Guide

Semaglutide Cost in 2026: Every Route, With Its Evidence Grade

Compounded semaglutide runs $145 to $178 a month on figures we read at source. Brand Wegovy is $349 through NovoCare, the approved oral tablet is $149, and Ozempic lists

What does each route cost?

Only the captured rows were read on the provider's own page by us, with a date. See our evidence grades for what each label means.

Does the price change as the dose goes up?

Semaglutide titrates over roughly 16 to 20 weeks: 0.25 mg for four weeks, then 0.5, 1.0, 1.7 and 2.4 mg. A programme that prices by dose collects its advertised figure for about one month.

Plan totals as published: $447 for three months, $882 for six, $1,740 for twelve. Each reconciles exactly against its monthly rate. The sublingual 3-month plan does not — it states a $597 total against a $185 monthly rate, which multiplies to $555. We record the monthly rate and have asked for the total to be corrected. COR-012.

The captured programmes above are flat across the full range, so the advertised figure is also the maintenance figure. That is rarer than the marketing language suggests: we record a rate as flat only where the provider states it on its own page and we archived it with a date.

What is the salt-form question?

Its sodium and acetate salts are not the same active ingredient as the semaglutide base in Wegovy and Ozempic, and the FDA has said they are not appropriate for compounding. A salt form is a different chemical entity; it has not been through the safety or efficacy review the base went through.

Ask for the exact salt form and concentration in writing before you buy. A provider that cannot answer in writing has told you something. There is no tirzepatide equivalent of this question, which is why it belongs on every semaglutide page and on none of the tirzepatide ones.

How does every provider score on the six tests?

Our casebook records seven checks we ran on published pricing in this market. Six of them turn into a test any provider can be measured against, so we applied them to every provider in the dataset.

Frequently asked questions

Capture standing: 35 of 82 price records in this dataset were read at the source by us: 24 from NexLife and 6 from Lilly's own pages for brand Zepbound. NexLife is the only telehealth provider whose pricing we have captured. Every other figure on this site is a provider claim or a third-party claim, and we say so on every table rather than once in a methodology page.