How much do Zepbound, Wegovy, Ozempic and Mounjaro cost without insurance?
Zepbound is $299 to $699 per fill through LillyDirect self-pay, checked 11 November 2026; the lowest continuing telehealth listing is $299 at Sesame Care (a month, continuing; plus $99/month care, checked 2 November 2026). Wegovy pen is $199 to $349 per fill through NovoCare Pharmacy self-pay, checked 11 November 2026; the lowest continuing telehealth listing is $349 at Sesame Care (a month after 2 months at $199/month; plus $99/month care, checked 26 October 2026). Ozempic is $199 to $499 per fill through NovoCare Pharmacy self-pay, checked 11 November 2026; the lowest continuing telehealth listing is $1,299 at Gala Health (a month, continuing, checked 3 November 2026). Mounjaro is $499 per fill through LillyDirect self-pay, checked 11 November 2026; the lowest continuing telehealth listing is $1,399 at Eden Health (a month, continuing, checked 11 November 2026). Wegovy pill is $149 to $299 per fill through NovoCare Pharmacy self-pay, checked 11 November 2026; the lowest continuing telehealth listing is $299 at Sesame Care (a month, continuing; plus $99/month care, checked 23 October 2026). Manufacturer prices are per fill by dose; telehealth listings may add a separate care fee, shown beside the price. This compares cost and access only, not which medicine fits a person.
| Medicine | FDA label use and schedule | Manufacturer self-pay | Lowest continuing telehealth listing |
|---|---|---|---|
| Zepboundtirzepatide | Chronic weight management; obstructive sleep apnea with obesityOnce weekly, at any time of day, with or without meals. Label, read 11 September 2026. | $299–$699LillyDirect self-pay: 2.5 mg $299, 5 mg $399, 7.5 mg $499, 10 mg $699 per fill (four single-dose vials or one KwikPen per 28-day fill). Checked 11 November 2026. | $299Paid linkSesame Care, Zepbound® KwikPen: a month, continuing; plus $99/month care. Checked 2 November 2026. 4 programs with a continuing price checked in the last 30 days. Sesame Care coupon |
| Wegovy pensemaglutide | Chronic weight management; cardiovascular risk reduction; MASHOnce weekly, on the same day each week. Label, read 11 September 2026. | $199–$349NovoCare Pharmacy self-pay: 0.25 mg $199, 0.5 mg $199, 1 mg $349, 1.7 mg $349, 2.4 mg $349 per fill (weekly single-dose pen, 4 pens per 28-day fill). Checked 11 November 2026. | $349Paid linkSesame Care, Wegovy® pen: a month after 2 months at $199/month; plus $99/month care. Checked 26 October 2026. 4 programs with a continuing price checked in the last 30 days. Sesame Care coupon |
| Ozempicsemaglutide | Type 2 diabetes; cardiovascular and kidney risk reduction in type 2 diabetesOnce weekly, on the same day each week, at any time of the day, with or without meals. Label, read 11 September 2026. | $199–$499NovoCare Pharmacy self-pay: $199 for 2 monthly fills of 0.25 mg and 0.5 mg through 31 December 2026, then $349 a month for 0.25 mg, 0.5 mg and 1 mg and $499 for 2 mg (one pen per month). Checked 11 November 2026. | $1,299Paid linkGala Health, Ozempic®: a month, continuing. Checked 3 November 2026. 3 programs with a continuing price checked in the last 30 days. Gala Health price guide |
| Mounjarotirzepatide | Type 2 diabetes; cardiovascular risk reduction in type 2 diabetesOnce weekly, any time of day, with or without meals. Label, read 11 September 2026. | $499LillyDirect self-pay: starting at $499 a month at each of 2.5 mg to 15 mg (four single-dose pens per month); taxes and fees may be added. Checked 11 November 2026. | $1,399Paid linkEden Health, Mounjaro: a month, continuing. Checked 11 November 2026. 1 program with a continuing price checked in the last 30 days. Eden Health price guide |
| Wegovy pillsemaglutide | Chronic weight management; cardiovascular risk reductionOnce daily, on an empty stomach in the morning with up to 4 ounces of water. Label, read 11 September 2026. | $149–$299NovoCare Pharmacy self-pay: 1.5 mg $149, 4 mg $199, 9 mg $299, 25 mg $299 per fill (daily tablet, 30 tablets per fill). Checked 11 November 2026. | $299Paid linkSesame Care, Wegovy® pill: a month, continuing; plus $99/month care. Checked 23 October 2026. 1 program with a continuing price checked in the last 30 days. Sesame Care coupon |
Compare every Zepbound price · Compare every Wegovy price · Compare every Ozempic price · Compare every Mounjaro price · Brand-name year-one self-pay
What should you know about zepbound vs wegovy vs ozempic vs mounjaro?
Zepbound and Mounjaro are both tirzepatide from Eli Lilly; Wegovy and Ozempic are both semaglutide from Novo Nordisk. Zepbound and Wegovy carry the chronic weight-management labels, while Ozempic and Mounjaro carry type 2 diabetes labels, so the label shapes which price and coverage routes apply. Without insurance, the manufacturer self-pay programs are the published cash floor: Zepbound starts at $299 at 2.5 mg and reaches $699 at 10 mg per fill, the Wegovy pen starts at $199 at 0.25 mg and is $349 at 2.4 mg at maintenance, and Ozempic is $199–$499 per pen by dose.
Telehealth programs list the same brands at their own prices: the lowest continuing listing is $299 a month at Sesame Care (checked 2 November 2026) for Zepbound and $1,299 a month at Gala Health (checked 3 November 2026) for Ozempic. This page compares cost and access only. It does not rank the medicines or say which one fits a person.
Two ingredients, four brands: what each label covers
Start with the label, because it sets each brand's approved use and shapes which cash and coverage routes apply. Zepbound and Mounjaro are the same molecule, tirzepatide, sold under two labels. Wegovy and Ozempic are both semaglutide under two labels. Wegovy is also sold as a daily tablet.
The table below is copied from the current FDA labels on DailyMed. It lists the labeled use, the dosage forms and the schedule. It is not a dosing guide.
| Brand | Active ingredient | Labeled use | Dosage forms | Schedule |
|---|---|---|---|---|
| Zepbound | tirzepatide | Chronic weight management; obstructive sleep apnea with obesity | Injection: single-dose pens, single-dose vials, multi-dose vials, or KwikPen, 2.5 mg to 15 mg per dose. | Once weekly, at any time of day, with or without meals. |
| Wegovy pen | semaglutide | Chronic weight management; cardiovascular risk reduction; MASH | Injection: single-dose pen or syringe, 0.25 mg to 2.4 mg; 7.2 mg single-dose pen (Wegovy HD); 9.6 mg/3 mL multi-dose FlexTouch pen. | Once weekly, on the same day each week. |
| Wegovy pill | semaglutide | Chronic weight management; cardiovascular risk reduction | Tablets: 1.5 mg, 4 mg, 9 mg and 25 mg. | Once daily, on an empty stomach in the morning with up to 4 ounces of water. |
| Ozempic | semaglutide | Type 2 diabetes; cardiovascular and kidney risk reduction in type 2 diabetes | Injection: 2 mg/3 mL, 4 mg/3 mL and 8 mg/3 mL single-patient-use pens; 0.25 mg, 0.5 mg or 1 mg single-dose prefilled syringes. | Once weekly, on the same day each week, at any time of the day, with or without meals. |
| Mounjaro | tirzepatide | Type 2 diabetes; cardiovascular risk reduction in type 2 diabetes | Injection: single-dose pens, single-dose vials, multi-dose vials, or KwikPen, 2.5 mg to 15 mg per dose. | Once weekly, any time of day, with or without meals. |
Manufacturer self-pay price by dose
Lilly and Novo Nordisk each sell their weight-management brands direct to cash buyers with a prescription. The price is per fill and depends on the dose, so the first months usually cost less than the maintenance months.
At the regular price, the 12.5 mg and 15 mg doses are also $699 a fill, so a ladder that keeps climbing costs the same per month as staying at 10 mg.
Patients new to the Wegovy Savings Offer or NovoCare home delivery pay $199 for each month of the 0.25 mg and 0.5 mg pen. The offer is for 2 monthly fills through December 31, 2026 for new self-pay patients, then $349 per month for 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg. One month is 1 box of 4 pens.
| Brand | Program | Price by dose | Checked |
|---|---|---|---|
| Zepbound | LillyDirect self-pay | 2.5 mg: $299; 5 mg: $399; 7.5 mg: $499; 10 mg: $699 | 11 November 2026 |
| Wegovy pen | NovoCare Pharmacy self-pay | 0.25 mg: $199; 0.5 mg: $199; 1 mg: $349; 1.7 mg: $349; 2.4 mg: $349 | 11 November 2026 |
| Wegovy pill | NovoCare Pharmacy self-pay | 1.5 mg: $149; 4 mg: $199; 9 mg: $299; 25 mg: $299 | 11 November 2026 |
| Ozempic | NovoCare Pharmacy self-pay | $199 for 2 monthly fills of 0.25 mg and 0.5 mg through 31 December 2026, then $349 a month for 0.25 mg, 0.5 mg and 1 mg and $499 for 2 mg (one pen per month) | 11 November 2026 |
| Mounjaro | LillyDirect self-pay | starting at $499 a month at each of 2.5 mg to 15 mg (four single-dose pens per month); taxes and fees may be added | 11 November 2026 |
Telehealth listings for each brand
Telehealth programs prescribe the same brands and publish their own monthly prices. Some include the medication; some bill a care membership on top. The cash table at the top of this page counts the programs in this catalog with a continuing monthly price that includes the medication, and names the lowest one with its check date.
Program pages list every provider, the full terms and the check date for each row. The comparison below shows the live catalog for all four brands.
Compare Zepbound, Wegovy, Ozempic and Mounjaro programs
Some provider links below are affiliate links. If you start a program through one, Telehealth Ledger may earn a commission at no extra cost to you. Commissions do not change this order.
These rows come from Telehealth Ledger's canonical catalog. A low headline price only ranks when medication is included and the continuing or prepaid basis is comparable.
| Provider | Published price | What is included |
|---|---|---|
| #1 Sesame Care | $299, checked 2 November 2026Last checked 2 Nov 2026 a month, continuing; plus $99/month care Visit provider Paid link | Zepbound® KwikPen · Weekly injection · medication included Checked 10 November 2026. KwikPen medication prices: $299 at 2.5 mg, $399 at 5 mg, $499 at 7.5 mg, $699 at 10 mg, 12.5 mg and 15 mg. Vial medication prices: $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 mg, 10 mg, 12.5 mg and 15 mg. The comparison figure is the 2.5 mg medication price of $299. Care is $99/month month-to-month, or $59/month on a 12-month commitment, paid separately. Sesame prints no combined total. Price source · checked 2 November 2026 |
| #2 RxSpan MD | $1,069, checked 2 November 2026Last checked 2 Nov 2026 a month, continuing Visit provider Paid link | Zepbound® · Weekly branded injection · medication included Checked 2 November 2026. The public product API still lists Zepbound® at $1,069 a month. Price source · checked 2 November 2026 |
| #3 GobyMeds | $1,399, checked 2 November 2026Last checked 2 Nov 2026 a month, continuing Visit provider | Zepbound® · Weekly injection · medication includedPrice source · checked 2 November 2026 |
- DrHouse: $129 self-pay visit or insurance copayLast checked 4 Nov 2026Medication or membership billed separately
- Hone Health: Estimated from $349/mo plus membershipLast checked 17 Oct 2026Medication or membership billed separately
- Measured: Product page $99/mo membership; homepage from $49; medication separate ($299–$449/mo cash range)Last checked 7 Oct 2026Medication or membership billed separately
| Provider | Published price | What is included |
|---|---|---|
| #1 Sesame Care | $349, checked 26 October 2026Last checked 26 Oct 2026 a month after 2 months at $199/month; plus $99/month care Visit provider Paid link | Wegovy® pen · Weekly injection · medication included Checked 10 November 2026. Standard medication price $349/mo for all doses. $199/mo for the first two months for new self-pay patients, through 31 Dec 2026, medication only, at 0.25 mg or 0.5 mg. It excludes federal and state program enrollees. Care is $99/month month-to-month, or $59/month on a 12-month commitment, paid separately. Price source · checked 26 October 2026 |
| #2 RxSpan MD | $1,349, checked 11 November 2026 a month, continuing Visit provider Paid link | Wegovy® · Weekly branded injection · medication included Checked 26 October 2026. The public product API still lists Wegovy® at $1,349 a month. Price source · checked 11 November 2026 |
| #3 GobyMeds | $1,695, checked 11 November 2026 a month, continuing Visit provider | Wegovy® · Weekly injection · medication includedPrice source · checked 11 November 2026 |
- DrHouse: $129 self-pay visit or insurance copayLast checked 4 Nov 2026Medication or membership billed separately
- Measured: Product page $99/mo membership; homepage from $49; medication separate ($199–$349/mo cash range)Last checked 7 Oct 2026Medication or membership billed separately
- MEDGm: $99 membership + medication cost (medication total not published)Medication or membership billed separately
| Provider | Published price | What is included |
|---|---|---|
| #1 Gala Health | $1,299, checked 3 November 2026Last checked 3 Nov 2026 a month, continuing Visit provider Paid link | Ozempic® · Weekly injection · medication included The Ozempic product page says From $1,299/month, cash price. It says insurance may reduce the cost. That page shows no other dollar price. Price source · checked 3 November 2026 |
| #2 RxSpan MD | $1,299, checked 11 November 2026 a month, continuing Visit provider Paid link | Ozempic® · Weekly branded injection · medication included Checked 26 October 2026. The public product API still lists Ozempic® at 1299 and does not print a billing period on that row. The stored monthly figure stays; it is not a new price. Price source · checked 11 November 2026 |
- DrHouse: $129 self-pay visit or insurance copayLast checked 4 Nov 2026Medication or membership billed separately
- MEDGm: $171 membership + medication cost (medication total not published)Medication or membership billed separately
- Shed Rx: Starting at $599/mo.Last checked 14 Sept 2026Medication included as published
- DrHouse: $129 self-pay visit or insurance copayLast checked 4 Nov 2026Medication or membership billed separately
- RxSpan MD: $1,069 / month; org catalog also marks this SKU sold outLast checked 14 Sept 2026Medication included as published
Eligibility, prescribed quantity, state availability, pharmacy fulfillment, shipping, supplies, and follow-up can change the final cost. Unknown fields remain unknown.
Who each route suits on cost and access
This is a cost and access view, not a clinical one. Which brand a person can use is a decision for the prescribing clinician.
- Paying cash for a weight-management prescription: the manufacturer programs publish the lowest per-fill prices on file, starting at $299 at 2.5 mg for Zepbound, $199 at 0.25 mg for the Wegovy pen and $149 at 1.5 mg for the Wegovy pill.
- Commercial insurance that covers the brand: the manufacturer savings card copay recorded here is $25 a month, and it needs that coverage.
- Medicare: the Medicare GLP-1 Bridge copay recorded here is $50 a month for covered product forms.
- Type 2 diabetes: Ozempic and Mounjaro carry the diabetes labels, so coverage and prescribing run through that indication.
- Wanting a daily tablet instead of a weekly injection: the Wegovy pill is $149–$299 per fill through NovoCare.
- Wanting care and medication on one monthly bill: a telehealth program can bundle them; the cash table shows each bundled figure next to the manufacturer self-pay price.
How to get each one through telehealth
Every route needs a prescription. A telehealth clinician can write one after an intake and, where needed, lab work; the prescription can then be filled through the manufacturer's self-pay pharmacy or the program's own pharmacy partner.
Check four things before paying: whether the price includes the medication, whether a separate care or membership fee applies, the refill interval, and the cancellation terms. The program pages show those fields for every listing.
- Zepbound: LillyDirect self-pay, or a telehealth program that lists Zepbound.
- Wegovy pen or pill: NovoCare Pharmacy self-pay, or a telehealth program that lists Wegovy.
- Ozempic: NovoCare Pharmacy self-pay, or a telehealth program that lists Ozempic.
- Mounjaro: LillyDirect self-pay starts at $499 a month at every dose (checked 11 November 2026); compare the telehealth listings.
Side effects and safety come from the label
All four labels carry a boxed warning about the risk of thyroid C-cell tumors, and each lists gastrointestinal reactions such as nausea, diarrhea, vomiting and constipation among the most common adverse reactions. Each label also lists its own contraindications and warnings.
This page does not compare safety or effectiveness between brands. Read the label for the specific product and ask the prescribing clinician about anything that applies to you.
This page is not a dosing, switching or conversion guide.
Pair-by-pair comparisons
Each pair has its own page with the label differences, the trial context where a direct trial exists, and the same dated cash table for those two brands: Wegovy vs Zepbound, Ozempic vs Zepbound, Mounjaro vs Zepbound, Ozempic vs Wegovy, Mounjaro vs Ozempic and Mounjaro vs Wegovy. They are linked under Related research below.
What questions do readers ask about zepbound vs wegovy vs ozempic vs mounjaro?
- Which costs less without insurance, Zepbound or Wegovy?
- At the starting dose, Wegovy pen self-pay is $199 at 0.25 mg and Zepbound is $299 at 2.5 mg per fill. At maintenance, Wegovy is $349 at 2.4 mg and Zepbound is $699 at 10 mg. Checked 11 November 2026 (NovoCare) and 11 November 2026 (LillyDirect).
- Is Mounjaro the same as Zepbound?
- Both contain tirzepatide, but Mounjaro is labeled for type 2 diabetes and Zepbound for chronic weight management and obstructive sleep apnea with obesity. Zepbound has LillyDirect self-pay at $299–$699 per fill; LillyDirect lists Mounjaro self-pay from $499 a month.
- Is Ozempic the same as Wegovy?
- Both contain semaglutide, but Ozempic is labeled for type 2 diabetes and Wegovy for chronic weight management. NovoCare self-pay is $199–$499 per Ozempic pen (checked 11 November 2026) and $199–$349 per Wegovy pen fill (checked 11 November 2026).
- Does insurance or Medicare change the price?
- Yes. With commercial coverage for the brand, the recorded savings-card copay is $25 a month. The Medicare GLP-1 Bridge copay is $50 a month for covered product forms. Without coverage, the manufacturer self-pay prices above apply.
Start from the label, then compare the dated cash price
Zepbound and Wegovy are the weight-management labels; Mounjaro and Ozempic are the diabetes labels with the same ingredients. For cash buyers, the manufacturer self-pay programs set the published floor per fill, and telehealth programs add care on top. The tables show each figure with the day it was checked.
Already on a zepbound plan? See which of 4 providers charge less than yours
Starting from scratch? How to get Ozempic injection online
Sources
- LillyDirect Zepbound self-payEli Lilly (LillyDirect) · Accessed 11 November 2026
LillyDirect self-pay Zepbound by dose: 2.5 mg: $299; 5 mg: $399; 7.5 mg: $499; 10 mg: $699 per fill of vials or KwikPen.
- Wegovy home delivery self-payNovo Nordisk (NovoCare) · Accessed 11 November 2026
NovoCare self-pay Wegovy pen by dose: 0.25 mg: $199; 0.5 mg: $199; 1 mg: $349; 1.7 mg: $349; 2.4 mg: $349; Wegovy pill: 1.5 mg: $149; 4 mg: $199; 9 mg: $299; 25 mg: $299.
- NovoCare Pharmacy, OzempicNovo Nordisk · Accessed 17 October 2026
$199 for 2 monthly fills of 0.25 mg and 0.5 mg through 31 December 2026, then $349 a month for 0.25 mg, 0.5 mg and 1 mg and $499 for 2 mg (one pen per month).
- Medicare GLP-1 BridgeCenters for Medicare & Medicaid Services · Accessed 17 October 2026
The Medicare GLP-1 Bridge copay and which product forms it covers.
- Zepbound (tirzepatide) injection prescribing informationDailyMed, U.S. National Library of Medicine · Accessed 11 September 2026
Zepbound indications, dosage forms, once-weekly schedule, boxed warning, and common adverse reactions.
- Wegovy (semaglutide) injection and tablets prescribing informationDailyMed, U.S. National Library of Medicine · Accessed 11 September 2026
Wegovy injection and tablet indications, dosage forms, schedules, boxed warning, and common adverse reactions.
- Ozempic (semaglutide) injection prescribing informationDailyMed, U.S. National Library of Medicine · Accessed 11 September 2026
Ozempic type 2 diabetes indications, dosage forms, once-weekly schedule, boxed warning, and common adverse reactions.
- Mounjaro (tirzepatide) injection prescribing informationDailyMed, U.S. National Library of Medicine · Accessed 11 September 2026
Mounjaro type 2 diabetes indications, dosage forms, once-weekly schedule, boxed warning, and common adverse reactions.
Refresh triggers
- LillyDirect or NovoCare changes a self-pay price or offer window
- A telehealth program in the catalog changes a Zepbound, Wegovy, Ozempic or Mounjaro price
- An FDA label adds or changes an indication, dosage form or boxed warning