Wegovy vs Compounded Semaglutide: $349 or $59 a Month

12 months of Wegovy or compounded semaglutide

What Wegovy costs without insurance

Novo Nordisk sells Wegovy pens straight to people paying cash through NovoCare Pharmacy at $349 a month, the same at 0.25 mg as at 2.4 mg. People new to the offer pay $199 for each of their first two fills at 0.25 and 0.5 mg, an introductory rate that runs to December 31, 2026. The higher-strength Wegovy HD 7.2 mg is $399 a month.

With commercial insurance that covers it, the Wegovy savings card can bring a month down to $25, with Novo paying at most $100 a month. Anyone on Medicare, Medicaid, TRICARE or another government plan cannot use it. The list price, $1,349 per 28-day package, is the price before any discount, and almost no one paying cash pays it.

The 12 cheapest compounded semaglutide sellers

Standing monthly price for the injection, lowest first. First-month offers, microdose and oral tiers, and fee-only plans are left out.

All 377 sellers, side by side: the full price table or compare sellers.

What compounded semaglutide costs instead

365 of the 377 sellers who post a standing monthly price for compounded semaglutide injections charge less than Wegovy's $349 NovoCare price, and 170 charge less than half of it. The cheapest is Collective at $59; the middle price is $179.

Wegovy costs $349 at 0.25 mg and at 2.4 mg alike, so the fair comparison is a compounded seller that also holds its price as the dose rises. 135 of these sellers say they charge one price at every dose; 20 say theirs climbs, which can close some of the gap by the time you reach a maintenance dose.

Wegovy or compounded semaglutide over 12 months

12 NovoCare fills at $349, with no increase when you reach 2.4 mg. That comes to $4,188 for a year of Wegovy. The same 12 months of compounded semaglutide costs $708 at the cheapest seller and $2,148 at the middle price, which keeps $3,480 or $2,040 in your pocket.

Wegovy is an FDA-approved finished product, made by Novo Nordisk in pens from 0.25 mg to 2.4 mg plus the 7.2 mg HD pen. Compounded semaglutide is mixed by a licensed pharmacy for one patient from the same active ingredient, and the FDA neither approves nor tests that vial. Part of what Wegovy costs over a year pays for that approval.

Where to buy Wegovy itself online

30 sellers post a standing monthly price for Wegovy. The lowest are Aspire Health ($149/mo), Kin Meds ($149/mo) and LifeMD ($149/mo). 5 of those prices are for the Wegovy pill rather than the pen. A seller's price can sit above the manufacturer's own because it adds a clinician visit or a membership to the medication.

FDA warning letters on compounded semaglutide

The FDA has sent 115 warning letters that name semaglutide to sellers and compounders, 52 of them dated 2026. The subject lines FDA used most often are "False & Misleading Claims/Misbranded" (43) and "Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet" (36).

7 letters name Wegovy itself in the summary or the passages quoted on our letter pages; the most recent went to Body Good Studio in September 2025.

Among the 12 cheapest sellers listed on this page, we found an FDA warning letter issued to Ivim Health. Each review says what the letter cited.

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