The WAC (wholesale acquisition cost) for Wegovy — the published list price — is approximately $1,349 per 28-day supply. That is almost never what patients actually pay. There are four meaningful ways to reduce your Wegovy cost, and one way that sounds appealing but carries significant risk.
NovoCare Savings Program (Most Accessible)
Novo Nordisk's NovoCare® program offers self-pay pricing and savings offers for Wegovy®, and a separate patient assistance program. Prices, introductory offers, and eligibility rules change, so see NovoCare for current savings and assistance programs.
When your YourMD physician sends a Wegovy prescription through NovoCare, NovoCare bills you for the medication directly.
Note for Medicare and Medicaid beneficiaries: manufacturer copay savings offers generally cannot be used with government insurance.
Insurance Coverage in 2026
Approximately 50–60% of large employer plans (500+ employees) now include some obesity medication coverage. Call your insurer and ask specifically: "Does my plan cover Wegovy (semaglutide injection) for obesity? What is my copay and do I need prior authorization?"
If PA is required, your YourMD physician submits the medical necessity documentation. Standard criteria: BMI ≥30 (or ≥27 with comorbidity), documented weight loss attempts, no thyroid cancer or MEN2 history. Appeals tend to do better when properly documented, though approval is never guaranteed. Prior-authorization support is part of the YourMD GLP-1 Concierge plan ($149/month).
Medicare Part D: As of 2026, some Part D plans cover semaglutide for obesity — coverage is plan-specific. Even when covered by Medicare, manufacturer savings cards cannot be used (federal law).
Oral GLP-1 Alternatives at Lower Entry Points
- Wegovy® pill (oral semaglutide 25 mg): Available through NovoCare; self-pay price depends on dose and current savings programs (check NovoCare for current pricing). Average weight loss in trials was comparable to the injectable (~16.6% at 64–68 weeks). Requires taking on an empty stomach with a short wait before food or water.
- Foundayo™ (orforglipron, Eli Lilly): Available through LillyDirect™; check LillyDirect™ for current self-pay pricing and savings. No food/timing restrictions. Average weight loss in trials was lower than the injectables (~11% at 40 weeks) but meaningful.
If cost is the primary barrier and you're comfortable with oral medication, either of these may be a more accessible starting point than injectable Wegovy.
Compounded Semaglutide — What Changed in 2025–2026
When the Wegovy shortage began in 2022, 503A compounding pharmacies could legally produce semaglutide under the FDA shortage exemption. Semaglutide is no longer on the FDA shortage list. The legal basis for compounding it has been removed. YourMD has a permanent policy of prescribing zero compounded semaglutide or tirzepatide — FDA-approved branded medications via NovoCare and LillyDirect only. See our full analysis: Compounded Semaglutide Safety.
YourMD Total Cost
YourMD GLP-1 Essential is $79/month; GLP-1 Concierge is $149/month (adds prior-authorization support, labs coordination, and priority scheduling). The medication is billed separately by NovoCare® or LillyDirect™ (or by your insurance) — YourMD does not sell, ship, or mark up GLP-1 medications. Your total monthly cost is your YourMD plan plus whatever NovoCare, LillyDirect, or your insurance charges for the medication.
Related: Does Insurance Cover Wegovy or Ozempic? · GLP-1 Drug Comparison 2026