Foundayo Cost: Orforglipron Price by Dose, Insurance and Medicare

Without insurance, Foundayo costs $149 to $349 a month from LillyDirect, Eli Lilly’s own pharmacy, depending on the dose. The two top doses drop to $299 when each refill is bought within 45 days, so maintenance costs $299 a month with refills on time.^[1][2] Commercial insurance that covers it, plus Lilly’s savings card, brings a fill to as little as $25. Medicare’s GLP-1 Bridge charges $50 a month.^[2][5] Orforglipron has no other price: Foundayo is the only orforglipron product approved in the United States.^[7]

Foundayo price at each dose

The third column assumes Lilly lets the temporary prices lapse on schedule; it can extend, change or end any of these offers without notice.^[2] Every strength comes as a bottle of 30 tablets, and Lilly defines a month as 30 days, so one bottle is one month.^[1][6] At $299, a day of Foundayo costs about $9.97.

The 45-day rule is the one that costs money. The $299 price on 14.5 and 17.2 mg is a purchase offer that applies automatically on the first fill and stays only while each refill is completed within 45 days of the last delivery. Miss that window and the month is $349.^[2] A longer gap has a second cost: the label says that after 7 or more missed doses in a row, the dose is restarted lower and climbed again, which means buying lower-strength bottles a second time.^[6]

What a course of Foundayo costs

The label starts everyone at 0.8 mg and moves up no faster than every 30 days, to 2.5 mg, then 5.5 mg, then on to 9, 14.5 or 17.2 mg depending on response and tolerance.^[6] That makes the bill predictable. Climbing to 17.2 mg at the fastest pace, at the regular prices that apply from January and with every top-dose refill on time:

• The first 12 bottles (360 days) cost $3,338: $149, $199, then ten bottles at $299.
• A year at maintenance on 9, 14.5 or 17.2 mg is about $3,638.
• A 72-week course, the length of the trials, takes 17 bottles and costs $4,833. If every top-dose refill came late, the same course would cost $5,483.

Bottles bought before January 1, 2027 cost less. Someone starting in November 2026 pays $149 for 0.8 mg and $149 for 2.5 mg in December, then moves to 5.5 mg in January at $299 rather than $199. The saving from the temporary prices is at most $150 per person, and only for people on those two doses this year.

Following its own label’s schedule, the first 12 bottles of the Wegovy pill also cost $3,338 at NovoCare’s self-pay prices. The two pills are priced to the dollar against each other.^[8] The Wegovy pill’s own prices, insurance terms and seller fees are on Wegovy pill cost.

Cost per point of weight lost

Because 9 mg and the two top doses share a price, a full course costs about the same whichever maintenance dose a person ends on. The difference is in the result. Foundayo’s label reports weight change after 72 weeks in Trial 1, which enrolled 3,127 adults without type 2 diabetes.^[6] Dividing the course cost by those results:

The placebo group lost 2.1% on diet and exercise counseling alone, so the last column takes that out.^[6] On either measure, the top dose buys the most weight loss per dollar, because the trial’s best result costs nothing extra if refills are on time. Read the table with three limits. These are trial averages, and individuals vary widely. The figures count everyone randomized, including the roughly one in four who stopped the drug, and the label imputed missing weights.^[6] And a person only reaches 17.2 mg if they tolerate it; nausea, vomiting and diarrhea all rose with dose.^[6] The side effects by dose are covered in Foundayo side effects.

Foundayo cost with commercial insurance

Lilly’s Foundayo Savings Card works two ways, depending on what the plan does:^[2]

• Plan covers Foundayo. A fill can cost as little as $25, whether it holds one, two or three months. Savings are capped at $100 per month’s supply and $1,000 per calendar year, for up to 10 fills a year.^[2]
• Plan does not cover it. The card prices it at the self-pay levels: $149 at 0.8 mg, $199 at 5.5 mg for now, $299 at 9 mg and above.^[2]
• Government coverage is excluded. Medicare in any form, Medicaid, Medigap, VA, DoD and TRICARE beneficiaries cannot use either version.^[2]
• Both versions expire December 31, 2026. Lilly has not said what replaces them.^[2]

The $1,000 annual cap is the number to check. With a $125 copay, the card takes off $100 and you pay $25, which uses the whole cap in 10 months. With a copay of $200, you pay $100 a month and reach the cap at the same point. Under the card’s terms, each tier’s price plus its maximum saving comes to $669 a month at every dose. Lilly does not publish a list price for Foundayo on these pages.^[2] Plans that run an alternate funding program are barred from the card altogether.^[2]

Lilly lists Foundayo as FSA and HSA eligible, with eligibility depending on the plan, so pre-tax money can pay the self-pay price.^[1][3]

Foundayo cost with Medicare or Medicaid

Since July 1, 2026, Medicare covers Foundayo for weight management through the Medicare GLP-1 Bridge, a temporary CMS program that runs through December 31, 2027. The copay is $50 for a one-month supply.^[5][9] CMS updated its program guidance on April 6, 2026, to add Foundayo after the FDA approval.^[9]

• Eligibility starts with a Part D drug plan and a BMI that meets the program’s bar at the start of treatment: 35 or more, or a lower figure paired with specific conditions.^[5]
• It is for weight management only. A prescription written for type 2 diabetes, for sleep apnea or for a fatty liver does not qualify, and neither does anyone whose Part D plan already pays for their GLP-1.^[4][5]
• Your prescriber completes a prior authorization once. That approval carries over to refills and dose changes until the program ends on December 31, 2027, as long as you stay on the same drug.^[5]
• The $50 sits outside Part D: it is not credited to the plan’s deductible or its yearly out-of-pocket cap, and Extra Help cannot reduce it.^[5]

Against self-pay, the Bridge saves $249 a month at maintenance. Who qualifies, and how to apply, is in the Medicare GLP-1 Bridge. Lilly’s cards exclude Medicaid.^[2] Whether a Medicaid plan pays for Foundayo is up to that state’s program; check yours with the state Medicaid GLP-1 checker. For people with no coverage and low income, help programs are compared in GLP-1 patient assistance programs.

Foundayo price through a telehealth seller

Telehealth sellers prescribe Foundayo, and several records note that LillyDirect fills the prescription, so the tablets cost what Lilly charges and the seller adds its own fee. These are the 20 sellers in the GLP Watchdog register with a published price for the approved product. Of them, 14 list Lilly’s own $149 starting price and 6 list more. Where the record gives a recurring monthly fee, a month at the starting dose comes to $198 to $298 all in.

AskRx ($100 a month), Bloom MD ($75 a month), Kin Meds ($149 a month) and Tummala Health ($99 a month) publish only their own fee; the tablets are bought separately, at LillyDirect’s price for the dose. NowPatient ($133.85 delivered, starting dose) ships Foundayo from a pharmacy outside the United States; read the review for what that means for the product and the paperwork.

What the fee buys is the prescription and the follow-up. Someone who already has a prescriber can send the prescription straight to LillyDirect and pay only Lilly’s price; LillyDirect fills through Amazon Pharmacy, Fuze Health, Gifthealth and Walmart Pharmacy, with free delivery or pickup.^[1] That channel has its own page, LillyDirect Foundayo: it fills a valid US prescription from any prescriber, and for anyone without one it can point to independent telehealth doctors. Sellers are ranked on more than price at the best Foundayo providers, and prices across every GLP-1 are tracked on the price tracker.

Foundayo vs. the Wegovy pill, Wegovy and Zepbound per month

At maintenance, Foundayo and the Wegovy pill are the cheapest drugs in the table, at $299 a month each.^[1][8] The Wegovy pen is $50 more per fill and covers two fewer days. Zepbound at its higher doses is $150 more per fill with refills on time, and $499 at 7.5 mg or $699 above it when a refill is late; Lilly sells the Zepbound vial at the same monthly prices as the KwikPen.^[10][11] Both Lilly drugs carry the same 45-day refill condition at the top of the ladder.^[2][10] For every route to a lower price across brands and compounded drugs, see the cheapest GLP-1 without insurance.

Anyone still choosing between Foundayo and a Wegovy pen may want a seller that handles brand semaglutide as well. altRX lists brand-name Ozempic and Wegovy, and Aquivia Health lists branded Ozempic by the 4-week fill next to its compounded plans. Measured and MEDGm charge a membership for brand-name care and bill the Wegovy or Ozempic itself separately.

With a commercial plan, the coverage question comes first. Roen Rx, FitRx and AM Rx offer insurance coordination for brand Wegovy and Ozempic, and each charges a monthly membership for that help.