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Semaglutide in South Dakota: Prices & Providers (2026)

137 Semaglutide telehealth services we can confirm ship to South Dakota, cheapest monthly price first.

Featured Partners · South Dakota

Featured Semaglutide providers serving South Dakota

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  1. Top pick

    Semaglutide from

    $99/mo

    Save $1,250/mo vs Wegovy
    Get started →
  2. Semaglutide from

    $99/mo

    Save $1,250/mo vs Wegovy
    Get started →
  3. 8.8

    Semaglutide from

    $129/mo

    Save $1,220/mo vs Wegovy
    Get started →
  4. Semaglutide from

    $99/mo

    Save $1,250/mo vs Wegovy
    Get started →
  5. Semaglutide from

    $99/mo

    Save $1,250/mo vs Wegovy
    Get started →
  6. Semaglutide from

    $139/mo

    Save $1,210/mo vs Wegovy
    Get started →

Semaglutide providers[1]

137

Avg monthly cost[1]

$178

Savings vs Wegovy[3]

87%

State obesity rate[2]

33.2%

137 licensed telehealth sellers will post compounded Semaglutide to an address in South Dakota, at an average of $178 — about 87% below what brand-name Wegovy costs at $1,349 a month[3]. An adult obesity rate of 33.2% in South Dakota, ranking it #21 in the country, has made this one of the busiest cash-pay GLP-1 markets in the country.

South Dakota Medicaid & brand-name Wegovy: diabetes only[4]. Compounded semaglutide is typically cash-pay — it isn't covered by Medicaid, Medicare, or commercial insurance in most cases. Brand-name Wegovy is generally FSA/HSA eligible once a prescription exists, and plenty of plan administrators will take a compounded GLP-1 against an FSA or HSA too, given a Letter of Medical Necessity[5]. Move off brand-name Wegovy at the median compounded price and you keep about $14,052/year out of pocket, with providers shipping statewide from Sioux Falls to smaller towns.

Sources & methodology — as of August 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)GLP Watchdog.
  2. 2.CDC BRFSS — Adult Obesity Prevalence Maps by State (Behavioral Risk Factor Surveillance System)Centers for Disease Control and Prevention.
  3. 3.NovoCare — Wegovy cash-pay and savings programNovo Nordisk (NovoCare).
  4. 4.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)Kaiser Family Foundation.
  5. 5.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)Internal Revenue Service.

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

Every Semaglutide Provider Serving South Dakota

9.4/ 10

Trimi Health

Best for: knowing which pharmacy fills the vial — it names VialsRx

★★★★4.7/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Trimi Health review →
9.3/ 10

He & She MD

Best for: starting below a standard dose, with microdose tiers

★★★★4.7/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideLegitScript Verified
Get StartedRead full He & She MD review →
9.3/ 10

Embody

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 →
9.3/ 10

Lean Meds

Best for: knowing which pharmacy fills the vial — it names Belmar Pharmacy

★★★★4.7/5

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Lean Meds review →
9.2/ 10

NextMeds

Best for: semaglutide at $79/month, 59% under the register median

★★★★4.6/5

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full NextMeds review →
Open the full A–Z list of 137 Semaglutide providers in South Dakota

More on Semaglutide in South Dakota

What Semaglutide Costs in South Dakota

Paying cash for brand-name Wegovy runs to about $1349 a month. The table below sets every Semaglutide provider serving South Dakota against that number, so the last column is the gap between the two.

ProviderLowest/moHighest/moGap vs Wegovy
Calibrate Health$25$199$1324/mo less
FitRx$25$151$1324/mo less
NovoCare Pharmacy$25$399$1324/mo less
Curex$49$199$1300/mo less
Effecty$60$1600$1289/mo less
Embody$79$229$1270/mo less
Lean Meds$79$79$1270/mo less
NextMeds$79$79$1270/mo less
Ondra Health$93$149$1256/mo less
Lavender Sky Health$95$95$1254/mo less
Alan Meds$99$158$1250/mo less
bmiMD$99$99$1250/mo less
Cora Health$99$175$1250/mo less
CoreAge Rx$99$99$1250/mo less
Fidelity Medical Clinic$99$99$1250/mo less
Found$99$169$1250/mo less
Fresh Day Meds$99$140$1250/mo less
He & She MD$99$199$1250/mo less
Jyra Health$99$99$1250/mo less
Live Vital$99$99$1250/mo less
Maves$99$99$1250/mo less
MEDVi$99$299$1250/mo less
MyFastRx$99$169$1250/mo less
Pepti$99$249$1250/mo less
Strut Health$99$149$1250/mo less
Trimi Health$99$175$1250/mo less
Vitara RX$99$99$1250/mo less
AmberHealth$100$100$1249/mo less
NewSelf$100$135$1249/mo less
Queen RX$100$100$1249/mo less
PeterMD$105$158.5$1244/mo less
The Edit$109$209$1240/mo less
Vita Bella$109$109$1240/mo less
Enhance MD$112$212$1237/mo less
Mondae$115$115$1234/mo less
Elara Health and Wellness$117$183$1232/mo less
Belle Health$119$119$1230/mo less
Get Thin MD$119$199$1230/mo less
Kongo$119$119$1230/mo less
Trava Health$119$119$1230/mo less
Trillium Meds$119$119$1230/mo less
Luma Health Co$120$120$1229/mo less
SurpassMD$124$124$1225/mo less
StackMD$125$125$1224/mo less
EverSlim$127$127$1222/mo less
DoctorAdam$129$129$1220/mo less
Gala$129$1299$1220/mo less
KERNX Health$129$129$1220/mo less
Peak Wellness$129$249$1220/mo less
PlexusDx$129$149$1220/mo less
Zera Health$129$169$1220/mo less
Gimme Care$130$160$1219/mo less
Big Easy Weight Loss$133$133$1216/mo less
Piper$135$135$1214/mo less
Pallas Health$139$199$1210/mo less
Tryozi$139$279$1210/mo less
Ivologist$145$159$1204/mo less
Yucca Health$146$146$1203/mo less
Wellorithm$147$247$1202/mo less
Dr. Gillis' Wellness Center$149$150$1200/mo less
Longevixx$149$149$1200/mo less
Nalena$149$149$1200/mo less
NuBloom$149$149$1200/mo less
PlushCare$149$149$1200/mo less
Precision Telemed$149$149$1200/mo less
Rivo Health$149$149$1200/mo less
Rylo Health$149$149$1200/mo less
Sprout Health$149$149$1200/mo less
Tyde Wellness$149$149$1200/mo less
NP2GO$150$350$1199/mo less
Trellis Vitality$150$150$1199/mo less
Vytora Health$150$180$1199/mo less
ZYP Medical$150$150$1199/mo less
PepHaūs$152$152$1197/mo less
Coby Health$159$249$1190/mo less
Zappy Health$159$159$1190/mo less
Bon Health$170$170$1179/mo less
YourHealthRx$170$170$1179/mo less
Curve$175$175$1174/mo less
Ivy Rx$175$175$1174/mo less
Amble$179$179$1170/mo less
eMI Aesthetics$179$179$1170/mo less
GOAL.MD$179$244$1170/mo less
ReadyRx$179$179$1170/mo less
RxSpan MD$179$1349$1170/mo less
Vaylen$179$997$1170/mo less
DreamHug Medical$188$188$1161/mo less
Bionomy Health$189$189$1160/mo less
Brightmeds$189$189$1160/mo less
Eden$189$239$1160/mo less
Welling Health$190$190$1159/mo less
Invyncible$192.5$192.5$1156.5/mo less
Fierce Health$197$297$1152/mo less
AskRx$199$349$1150/mo less
BetterMe Rx$199$199$1150/mo less
Breeze Meds$199$299$1150/mo less
Care Bare Rx$199$705$1150/mo less
EOS Health$199$199$1150/mo less
Heally$199$199$1150/mo less
HealthSource$199$199$1150/mo less
Hers$199$199$1150/mo less
Hims$199$199$1150/mo less
InstaRX$199$199$1150/mo less
Joey Med$199$279$1150/mo less
Medro$199$199$1150/mo less
NiceRx$199$199$1150/mo less
REMEVi$199$199$1150/mo less
Revel Health$199$199$1150/mo less
Rex MD$199$199$1150/mo less
Semaglutide Online$199$199$1150/mo less
Synergy Rx$199$947$1150/mo less
TeleClinic$199$199$1150/mo less
Rebody Health$199.99$420.99$1149.01/mo less
LifeRx.md$200$200$1149/mo less
Medsol RX$209$209$1140/mo less
Fitish$219$219$1130/mo less
FMmeds$225$225$1124/mo less
AVARA Rx$229$229$1120/mo less
EdgeRx$229$229$1120/mo less
Independent Wellness$249$249$1100/mo less
TMates$249$249$1100/mo less
Next Vial$249.97$249.97$1099.03/mo less
Maximus$249.99$249.99$1099.01/mo less
Auren Rx$259$259$1090/mo less
Tell Her Doc$269$269$1080/mo less
Aspen$279$279$1070/mo less
Cost Plus Drugs$279$279$1070/mo less
VirtualCare2Go$279$599$1070/mo less
Apex MD$299$349$1050/mo less
RestorLife Med$299$299$1050/mo less
TeleCareSpot$299$299$1050/mo less
Navio MD$345$345$1004/mo less
Lemonaid Health$348$348$1001/mo less
BioGlow Health$349$349$1000/mo less
Revive Meds$369$369$980/mo less
Levity$1199$1599$150/mo less
Form Health$1350$1350

South Dakota Rules and Coverage

Medicaid GLP-1 coverage in South Dakota
Diabetes only

South Dakota allows telehealth GLP-1 prescribing. South Dakota Medicaid covers GLP-1s only for type 2 diabetes diagnosis.

Where Semaglutide telehealth demand concentrates in South Dakota:
Sioux FallsRapid CityAberdeenBrookings

Frequently Asked Questions

Glossary

The words sellers use, defined. Tap any term.

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The same drug, other states: