Ozempic Cost: With and Without Insurance

Navigating Drug Costs: A Detailed Examination of Acquisition Expenses and Insurance Verification

The average cost of Ozempic without insurance is $954 to $1,400. The range of the costs can vary depending on the quantity, retailer, pharmacy, and prescription. Choosing retail pharmacies like Walmart or Costco may not directly impact the price of Ozempic. However, choosing programs like NovoCare’s Patient Assistance Program (PAP) and seeking coupons or discounts from specific retail pharmacies like CVS Health, Costco, and Walmart can be a great way to reduce your costs. With eligible insurance coverage, Ozempic can be reduced to as little as $25 per month.

Key Takeaways

With eligible insurance coverage, Ozempic can be reduced to as little as $25 per month.
Without eligible insurance coverage, Ozempic can range anywhere from $954 per month to $1,400. Your total cost can vary greatly depending on the quantity, prescription, and pharmacy of preference.

Ozempic Cost (With and Without Insurance)

Breaking down the cost of Ozempic is usually determined on the per injectable pen cost. This is not including the 30-day supply cost. For example, on average, a 30-day supply of Ozempic can cost in the $3,700 range (based on sources by Optum Perks). However, most commonly, patient’s want to understand the per pen cost to find the best route for purchasing their full prescription quantity.

On average, prices of a single injectable pen of Ozempic (semaglutide), without insurance, can be anywhere from $954 to $992. The range, unfortunately, doesn’t vary greatly between retailers.

With Insurance Cost

Depending on the type of insurance that you have, you may be eligible for savings that can reduce the cost of Ozempic to as little as $25 per 1 to 3 month supply.

Most major health insurance coverage plans, including commercial plans like Medicare, and many Medicaid plans, cover Ozempic for eligible patients with a diagnosis of Type-2 diabetes.

However, coverage does depend on the plan and specific criteria. And very few plans cover Ozempic for people without type 2 diabetes. For example, Medicare doesn't cover Ozempic for weight loss, but it can cover it if prescribed for other medical conditions.

Blue Cross Blue Shield, which is another major insurance provider, does cover Ozempic. And in 2024 had Ozempic on its “balanced drug list,” however, Ozempic is not a drug that is prescribed for either weight loss or without prior condition on behalf of BCBS.

Here are some ways to find out if your insurance covers Ozempic:

Use NovoCare as a resource

Use their secure form to get personalized coverage details and an estimated pharmacy cost. You can also call 1-844-Novo4Me (1-844-668-6463) for help.

Contact Novo Nordisk (makers of Ozempic)

Use their online tool to determine the cost of Ozempic with your insurance plan. You'll need to have your prescription insurance card details available.

Visit your insurance company's website to find your plan's formulary.
Review your plan's summary of benefits and coverage, which you can request from your insurer or view online.
Review the paper materials your insurer sent you when you signed up for your plan, which should include a list of covered medications.
Call your insurance company's general 1-800 number for plan members and ask an agent if your plan covers Ozempic.

Screenshot of a smartphone screen showing an online purchase of Ozempic pens with insurance coverage.

Without Insurance Cost

Ozempic (semaglutide) out-of-pocket costs can range anywhere from $954 to $992 for a single injectable pen.

Here are some ways to save on Ozempic:

Use a savings card

Ozempic's manufacturer (Novo Nordisk) offers a savings card that can lower out-of-pocket costs by up to $450 per prescription, depending on the length of the prescription. The card can be used in combination with private or commercial insurance, but not government-issued insurance like Medicare or Medicaid. You can check with Novo Nordisk for the latest eligibility requirements.

Use NovoCare (Patient Assistance Program)

NovoCare offers a savings card program for Ozempic that can help eligible patients pay as little as $25 for one, two, and three months complete supply of the medication. The maximum savings is $150 for a 1-month prescription, $300 for a 2-month prescription, and $450 for a 3-month prescription. The offer can be valid for up to 48 months from the date of activation.

To be eligible for the NovoCare Patient Assistance Program, you must:

Be a United States citizen or legal resident.
Have a total household income at or below 400% of the federal poverty level (FPL).
Have Medicare or no insurance.
Not be enrolled in, or eligible for, any other state, federal, or government assistance programs such as Medicaid, Low Income Subsidy, or Veterans Affairs Benefits.

To check if they meet the FPL requirements, people can visit the Office of the Assistant Secretary for Planning and Evaluation website. For example, given these criteria, a family of three qualifies if their total household income is $103,280 or lower in the contiguous United States, $118,760 or lower in Hawaii, or $129,080 or lower in Alaska.

For a complete breakdown of the requirements and eligibility, visit the NovoCare website.

Medicare Part D Extra Help Program

Medicare Part D's “Extra Help program,” also known as the Part D Low Income Subsidy (LIS), helps people with limited income and resources pay for prescription drug coverage (Part D) costs. These costs include premiums, deductibles, coinsurance, and copayments. Which can make this a great path for those who qualify for Ozempic through government insurance programs like Medicare.

Get a 90-day supply

A 90-day supply may be cheaper per dose than a one-month or two-month supply, and it can also reduce the number of trips to your pharmacy. Some pharmacies may offer this option, and some Medicare plans may help cover the cost of mail-order medications.

To inquire, try to speak with your licensed pharmacist at your local pharmacy for more details.

Cost at Walmart

Typically, retailers and pharmacies like Walmart offer lower prices on medications of all sorts. The average price of Ozempic at Walmart is $1,155.17 for a 12-month period. The price can range from $940.95 to $989.45 for a monthly cost. Without insurance, the average monthly cost of Ozempic is around $935.77, but with insurance, it can be as low as $25 per month.

Cost at Costco

Just like Walmart, these retailers are usually known for their discounted prices. Ozempic can cost anywhere from $950 to $1,600 per month at Costco, making the price difference not substantially different than other retailers or pharmacies.

Common Ozempic (Semaglutide) Cost Questions

Common questions about the cost of Ozempic (semaglutide):

Is the cost of Ozempic in Canada any cheaper?

Cost of Ozempic in Canada may be cheaper than in the United States. For example, in the United Kingdom, Ozempic may cost only $250 to $400 USD. The cost can vary based on the country's health insurance options and criteria for the weight loss medication.

Is the cost of Ozempic in Mexico any cheaper?

Yes. The average cost of Ozempic in Mexico is only around $226 USD, on average. According to a recent Bloomberg report (written by Andrea Navarro), “the average price tag for a pack of two 0.25mg pens was around 3,870 pesos ($226) while a single 1mg pen will set you back about 5,100 pesos ($300).”

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