopping or changing any medicine. In an emergency, call 911. How we write