What Wegovy Actually Costs in 2026
Wegovy list price, the manufacturer self-pay route, insurance copays and where compounded semaglutide sits against all three.
The cheapest standard-dose compounded semaglutide programme we track is Oak Longevity at $133 a month. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported
That qualifier is the point. Most published semaglutide comparisons quote a figure without saying whether it requires a prepaid year, whether a membership is billed separately, or whether it is a microdose sitting below every dose the pivotal trials studied. Those three distortions all push the advertised number down, and they compound.
What the programmes actually charge
Oak Longevity lists compounded semaglutide at $133 a month. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported
NexLife lists compounded semaglutide at $145 a month. Semaglutide standard, 12-month plan ($1,740 total). Month-to-month $165. Verified
NexLife lists compounded semaglutide at $165 a month. Semaglutide ODT, 12-month plan ($1,980 total). NO TRIAL HAS TESTED THIS DOSAGE FORM. Verified
Found lists compounded semaglutide at $169 a month. 12-month PREPAID. Medication INCLUDED, flat across all compounded GLP-1s and all doses. 6-month ~$199; month-to-month $289. Provider Reported
Shed lists compounded semaglutide at $175 a month. 12-month plan paid upfront. 6-month $199; month-to-month $249. INCREASES at higher doses. Provider Reported
Mochi Health lists compounded semaglutide at $178 a month. $99 med + $79 membership ($39 first month). Same price at all doses. Unlimited physician + dietitian access. Provider Reported
How to read any semaglutide price
Ask three questions of every figure. Is it the month-to-month rate or a prepaid one? Does it include every mandatory recurring fee, or is a membership billed separately? And is it a standard therapeutic dose or a microdose? A price that survives all three questions is comparable to another price. One that does not is a marketing number.
Full column-by-column breakdown at the semaglutide pricing comparison.
Compounded semaglutide is not FDA-approved and is not therapeutically equivalent to any brand-name product. FDA does not review compounded preparations for safety, effectiveness or manufacturing quality before marketing. This is consumer price research, not medical advice. Prices captured 2026-08-08.
Related reading
- Wegovy Injection Cost Per Month
- Semaglutide Cost Per Month in 2026
- Wegovy vs Compounded Semaglutide: Real Cost
- Cheapest Semaglutide With No Membership Fee
- Does Semaglutide Cost More at Higher Doses?
- Semaglutide pricing comparison table
- Tirzepatide pricing comparison table
- All guides
The numbers behind this page
The semaglutide price range, stated precisely
Standard-dose compounded semaglutide runs $133 to $299 a month across the 12 programmes we can price, with a median of $198. The spread between cheapest and dearest is $166 a month, or $1,992 across a year, for a molecule that is chemically identical in every case.
The cheapest verified figure is Oak Longevity at $133. Half the market sits below $198 and half above it, which makes the median a more useful reference point than the cheapest figure when judging whether a quote is reasonable.
2 programmes additionally advertise a semaglutide microdose, the cheapest at $145 a month. Those figures are excluded from the range above. A microdose sits below every dose studied in the pivotal trials, so including it would compare two different things and would make the market look cheaper than it is at a therapeutic dose.
Three structural facts move a bill more than the headline rate. Whether the price is flat across covered doses or rises as you titrate. Whether a membership is billed separately from medication. And whether the advertised figure requires prepaying six or twelve months, which lowers the monthly number by transferring risk to you at exactly the point you are least certain you will continue.
How semaglutide is kept current
The semaglutide figures on this page span $133 to $299 a month across 12 programmes. Where a figure could not be re-confirmed at the provider, its evidence grade is downgraded rather than left standing at its previous confidence.
Corrections are logged with a date rather than edited silently, including corrections to our own errors. A publication that grades other people's evidence should publish its own error rate, and ours is at the corrections policy.
No provider pays for placement, position or inclusion here. Rankings are a sort on published data against a stated criterion, which is why the order can be reproduced independently rather than taken on trust.
Reading the price against the market
Why the spread is this wide
Standard-dose semaglutide spans $133 to $299 a month across 12 programmes we can price, a spread of $166.
The molecule is chemically identical across every programme in the range. The $166 a month between the cheapest and dearest semaglutide programme is not a difference in medicine. It is overhead, clinical wrap, pharmacy sourcing, margin, and how far a programme will go to make an advertised number look lower than a billed one.
Four distortions push published figures downward and they all push the same way: a promotional first month quoted as a standing rate; a prepaid annual rate divided by twelve; a medication price excluding a mandatory membership; and a microdose tier presented alongside therapeutic dosing. Each is individually defensible and together they compound.
Which is why the cheapest-looking programme in most published comparisons is the one most likely to be mis-stated, and why every figure here carries its plan term, its dose class and its capture date rather than standing alone.
Why the spread is this wide
Standard-dose semaglutide spans $133 to $299 a month across 12 programmes we can price, a spread of $166.
The molecule is chemically identical across every programme in the range. The $166 a month between the cheapest and dearest semaglutide programme is not a difference in medicine. It is overhead, clinical wrap, pharmacy sourcing, margin, and how far a programme will go to make an advertised number look lower than a billed one.
Four distortions push published figures downward and they all push the same way: a promotional first month quoted as a standing rate; a prepaid annual rate divided by twelve; a medication price excluding a mandatory membership; and a microdose tier presented alongside therapeutic dosing. Each is individually defensible and together they compound.
Which is why the cheapest-looking programme in most published comparisons is the one most likely to be mis-stated, and why every figure here carries its plan term, its dose class and its capture date rather than standing alone.
Questions this page answers
Why is microdosed semaglutide cheaper?
Because it is less medicine. 2 programmes advertise a semaglutide microdose, the cheapest at $145 a month. A microdose sits below every dose studied in the pivotal trials, so it is not a cheaper route to the result those trials measured.
What is the cheapest compounded semaglutide?
Oak Longevity at $133 a month at a standard therapeutic dose, captured 2026-08-08. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported
What does compounded semaglutide normally cost?
$133 to $299 a month across 12 programmes, with a median of $198. Half the market sits either side of that median, which makes it a better reference than the cheapest figure when judging a quote.
Does compounded semaglutide cost more at higher doses?
At the programmes listed here the monthly price is flat across covered doses; what changes the figure is the plan term, not the dose. Dose-tiered pricing does exist elsewhere in this market, so confirm at checkout.