Wegovy can cost anywhere from $0 to over $1,000+ per month with insurance , depending on your specific plan, coverage rules, and use of savings programs.

Typical price ranges with insurance

  • Many commercial plans that cover Wegovy put people in a copay range of about $0–$25 per month in the best‑case scenarios , often when using the manufacturer’s Wegovy Savings Card.
  • Other people report paying $100–$350+ per month even with insurance, especially if their plan treats it as a high‑tier specialty drug or applies a high deductible first.
  • If your insurance technically “covers” Wegovy but you have not met your deductible or the plan doesn’t contribute much, your out‑of‑pocket can still approach the list price, around $1,300–$1,500 for a 28‑day supply.

In real‑world forum discussions, people describe everything from $0 copays to several hundred dollars a month despite having coverage, highlighting how inconsistent insurer policies are right now.

How the Wegovy Savings Card changes the cost

  • Novo Nordisk offers a Wegovy Savings Card for people with commercial insurance (not Medicare/Medicaid).
  • If your plan covers Wegovy, the card can sometimes drop your copay to as low as $0 for a 28‑day supply , up to a maximum savings amount per fill (for example, up to around $225 in some programs).
  • If you have commercial insurance but it does not cover Wegovy, some offers have set a fixed price around $650 per 28‑day supply , which is still lower than list price but not cheap.

The exact terms change over time, so the manufacturer’s cost/coverage checker is the most up‑to‑date place to see what applies to you.

Pills vs. injection: any difference?

  • Newer coverage reports for the Wegovy pill (semaglutide tablets) mention a starter cash price around $149 per month , with higher dose prices still emerging.
  • With insurance, some early examples mention copays around $25 or less for certain patients, but that is more “best case” than typical, and actual costs still vary widely by plan.

From an insurance standpoint, your plan may treat the pill and injection similarly (both as GLP‑1 weight‑loss meds), but policies are still evolving in 2026.

Why the price with insurance varies so much

Several moving parts affect how much Wegovy costs you even if you “have insurance”:

  • Whether your plan covers weight‑loss drugs at all : Some employer and marketplace plans still exclude obesity medications outright.
  • Tier placement and prior authorization : Many plans require documents showing BMI, coexisting conditions, and prior attempts at weight loss; denials or delays can leave you paying full price.
  • Deductible and coinsurance : If you have a high‑deductible plan, you might pay near list price until the deductible is met, then move to a smaller copay or coinsurance.
  • Pharmacy choice and discount programs : Cash‑pay programs (like some $199–$349/month offers through certain telehealth or discount services) can sometimes beat what your insurance offers, especially if the plan is stingy on coverage.

In community threads, people often share that changing pharmacies, redoing prior authorization, or switching to a different plan year can significantly change their monthly cost.

How to estimate your actual Wegovy cost with insurance

Here’s a simple step‑by‑step way to get a realistic number, not just a list price:

  1. Check your plan’s drug list (formulary)
    • Look up Wegovy (semaglutide for weight loss) in your insurer’s formulary and note its tier and whether it has any restrictions like “prior authorization required” or “not covered.”

  1. Call the member services number on your insurance card
    Ask specifically:

    • “Is Wegovy covered for weight management?”
    • “What tier is it, and what is my copay or coinsurance after deductible?”
    • “Does my plan require prior authorization or step therapy?”
  1. Use the manufacturer’s coverage checker and savings program
    • The official Wegovy site has a cost and coverage estimator where you enter your insurance details to get an estimate and see if you qualify for the Savings Card.
  1. Compare with cash‑pay or discount options
    • If your copay is very high, ask your prescriber whether any telehealth or pharmacy discount programs (sometimes around $199–$349/month for certain doses) might be better for you.

TL;DR:

  • List price: roughly $1,300–$1,500+ per month for Wegovy.
  • With good commercial coverage + savings card: sometimes $0–$25/month.
  • With weaker coverage or high deductibles: often $100–$350+ per month , and in some cases close to list price.
  • The only way to know your exact cost is to check your specific insurance benefits and see what manufacturer or discount programs you qualify for.

Information gathered from public forums or data available on the internet and portrayed here.