GLP-1 Cost Comparison Calculator
Put two quotes side by side, line by line, over the months you plan to stay on treatment. Enter what a clinic, a pharmacy or an insurance plan actually quotes you, for the dose you will be on. The reference figures below are for judging a quote, not your bill.
Reference figures (not your bill)
These are for judging whether a quote is in the usual range. Enter the figure you are actually quoted, for the dose you will be on. Prices and eligibility vary by product and dose; the lowest figures may apply only to starting doses.
Published list prices (the manufacturer's price to wholesalers, before insurance or discounts)
- Wegovy, package of 4 pens (list price $1,349.02) $1,349 NovoCare
- Zepbound, per fill (range by product) $499–$1,086 Lilly, WAC as of Jan 1, 2026
Manufacturer self-pay programs (cash, no insurance; prices and eligibility vary by product and dose)
- Wegovy pens around $349/month, NovoCare (0.25–2.4 mg; one box of 4 pens per month) $349
- Wegovy pill, NovoCare (from $149 at 1.5 mg; $199 at 4 mg; $299 above) $149+
- Zepbound $299-$699 per 28-day supply, LillyDirect KwikPen or 4-count single-dose vial, by dose (a $449 first-fill offer on 7.5 mg and higher KwikPens holds only while each refill purchase is completed within 45 days of the previous delivery, through December 31, 2026) $299–$699
Checked on the manufacturers' own pages September 21, 2026. Lilly states the 2.5 mg dose is a starting dose, not a maintenance dose, and higher Zepbound vial and Wegovy pill doses cost more, so a month at your maintenance dose can cost more than the lowest figure shown. Sources and current tiers are on our medication pages.
Median advertised clinic price in our directory (advertised, not what a program costs in full)
Only prices with a verified monthly billing period count toward these medians, and we do not record what a price includes. A state needs at least three such prices to show a figure. Method and per-state figures: GLP-1 clinic price report.
What each kind of number means
List price
The manufacturer's published price to wholesalers before insurance or discounts. Few people pay it directly, but it is the anchor insurers and pharmacies negotiate from.
Manufacturer self-pay
Cash prices the makers sell at directly (NovoCare, LillyDirect). Prices and eligibility vary by product and dose, and the lowest figures may apply only to starting doses; refill conditions apply, and the medication is the whole price: no consultation, no labs.
Advertised clinic price
What a clinic publishes on its website. Some prices bundle consultations and follow-ups; some do not, and some clinics add lab or dose fees. Ask for a written quote that lists each line. Compounded vs. brand-name also matters to the price.
Frequently Asked Questions
Because no directory figure is your bill. A clinic's advertised price may leave out the consultation, lab work, higher doses or a minimum program length, and a manufacturer's list price is the price to wholesalers, not what a cash patient pays. The only comparison that means anything for you is between two written quotes, itemised the same way, over the same number of months.
Three different kinds of number, labelled as such: the published list prices from the manufacturers, the self-pay prices from the manufacturers themselves (NovoCare for Wegovy, LillyDirect for Zepbound), and the median price that clinics in our directory advertise. Nothing on the page copies them into the form, on purpose: prices and eligibility vary by product and dose, and the lowest figures may apply only to starting doses. Enter the figure a clinic or pharmacy actually quotes you, for the dose you expect to be on.
It is the middle of the prices clinics publish on their websites. We do not record what each price includes, and only prices with a verified monthly billing period count toward it. Your quote can be higher once consultations, labs, dose increases and program length are added, or lower if a clinic runs a promotion.
Many weight loss clinics are cash-pay. Some bill insurance for the office visit but not the medication. If you have coverage, enter your real copay and any visit or lab charges under one option and a cash quote under the other; the comparison is only as good as the figures you enter. See coverage by insurer.
Compounded GLP-1s are made by pharmacies, not by the drug's manufacturer, and they are not FDA-approved products. The FDA declared the tirzepatide shortage over in December 2024 and the semaglutide shortage over in February 2025; since then a state-licensed 503A pharmacy may not regularly compound what is essentially a copy of an approved drug, with a narrow exception, and other requirements still apply. If a quote is for a compounded product, ask why it is permitted in your case and which licensed pharmacy makes it. See the full compounded vs. brand-name guide.
Yes. Among states with at least three verified monthly prices in our directory, the median advertised price runs from about $90 in Pennsylvania to about $600 in Wisconsin. These are advertised prices, not what a program costs in full; pick your state in the reference panel to see the local figure and how many clinics it rests on.
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