Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →
Semaglutide in North Carolina: Prices & Providers (2026)
161 semaglutide sellers list North Carolina as a shipping state. The lowest regular price among them is $79/mo, and North Carolina Medicaid covers weight loss with prior auth.
161 of the 204 semaglutide sellers that publish a state list include North Carolina, the 22nd-most of the 50 states and DC. 112 of them ship to all 50 states, and 5 serve 15 states or fewer. Across the 140 with a regular monthly price, the middle figure is $179/mo.
North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.
Featured Partners · North Carolina
Featured Semaglutide providers serving North Carolina
No insurance needed
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- Top pick9.0Get started →Save $1,250/mo vs Wegovy
Semaglutide from
$99/mo
- 9.4Get started →Save $1,250/mo vs Wegovy
Semaglutide from
$99/mo
- 9.0Get started →Save $1,250/mo vs Wegovy
Semaglutide from
$99/mo
- 6.7Get started →Save $1,170/mo vs Wegovy
Semaglutide from
$179/mo
- 8.4Get started →Save $1,250/mo vs Wegovy
Semaglutide from
$99/mo
- 8.4Get started →Save $1,237/mo vs Wegovy
Semaglutide from
$112/mo
| Provider | Semaglutide from | Save vs Wegovy | |
|---|---|---|---|
9.0CoreAge RxTop pick | $99/mo | Save $1,250/mo | Get started → |
9.4Trimi Health | $99/mo | Save $1,250/mo | Get started → |
9.0bmiMD | $99/mo | Save $1,250/mo | Get started → |
6.7RxSpan MD | $179/mo | Save $1,170/mo | Get started → |
8.4Strut Health | $99/mo | Save $1,250/mo | Get started → |
8.4Enhance MD | $112/mo | Save $1,237/mo | Get started → |
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Who Ships Semaglutide to North Carolina
Lowest regular semaglutide prices for North Carolina: Embody at $79/mo, Lean Meds at $79/mo and NextMeds at $79/mo. Brand-name Wegovy lists at $1,349/mo without insurance, $1,270 more than the lowest.
Smaller-footprint sellers that include North Carolina: Blue Sky MD (1 state), Gaya Wellness (5 states), Onyx Weight Loss (8 states), SynergenX Health (10 states) and The Aesthetic Concierge (13 states).
7 sellers that list 30 or more states leave North Carolina off, among them Revel Health, PeterMD, NP2GO, Levity and Brello Health.
Seller counts next door: Georgia 163, South Carolina 148, Tennessee 158 and Virginia 170.
For tirzepatide, 143 sellers list North Carolina, starting at $97/mo with PreventiveMD.
Every Semaglutide Provider Serving North Carolina
9.3/ 10
Verified partnerEmbody
Best for: knowing which pharmacy fills the vial: it names RedRock Pharmacy
★★★★★4.7/5
Editorial score · methodology
$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →★★★★★4.5/5
Editorial score · methodology
$99/mo
CompoundedSemaglutideTirzepatideRetatrutideBPC-157
Get StartedRead full Live Vital review →★★★★☆4.4/5
Editorial score · methodology
$129/mo
CompoundedSemaglutideTirzepatideLegitScript Verified
Get StartedRead full Gala review →★★★★☆4.3/5
Editorial score · methodology
$99/mo
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Found review →7.3/ 10
Verified partnerWillow
Best for: seeing what it charges before you answer any medical questions
★★★★☆3.7/5
Editorial score · methodology
$299/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Willow review →Open the full A–Z list of 161 Semaglutide providers in North Carolina
- Alan Meds
- Allara Health
- altRX
- AmberHealth
- Amble
- Apex MD
- AskRx
- Aspen
- Auren Rx
- AVARA Rx
- Belle Health
- BetterMe Rx
- Big Easy Weight Loss
- BioGlow Health
- Bionomy Health
- Blue Sky MD
- bmiMD
- Bon Health
- Breeze Meds
- Brightmeds
- Calibrate Health
- Call-On-Doc
- Care Bare Rx
- Coby Health
- Cora Health
- CoreAge Rx
- Cost Plus Drugs
- Curex
- Curve
- DoctorAdam
- Dr. Gillis' Wellness Center
- DreamHug Medical
- Eden
- EdgeRx
- Effecty
- Elara Health and Wellness
- Embody
- eMI Aesthetics
- Enhance MD
- EOS Health
- EverSlim
- Fella Health
- Fidelity Medical Clinic
- Fierce Health
- Fitish
- FitRx
- FMmeds
- Form Health
- Found
- Fresh Day Meds
- Gala
- Gaya Wellness
- Get Thin MD
- Gimme Care
- GOAL.MD
- Harmony Wellness Clinic
- He & She MD
- Heally
- HealthSource
- Hers
- Hims
- Independent Wellness
- InstaRX
- Invyncible
- Ivologist
- Ivy Rx
- Joey Med
- Jyra Health
- KERNX Health
- Kongo
- Lavender Sky Health
- Lean Meds
- Lemonaid Health
- LifeRx.md
- LifespanningRx
- Live Vital
- Longevixx
- Marek Health
- Maves
- Maximus
- Medro
- Medsol RX
- MEDVi
- Mint Med
- Mochi Health
- Mondae
- MyFastRx
- Nalena
- Navio MD
- NewSelf
- Next Vial
- NextMeds
- NiceRx
- Nouri
- NovoCare Pharmacy
- NuBloom
- Ondra Health
- Onyx Weight Loss
- Open Water Rx
- Pallas Health
- Peak Wellness
- PepHaūs
- Pepti
- Piper
- PlexusDx
- PlushCare
- Precision Telemed
- PreventiveMD
- Queen RX
- ReadyRx
- Rebody Health
- Recovery Delivered
- Remedy Meds
- REMEVi
- Renlo Health
- RestorLife Med
- Revive Meds
- Rewinding RX
- Rex MD
- Rivo Health
- Rixa Health
- Rx.com
- RxSpan MD
- Rylo Health
- Semaglutide Online
- Sprout Health
- StackMD
- Strut Health
- Superpower
- SurpassMD
- SynergenX Health
- Synergy Rx
- TeleCareSpot
- TeleClinic
- Tell Her Doc
- The Aesthetic Concierge
- The Edit
- TMates
- Trava Health
- Trellis Vitality
- Trillium Meds
- Trimi Health
- Trinity Meds
- Tryozi
- Tyde Wellness
- Vaylen
- VirtualCare2Go
- Vita Bella
- Vitara RX
- Vytora Health
- Walgreens Weight Management
- WeightWatchers Clinic
- Welling Health
- Wellorithm
- Willow
- Wisp
- YourHealthRx
- Yucca Health
- Zappy Health
- Zealthy
- Zera Health
What Semaglutide Costs in North Carolina
Brand-name Wegovy lists at $1,349/mo without insurance.
| Provider | Price | Below Wegovy list |
|---|---|---|
| Embody | $79/mo | $1,270/mo less |
| Lean Meds | $79/mo | $1,270/mo less |
| NextMeds | $79/mo | $1,270/mo less |
| PreventiveMD | $83/mo | $1,266/mo less |
| Lavender Sky Health | $95/mo | $1,254/mo less |
| Alan Meds | $99/mo | $1,250/mo less |
| bmiMD | $99/mo | $1,250/mo less |
| CoreAge Rx | $99/mo | $1,250/mo less |
| Fidelity Medical Clinic | $99/mo | $1,250/mo less |
| Fresh Day Meds | $99/mo | $1,250/mo less |
| Jyra Health | $99/mo | $1,250/mo less |
| Live Vital | $99/mo | $1,250/mo less |
| Onyx Weight Loss | $99/mo | $1,250/mo less |
| Pepti | $99/mo | $1,250/mo less |
| Strut Health | $99/mo | $1,250/mo less |
| Trimi Health | $99/mo | $1,250/mo less |
| Vitara RX | $99/mo | $1,250/mo less |
| AmberHealth | $100/mo | $1,249/mo less |
| NewSelf | $100/mo | $1,249/mo less |
| Mondae | $115/mo | $1,234/mo less |
| Belle Health | $119/mo | $1,230/mo less |
| Kongo | $119/mo | $1,230/mo less |
| Trava Health | $119/mo | $1,230/mo less |
| SurpassMD | $124/mo | $1,225/mo less |
| StackMD | $125/mo | $1,224/mo less |
| EverSlim | $127/mo | $1,222/mo less |
| DoctorAdam | $129/mo | $1,220/mo less |
| PlexusDx | $129/mo | $1,220/mo less |
| Zera Health | $129/mo | $1,220/mo less |
| Gimme Care | $130/mo | $1,219/mo less |
| Big Easy Weight Loss | $133/mo | $1,216/mo less |
| Piper | $135/mo | $1,214/mo less |
| Rewinding RX | $141.03/mo | $1,207.97/mo less |
| Ivologist | $145/mo | $1,204/mo less |
| Yucca Health | $146/mo | $1,203/mo less |
| altRX | $149/mo | $1,200/mo less |
| Dr. Gillis' Wellness Center | $149/mo | $1,200/mo less |
| Longevixx | $149/mo | $1,200/mo less |
| Nalena | $149/mo | $1,200/mo less |
| NovoCare Pharmacy | $149/mo | $1,200/mo less |
| NuBloom | $149/mo | $1,200/mo less |
| PlushCare | $149/mo | $1,200/mo less |
| Precision Telemed | $149/mo | $1,200/mo less |
| Rivo Health | $149/mo | $1,200/mo less |
| Rylo Health | $149/mo | $1,200/mo less |
| Sprout Health | $149/mo | $1,200/mo less |
| Trinity Meds | $149/mo | $1,200/mo less |
| Tyde Wellness | $149/mo | $1,200/mo less |
| Walgreens Weight Management | $149/mo | $1,200/mo less |
| SynergenX Health | $150/mo | $1,199/mo less |
| Trellis Vitality | $150/mo | $1,199/mo less |
| Vytora Health | $150/mo | $1,199/mo less |
| PepHaūs | $152/mo | $1,197/mo less |
| Coby Health | $159/mo | $1,190/mo less |
| Mint Med | $159/mo | $1,190/mo less |
| Zappy Health | $159/mo | $1,190/mo less |
| Blue Sky MD | $160/mo | $1,189/mo less |
| Effecty | $160/mo | $1,189/mo less |
| Found | $169/mo | $1,180/mo less |
| Open Water Rx | $169/mo | $1,180/mo less |
| Bon Health | $170/mo | $1,179/mo less |
| YourHealthRx | $170/mo | $1,179/mo less |
| Curve | $175/mo | $1,174/mo less |
| Nouri | $175/mo | $1,174/mo less |
| Rx.com | $175/mo | $1,174/mo less |
| Amble | $179/mo | $1,170/mo less |
| eMI Aesthetics | $179/mo | $1,170/mo less |
| Gala | $179/mo | $1,170/mo less |
| GOAL.MD | $179/mo | $1,170/mo less |
| ReadyRx | $179/mo | $1,170/mo less |
| Vaylen | $179/mo | $1,170/mo less |
| DreamHug Medical | $188/mo | $1,161/mo less |
| Bionomy Health | $189/mo | $1,160/mo less |
| Brightmeds | $189/mo | $1,160/mo less |
| Welling Health | $190/mo | $1,159/mo less |
| Invyncible | $192.50/mo | $1,156.50/mo less |
| Fierce Health | $197/mo | $1,152/mo less |
| Ivy Rx | $197/mo | $1,152/mo less |
| AskRx | $199/mo | $1,150/mo less |
| BetterMe Rx | $199/mo | $1,150/mo less |
| Breeze Meds | $199/mo | $1,150/mo less |
| Care Bare Rx | $199/mo | $1,150/mo less |
| Curex | $199/mo | $1,150/mo less |
| EOS Health | $199/mo | $1,150/mo less |
| Heally | $199/mo | $1,150/mo less |
| HealthSource | $199/mo | $1,150/mo less |
| Hers | $199/mo | $1,150/mo less |
| Hims | $199/mo | $1,150/mo less |
| InstaRX | $199/mo | $1,150/mo less |
| Medro | $199/mo | $1,150/mo less |
| NiceRx | $199/mo | $1,150/mo less |
| Pallas Health | $199/mo | $1,150/mo less |
| Recovery Delivered | $199/mo | $1,150/mo less |
| REMEVi | $199/mo | $1,150/mo less |
| Renlo Health | $199/mo | $1,150/mo less |
| Semaglutide Online | $199/mo | $1,150/mo less |
| Synergy Rx | $199/mo | $1,150/mo less |
| TeleClinic | $199/mo | $1,150/mo less |
| Rebody Health | $199.99/mo | $1,149.01/mo less |
| Harmony Wellness Clinic | $200/mo | $1,149/mo less |
| LifeRx.md | $200/mo | $1,149/mo less |
| KERNX Health | $209/mo | $1,140/mo less |
| Medsol RX | $209/mo | $1,140/mo less |
| The Edit | $209/mo | $1,140/mo less |
| Rixa Health | $211.98/mo | $1,137.02/mo less |
| Enhance MD | $212/mo | $1,137/mo less |
| LifespanningRx | $212.50/mo | $1,136.50/mo less |
| Fitish | $219/mo | $1,130/mo less |
| FMmeds | $225/mo | $1,124/mo less |
| Wisp | $225/mo | $1,124/mo less |
| AVARA Rx | $229/mo | $1,120/mo less |
| EdgeRx | $229/mo | $1,120/mo less |
| Eden | $239/mo | $1,110/mo less |
| Wellorithm | $247/mo | $1,102/mo less |
| Independent Wellness | $249/mo | $1,100/mo less |
| MEDVi | $249/mo | $1,100/mo less |
| Peak Wellness | $249/mo | $1,100/mo less |
| RxSpan MD | $249/mo | $1,100/mo less |
| TMates | $249/mo | $1,100/mo less |
| Next Vial | $249.97/mo | $1,099.03/mo less |
| Maximus | $249.99/mo | $1,099.01/mo less |
| Tell Her Doc | $269/mo | $1,080/mo less |
| Aspen | $279/mo | $1,070/mo less |
| Cost Plus Drugs | $279/mo | $1,070/mo less |
| Joey Med | $279/mo | $1,070/mo less |
| Tryozi | $279/mo | $1,070/mo less |
| VirtualCare2Go | $279/mo | $1,070/mo less |
| Zealthy | $286/mo | $1,063/mo less |
| Apex MD | $299/mo | $1,050/mo less |
| Marek Health | $299/mo | $1,050/mo less |
| Remedy Meds | $299/mo | $1,050/mo less |
| RestorLife Med | $299/mo | $1,050/mo less |
| TeleCareSpot | $299/mo | $1,050/mo less |
| Willow | $299/mo | $1,050/mo less |
| Navio MD | $345/mo | $1,004/mo less |
| BioGlow Health | $349/mo | $1,000/mo less |
| Gaya Wellness | $349/mo | $1,000/mo less |
| Revive Meds | $369/mo | $980/mo less |
| The Aesthetic Concierge | $414/mo | $935/mo less |
| Form Health | $1,350/mo | |
| Allara Health | See review | |
| Auren Rx | See review | |
| Calibrate Health | See review | |
| Call-On-Doc | See review | |
| Cora Health | $99/mo prepaid | |
| Elara Health and Wellness | $117/mo prepaid | |
| Fella Health | $165/mo prepaid | |
| FitRx | $151/mo prepaid | |
| Get Thin MD | $169/mo prepaid | |
| He & She MD | $99/mo prepaid | |
| Lemonaid Health | See review | |
| Maves | $99 first month | |
| Mochi Health | See review | |
| MyFastRx | $99/mo prepaid | |
| Ondra Health | $93/mo prepaid | |
| Queen RX | $100/mo prepaid | |
| Rex MD | See review | |
| Superpower | $199/mo prepaid | |
| Trillium Meds | $119/mo prepaid | |
| Vita Bella | See review | |
| WeightWatchers Clinic | See review |
North Carolina Medicaid and Wegovy
North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.
- Wegovy to cut heart attack and stroke risk: covered with prior authorization (a BMI of at least 27; age of at least 45; established cardiovascular disease (prior heart attack/stroke/symptomatic peripheral artery disease)).
- Wegovy for the liver disease MASH: covered with prior authorization (fibrosis stage F1, F2, F3).
| Prior authorization form | NC Medicaid Outpatient Pharmacy Prior Approval Criteria, GLP1s for Weight Management (PAG 25J7, eff. 8/1/2024) |
|---|---|
| Pharmacy benefit manager | Prime Therapeutics State Government Solutions LLC (FFS, eff. 5/2/2026); plan-specific PBMs (PerformRx, Optum Rx) for Standard/Tailored Plans |
| Health plans (9) | AmeriHealth Caritas NC; Carolina Complete Health; Healthy Blue of NC; UnitedHealthcare Community Plan of NC; WellCare of NC; Alliance Health (Tailored); Partners Health Management (Tailored); Trillium Health Resources (Tailored); Vaya Health (Tailored) |
| Enrollment | about 3,100,000 people (May 2026) |
| Time to file an appeal | 120 days |
|---|---|
| Appeals office | NC Office of Administrative Hearings (OAH) |
| Rule that governs it | NC OAH Medicaid recipient appeals |
| Fast-track appeal | available when waiting would put your health at risk |
“In accordance with the Governor's directive, NC Medicaid coverage for GLP-1s for the treatment of obesity has been reinstated effective Dec. 12, 2025.”
In 2025, North Carolina Medicaid paid for at least 363,890 semaglutide prescriptions, including 203,087 for Wegovy, at least 156,494 for Ozempic and at least 4,309 for Rybelsus, about $454.8 million before manufacturer rebates.
Medicaid rules checked May 2026. Prescription counts: CMS State Drug Utilization Data. Check your eligibility
Largest Cities in North Carolina
CharlotteRaleighGreensboroDurham
Frequently Asked Questions
The lowest regular prices from sellers that ship to North Carolina are $79/mo at Embody, $79/mo at Lean Meds and $79/mo at NextMeds. Half of the 140 priced sellers charge $179/mo or less. Brand-name Wegovy lists at $1,349/mo before insurance.
North Carolina Medicaid covers GLP-1 drugs prescribed for weight loss, once a prior authorization is approved. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization. Wegovy to cut heart attack and stroke risk: covered with prior authorization (a BMI of at least 27; age of at least 45; established cardiovascular disease (prior heart attack/stroke/symptomatic peripheral artery disease)). Wegovy for the liver disease MASH: covered with prior authorization (fibrosis stage F1, F2, F3).
Your prescriber sends the request on this paperwork: NC Medicaid Outpatient Pharmacy Prior Approval Criteria, GLP1s for Weight Management (PAG 25J7, eff. 8/1/2024). Pharmacy claims run through Prime Therapeutics State Government Solutions LLC (FFS, eff. 5/2/2026); plan-specific PBMs (PerformRx, Optum Rx) for Standard/Tailored Plans.
A denial can be appealed within 120 days through the NC Office of Administrative Hearings (OAH). A fast-track appeal is available when waiting would put your health at risk.
161, counting sellers whose published state list includes North Carolina. 112 of those list every state, and Blue Sky MD, Gaya Wellness and Onyx Weight Loss are among the few that serve 15 states or fewer. For comparison, Georgia has 163, South Carolina has 148 and Tennessee has 158.
Revel Health (45 states), PeterMD (42 states), NP2GO (40 states), Levity (36 states), Brello Health (35 states) and Care Clinics (32 states) publish long state lists that leave North Carolina out.
In 2025, North Carolina Medicaid paid for at least 363,890 semaglutide prescriptions, including 203,087 for Wegovy, at least 156,494 for Ozempic and at least 4,309 for Rybelsus, about $454.8 million before manufacturer rebates.
The lowest regular semaglutide price for North Carolina is $79/mo (Embody); for tirzepatide it is $97/mo (PreventiveMD). 161 sellers list North Carolina for semaglutide and 143 for tirzepatide.
Glossary
The words sellers use, defined. Tap any term.
- Wegovy · Drugs and brands
- Ozempic · Drugs and brands
- Rybelsus · Drugs and brands
- GLP-1 receptor · Mechanism
- STEP-1 · Major trials
- SELECT · Major trials
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
Keep Reading
Semaglutide in neighboring states: