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WeighLab

Annual price comparison · updated November 2026

The cheapest semaglutide online, over twelve months, not one.

Compare compounded semaglutide programs over a full year, including required published fees. Compounded drugs are not FDA-approved. Four-week plans count as 13 charges. Partners appear first; providers are ordered by annual cost within each group.

Listed firstPartner

Collective

Index 65 C · 44 states (not AL, CA, LA, MA, MS or WA)

$907semaglutide / yr (includes $199/yr membership)

Read this before the ranking

Almost everything below is compounded semaglutide — a medication prepared by a compounding pharmacy that is not an FDA-approved drug. The FDA-approved brand semaglutide is Wegovy (for chronic weight management) and Ozempic (the same molecule, approved for type 2 diabetes), both from Novo Nordisk. Wegovy's approximate US cash list price is around $1,349/mo. They are not the same regulatory product as a compounded copy, and this page does not blur the two — read the compounded-vs-brand cost breakdown for the full comparison, or is compounded semaglutide legit and safe before you buy. This ranking is the compounded, twelve-month comparison.

Compare annual semaglutide costs

Priced programs · sorted by 12-month cost

Partners appear first; providers are ordered by annual cost within each group. Four-week plans count as 13 charges. See our disclosure.

  1. 01

    Collective

    44 states (not AL, CA, LA, MA, MS or WA) · Index 65 C

    Price terms: $59/mo for the medication, plus a required $199/year membership billed separately

    Price & billing details

    Semaglutide: $59/mo for the medication, plus a required $199/year membership billed separately

    $907 / yr (includes $199/yr membership)

  2. 02

    Embody

    All 50 states · Index 77 C

    Price terms: sale price, compounded

    Price & billing details

    Semaglutide: $79/mo (sale price, compounded)

    $948 / yr

  3. 03

    CoreAge Rx

    All 50 states · Index 94 A

    Price & billing details

    Semaglutide: $99/mo

    $1,188 / yr

  4. 04

    Eden

    All 50 states · Index 94 A

    Price terms: all doses, compounded

    Price & billing details

    Semaglutide: $99/mo (all doses, compounded)

    $1,188 / yr

  5. 05

    Strut Health

    49 states (not Arkansas) · Index 87 B+

    Price & billing details

    Semaglutide: From $99/mo lozenge, $129/mo injection (auto-refill)

    $1,188 / yr

  6. 06

    Lttl

    Coverage not published · Index 61 C

    Price terms: $99 per 4 weeks

    Price & billing details

    Semaglutide: $99 per 4 weeks (compounded, auto-refill)

    $1,287 / yr (13 charges)

  7. 07

    Belle Health

    Confirm state eligibility before enrolling · Index 71 C

    Price & billing details

    Semaglutide: From $109/mo (compounded; confirm your plan at checkout)

    $1,308 / yr

  8. 08

    Peter MD

    Varies by treatment — semaglutide not in AL, AK, HI or ID, tirzepatide not in AL or ID; additional reported restrictions need confirmation · Index 72 C

    Price terms: $149/mo first-time

    Price & billing details

    Semaglutide: $149/mo first-time (Level 1), $139/mo returning (Level 2)

    $1,788 / yr

  9. 09

    bmiMD

    All 50 states · Index 83 B

    Price terms: $119/mo on a prepaid 12-month plan

    Price & billing details

    Semaglutide: $159/mo month to month ($119/mo on a prepaid 12-month plan)

    $1,908 / yr

  10. 10

    Sprout Health

    44 states (not AL, AR, CA, LA, MS or ND) · Index 80 B−

    Price terms: $149 per 4 weeks; $99/mo on a prepaid 12-month plan

    Price & billing details

    Semaglutide: $149 per 4 weeks ($99/mo on a prepaid 12-month plan)

    $1,937 / yr (13 charges)

  11. 11

    Bodybuilding Health+

    50 states claimed, no list published · Index 74 C

    Price & billing details

    Semaglutide: $179/mo month-to-month; $159.33 on three months, $158 on six and $141.50 on twelve

    $2,148 / yr

  12. 12

    HealthRX

    All 50 states · Index 74 C

    Price terms: all doses, compounded

    Price & billing details

    Semaglutide: $190/mo (all doses, compounded)

    $2,280 / yr

  13. 13

    ShedRx (Shed)

    All 50 states · Index 87 B+

    Price terms: $159 on a 12-month plan

    Price & billing details

    Semaglutide: $199/mo ($159 on a 12-month plan)

    $2,388 / yr

  14. 14

    Enhance MD

    40 states + DC · Index 76 C

    Price terms: first month $112

    Price & billing details

    Semaglutide: $212/mo (first month $112)

    $2,544 / yr

  15. 15

    Found

    All 50 states · Index 92 A−

    Price terms: insurance-linked

    Price & billing details

    Semaglutide: $199/mo (insurance-linked)

    $2,587 / yr (13 charges)

  16. 16

    Luvo Health

    50 states claimed, no list published · Index 66 C

    Price terms: $209 per 4 weeks

    Price & billing details

    Semaglutide: $209 per 4 weeks (injection, compounded)

    $2,717 / yr (13 charges)

  17. 17

    RxSpan MD

    All 50 states · Index 83 B

    Price & billing details

    Semaglutide: $249/mo month-to-month for the injection; $219 on three months, $199 on six and $194 on twelve

    $2,988 / yr

  18. 18

    SkinnyRx

    Most states · Index 74 C

    Price terms: $249/mo month to month after a $99 first month; $199/mo on a 12-month plan

    Price & billing details

    Semaglutide: $249/mo month to month after a $99 first month ($199/mo on a 12-month plan)

    $2,988 / yr

  19. 19

    Direct Meds

    Not disclosed · Index 71 C

    Price terms: sublingual, 90-day supply billed monthly

    Price & billing details

    Semaglutide: $249/mo (sublingual, 90-day supply billed monthly)

    $2,988 / yr

  20. 20

    MyDrHank

    Not published; program excludes KS, LA, MS, NM, ND, WV · Index 65 C

    Price terms: yearly prepay: $171 / $178

    Price & billing details

    Semaglutide: $249/mo oral, $259/mo injectable (yearly prepay: $171 / $178)

    $2,988 / yr

  21. 21

    Oak

    45 states (list not published) · Index 77 C

    Price terms: same price at every dose; $200/mo on a 3-month supply paid upfront

    Price & billing details

    Semaglutide: $250/mo (same price at every dose; $200/mo on a 3-month supply paid upfront)

    $3,000 / yr

  22. 22

    Willow

    35 states + Puerto Rico · Index 68 C

    Price & billing details

    Semaglutide: $299/mo (compounded, month to month)

    $3,588 / yr

  23. 23

    MEDGm

    All 50 states · Index 67 C

    Price terms: the advertised $179 is the first month only, after an automatically applied coupon

    Price & billing details

    Semaglutide: $299/mo month-to-month (the advertised $179 is the first month only, after an automatically applied coupon)

    $3,588 / yr

  24. 24

    Wellorithm

    All 50 states and D.C. · Index 72 C

    Price terms: fine print ties the price to a 3-month plan paid upfront

    Price & billing details

    Semaglutide: $899/mo (brand Wegovy; fine print ties the price to a 3-month plan paid upfront)

    $10,788 / yr

  25. 25

    Sesame Care

    Nationwide · Index 86 B

    Price terms: that rate needs a 12-month commitment

    Price & billing details

    Semaglutide: $149/mo medication + $59/mo care subscription (that rate needs a 12-month commitment)

    Not disclosed — sorted last

  26. 26

    Gala Health

    50 states claimed, no list published · Index 71 C

    Price & billing details

    Semaglutide: Compounded from $129/mo (plan length not stated); brand Ozempic $1,299/mo

    Not disclosed — sorted last

  27. 27

    WellMedr

    50 states claimed, no list published · Index 54 C

    Price terms: Not disclosed — sale price only, no standing rate

    Price & billing details

    Semaglutide: Not disclosed — sale price only, no standing rate

    Not disclosed — sorted last

  28. 28

    EverPrime

    Varies by treatment and state; confirmed during intake · Index 50 C

    Price terms: optional membership pricing

    Price & billing details

    Semaglutide: $249 standard one-month plan; optional membership pricing

    Not disclosed — sorted last

  29. 29

    YourEra

    Coverage not published · Index 43 C

    Price terms: Not disclosed — advertised from $79/mo with a new-patient coupon

    Price & billing details

    Semaglutide: Not disclosed — advertised from $79/mo with a new-patient coupon; the standing monthly rate shows only after you enter an email

    Not disclosed — sorted last

  30. 30

    HumeCare+

    Coverage not published · Index 42 C

    Price terms: $199/mo on a 3-month plan with a welcome credit applied; medication and dose not stated; plus a separate fee at enrollment and every refill, never published

    Price & billing details

    Semaglutide: $199/mo on a 3-month plan with a welcome credit applied (medication and dose not stated; plus a separate fee at enrollment and every refill, never published; compounded)

    Not disclosed — sorted last

  31. 31

    Ivy Rx

    Not published; confirm eligibility · Index 76 C

    Price & billing details

    Semaglutide: $77/mo from (standard shared GLP-1 injection headline, compounded; confirm selected plan)

    $924 / yr

  32. 32

    Tryozi

    All 50 states · Index 88 B+

    Price terms: current enrollment offer, all doses, compounded

    Price & billing details

    Semaglutide: $79/mo (current enrollment offer, all doses, compounded; usual price $279)

    $948 / yr

  33. 33

    Lean Meds

    All 50 states · Index 84 B

    Price terms: $79/mo month-to-month, flat at every dose; the advertised $49 is the 12-month plan

    Price & billing details

    Semaglutide: $79/mo month-to-month, flat at every dose (the advertised $49 is the 12-month plan)

    $948 / yr

  34. 34

    NuuVim

    All 50 states and DC (some services vary by state) · Index 81 B−

    Price terms: all doses, 3-mo plan, new patients only, compounded

    Price & billing details

    Semaglutide: $79/mo (all doses, 3-mo plan, new patients only, compounded)

    $948 / yr

  35. 35

    Vivanta Care

    All 50 states and D.C. · Index 80 B−

    Price terms: starting dose; $169, $229 and $299 at higher dose stages, compounded

    Price & billing details

    Semaglutide: $79/mo (starting dose; $169, $229 and $299 at higher dose stages, compounded)

    $948 / yr

  36. 36

    Hello Alpha

    Coverage not published · Index 67 C

    Price terms: brand Wegovy, plus a separate fee

    Price & billing details

    Semaglutide: $79/mo (brand Wegovy, plus a separate fee)

    $948 / yr

  37. 37

    Good Girl Rx

    All 50 states · Index 66 C

    Price terms: microdose tier, 12-month plan, compounded

    Price & billing details

    Semaglutide: $79/mo (microdose tier, 12-month plan, compounded)

    $948 / yr

  38. 38

    RxPepsDirect

    28 states · Index 60 C

    Price terms: starting dose, visit fee and shipping included, compounded

    Price & billing details

    Semaglutide: $79/mo (starting dose, visit fee and shipping included, compounded)

    $948 / yr

  39. 39

    Potere Health MD

    1 state · Index 62 C

    Price terms: starting dose, compounded

    Price & billing details

    Semaglutide: $80/mo (starting dose, compounded)

    $960 / yr

  40. 40

    PreventiveMD

    36 states · Index 77 C

    Price & billing details

    Semaglutide: $83/mo (as low as, term not published, all-in, compounded)

    $996 / yr

  41. 41

    Vaylen

    Terms say 49 states; marketing says all 50 · Index 75 C

    Price terms: 12-month program prepaid, compounded

    Price & billing details

    Semaglutide: $83/mo advertised from (12-month program prepaid, compounded; exact total to confirm)

    $996 / yr

  42. 42

    Balanced Hormone Health

    47 contiguous states (excluding CA; package limits apply) · Index 81 B−

    Price terms: ~$85.37/mo equivalent; $197 vial, estimated 10 weeks at starting dose, compounded

    Price & billing details

    Semaglutide: ~$85.37/mo equivalent ($197 vial, estimated 10 weeks at starting dose, compounded)

    $1,024 / yr

  43. 43

    Sunlight

    All 50 states · Index 84 B

    Price terms: starting price, flat monthly, compounded

    Price & billing details

    Semaglutide: $88/mo (starting price, flat monthly, compounded)

    $1,056 / yr

  44. 44

    LevelsRx

    All 50 states · Index 81 B−

    Price terms: starting price, shown as a sale from a struck-through $249

    Price & billing details

    Semaglutide: $88/mo (starting price, shown as a sale from a struck-through $249; oral liquid from $108, compounded)

    $1,056 / yr

  45. 45

    Dollar Dad Club

    All 50 states (per FAQ; therapy restrictions vary) · Index 83 B

    Price terms: compounded, any dose; confirm plan length and renewal

    Price & billing details

    Semaglutide: $89/mo advertised (compounded, any dose; confirm plan length and renewal)

    $1,068 / yr

  46. 46

    Mint Med

    36 states (published list; confirm yours) · Index 81 B−

    Price terms: all doses, month-to-month, compounded

    Price & billing details

    Semaglutide: $89/mo (all doses, month-to-month, compounded)

    $1,068 / yr

  47. 47

    Nu Image Medical

    All 50 states · Index 74 C

    Price terms: as low as, 6-month supply, compounded

    Price & billing details

    Semaglutide: $89/mo (as low as, 6-month supply, compounded)

    $1,068 / yr

  48. 48

    Revel RX

    Coverage not published · Index 72 C

    Price terms: all doses, compounded

    Price & billing details

    Semaglutide: $89/mo (all doses, compounded)

    $1,068 / yr

  49. 49

    altRX

    Coverage not published · Index 70 C

    Price terms: all doses, compounded

    Price & billing details

    Semaglutide: $89/mo (all doses, compounded)

    $1,068 / yr

  50. 50

    Enhanced

    Not published · Index 65 C

    Price terms: starting price, compounded

    Price & billing details

    Semaglutide: $89/mo (starting price, compounded)

    $1,068 / yr

  51. 51

    LumiMeds

    Coverage not published · Index 57 C

    Price terms: first month as low as $39

    Price & billing details

    Semaglutide: $89/mo (as low as, fixed-term plan, plan length not stated, compounded; first month as low as $39)

    $1,068 / yr

  52. 52

    LVNG RX

    All 50 states · Index 72 C

    Price terms: new-patient offer, starting price, compounded

    Price & billing details

    Semaglutide: $90/mo (new-patient offer, starting price, compounded)

    $1,080 / yr

  53. 53

    BiltRx

    Coverage not published · Index 66 C

    Price terms: $81/mo + $9.99/mo required membership

    Price & billing details

    Semaglutide: $81/mo + $9.99/mo required membership (compounded; consultation and shipping extra)

    $1,092 / yr (includes $9.99/mo membership)

  54. 54

    Novera MD

    Not published · Index 64 C

    Price terms: starting price, plan length not shown before the intake, compounded

    Price & billing details

    Semaglutide: $94.31/mo (starting price, plan length not shown before the intake, compounded)

    $1,128 / yr

  55. 55

    Mondae

    All 50 states · Index 79 C

    Price terms: $87 every 28 days month-to-month; the advertised $75 is the three-month prepay

    Price & billing details

    Semaglutide: $87 every 28 days month-to-month (13 charges a year; the advertised $75 is the three-month prepay)

    $1,131 / yr (13 charges)

  56. 56

    FMmeds

    All 50 states · Index 84 B

    Price terms: all doses, physician review and medication included, compounded

    Price & billing details

    Semaglutide: $95/mo (all doses, physician review and medication included, compounded)

    $1,140 / yr

  57. 57

    Vitara RX

    49 states · Index 87 B+

    Price & billing details

    Semaglutide: $99/mo

    $1,188 / yr

  58. 58

    Alan Meds

    All 50 states · Index 84 B

    Price & billing details

    Semaglutide: $99/mo

    $1,188 / yr

  59. 59

    SnagRx

    All states except Louisiana (Nebraska: 19 and older) · Index 81 B−

    Price terms: $99/mo month-to-month, same price at every dose; $89 on a 3-month plan, $79 on 6 months, $69 on 12 months

    Price & billing details

    Semaglutide: $99/mo month-to-month, same price at every dose ($89 on a 3-month plan, $79 on 6 months, $69 on 12 months)

    $1,188 / yr

  60. 60

    Teleios Health

    All 50 states · Index 77 C

    Price & billing details

    Semaglutide: $99/mo (includes medication, provider visits and shipping, compounded)

    $1,188 / yr

Method · Year figures are the disclosed semaglutide rate × the charges in a year (13 for a plan billed every four weeks), plus any membership the company requires and publishes at a fixed amount (the row says so) — not a quote. Nothing is estimated: dose escalation, first-month promotions, one-time consult and lab fees and unpublished fees are not in the number, so read every row as a floor. Partners are placed first; every row is still ordered by annual cost within its group. Assume any provider we list may compensate us — we may earn a commission at no extra cost to you, which we disclose rather than leave you to infer. See the disclosure and methodology.

$15,881 separates the cheapest semaglutide year from the dearest

Collective anchors the bottom of the ranking at $59/mo for the medication, plus a required $199/year membership billed separately — about $907 across a year. At the other end, Layla runs $16,788 for the same twelve months of the same molecule. That gap does not come from the drug — it comes from the program wrapped around it.

Collective serves 44 states (not AL, CA, LA, MA, MS or WA) — a price you cannot legally buy in your state is not a price. Among providers publishing an all-50-state footprint the cheapest semaglutide year is Tryozi at $948, and that is the number most readers should actually compare against.

What you save by choosing semaglutide over tirzepatide

Pricing the year mostly keeps the order a monthly list already shows; the exception is a plan billed every four weeks, which charges 13 times a year. Where this site earns its keep is the number no sticker-price list computes: at providers we track that disclose both molecules, semaglutide costs less than tirzepatide over a year at every one of them except where the two are priced identically — see semaglutide vs. tirzepatide, cost and efficacy for how the two actually compare on outcomes, not just price. The saving ranges from $-3,600 a year (as low as Nurx) to $4,596 a year (at Docberry), averaging about $893. 19 providers on that list — Amble and Teleios Health and Aspen and Nu Image Medical and Clume Health and InstaRX and Hello Alpha and Iron Med RX and Lighter You and CaliberRx and Gaya Wellness and DadVantage Men's Health and AVArx and Layla and Arc-1 and Lemonaid Health and Mint Medical Clinic and Meto and Thryve — charge the same price for both molecules, so there is no saving there either way.

ProviderSema / yrTirz / yrAnnual saving on sema
Docberry$2,388$6,984$4,596
VirtualCare2Go$3,348$7,548$4,200
Neo Soma Healthcare$2,587$6,435$3,848
Wellorithm$10,788$14,388$3,600
Bioverse$1,548$4,788$3,240
Youth & Soul$1,788$4,788$3,000
MediRX$2,148$4,788$2,640
Breeze Meds$2,388$4,788$2,400
Heva Health$2,388$4,788$2,400
Options Medical Weight Loss$2,388$4,788$2,400
Rivas Medical Weight Loss$4,788$7,188$2,400
FuturHealth$2,376$4,740$2,364
Care Clinics$1,920$4,277$2,357
Wholesome Clinic$1,908$4,188$2,280
Injectco$2,988$5,100$2,112
Henry Meds$2,148$4,188$2,040
Oria Meds$2,388$4,428$2,040
Premium Health$3,300$5,340$2,040
Fidelity Medical Clinic$2,587$4,537$1,950
MadeMed$2,868$4,788$1,920
FitRx$3,564$5,388$1,824
Zealthy$3,564$5,388$1,824
AM Rx$3,564$5,388$1,824
Heally$1,788$3,588$1,800
OrderlyMeds$1,788$3,588$1,800
Synergy Rx$2,388$4,188$1,800
Knownwell$1,788$3,588$1,800
Walgreens Weight Management$1,788$3,588$1,800
LifeMD$3,576$5,376$1,800
PrideRx$2,976$4,776$1,800
GetRelief Rx$2,508$4,308$1,800
ZipHealth$1,788$3,588$1,800
Maven Clinic$3,588$5,388$1,800
Try Ageless$1,188$2,988$1,800
Levers Health$2,964$4,752$1,788
Lean Rx$3,192$4,788$1,596
GobyMeds$2,028$3,588$1,560
EOS Health$2,028$3,588$1,560
NuBloom$1,788$3,348$1,560
Unique Physique$1,908$3,468$1,560
Neuvé Health$2,628$4,188$1,560
Invigor Medical$2,700$4,200$1,500
Call-On-Doc$3,000$4,500$1,500
Tonik Wellness$2,700$4,188$1,488
DrBrainRx$1,848$3,288$1,440
Transparent Meds$2,748$4,188$1,440
LeanDose$1,908$3,348$1,440
Fitish$2,628$4,068$1,440
Tru2u$2,700$4,140$1,440
MedLeanRx$1,788$3,228$1,440
HealthOn$3,060$4,500$1,440
The Calibrate Clinic$2,580$3,948$1,368
Yucca Health$1,752$3,096$1,344
Kongo$1,428$2,748$1,320
Rx.com$2,100$3,420$1,320
Näky$2,220$3,540$1,320
Fridays$2,988$4,308$1,320
Pallas Health$2,587$3,887$1,300
NiceRx$1,937$3,237$1,300
Contour Health$1,300$2,600$1,300

What the annual figure leaves out

Every number above is the disclosed rate times the charges in a year (13, not 12, for a plan billed every four weeks) — we invent no cost the ranking does not record. That multiplier also does not tell you where a program is available. These providers do not publish an all-50-state footprint:

  • Collective — 44 states (not AL, CA, LA, MA, MS or WA)
  • Ivy Rx — Not published; confirm eligibility
  • Hello Alpha — Coverage not published
  • RxPepsDirect — 28 states
  • Potere Health MD — 1 state
  • PreventiveMD — 36 states
  • Balanced Hormone Health — 47 contiguous states (excluding CA; package limits apply)
  • Mint Med — 36 states (published list; confirm yours)
  • Revel RX — Coverage not published
  • altRX — Coverage not published
  • Enhanced — Not published
  • LumiMeds — Coverage not published
  • BiltRx — Coverage not published
  • Novera MD — Not published
  • Strut Health — 49 states (not Arkansas)
  • Vitara RX — 49 states
  • SnagRx — All states except Louisiana (Nebraska: 19 and older)
  • Harbor — Coverage not published
  • Liv Body — Not published
  • HealthHub — Coverage not published
  • Zeuss — Coverage not published
  • AbundRX — Coverage not published
  • Luci — Coverage not published
  • Trinity Meds — Coverage not published
  • Livea — 4 states
  • Medi-Weightloss — Coverage not published
  • Try Ageless — Not published
  • Thryve — Not disclosed
  • Medical Health Institute — Coverage not published
  • RxPros — Coverage not published
  • Factor Health MD — Coverage not published
  • Stealth Health — Coverage not published
  • Lttl — Coverage not published
  • Contour Health — 46 states (not MI, MS, KY or AR)
  • OurView Health — 46 states plus DC (excludes AR, CT, HI and NJ)
  • Blis MD — 29 states
  • Belle Health — Confirm state eligibility before enrolling
  • JustAnswer Weight Loss — Coverage not published
  • Lumen Meds — Coverage not published
  • Bliv — Coverage not published
  • Nucific — Coverage not published
  • Trava Health — Confirm availability in your state before paying
  • Measured — Coverage not published
  • Pomegranate Health — Coverage not published
  • VevaRX — 36 states
  • Luma Health Co — 30 states
  • BeyondMD — Coverage not published
  • Citizen Meds — Coverage not published
  • VitaStir — Coverage not published
  • Woodwork — Coverage not published
  • Brightmeds — 38 states + DC
  • DoctorAdam — 44 states
  • Novi — Coverage not published
  • Roboclinic — Coverage not published
  • One80Rx — Not published
  • Alternate Health Club — Coverage not published
  • Metaboost Rx — Coverage not published
  • Yes Clinic — Not published
  • Nuform Health — Coverage not published
  • Liberty — Coverage not published

Dose escalation, a promotional first month that resets, one-time consult or lab fees and any fee a company does not publish are also not in the number (a required membership with a published price is) — the method is the same one behind the true monthly cost of GLP-1, and the cost calculators will run your own numbers.

Cheapest semaglutide, answered

What is the cheapest semaglutide provider over a full year?
At its disclosed rate, plus any required published fee, Collective carries the lowest twelve-month semaglutide cost we track — $59/mo for the medication, plus a required $199/year membership billed separately works out to about $907 a year. It serves 44 states (not AL, CA, LA, MA, MS or WA), which is the catch. Among providers publishing an all-50-state footprint, the lowest twelve-month figure is Tryozi at about $948.
Is cheap compounded semaglutide the same as Wegovy or Ozempic?
No. Wegovy and Ozempic are Novo Nordisk's FDA-approved brand semaglutide — Wegovy for chronic weight management, Ozempic for type 2 diabetes, both reviewed by the FDA for safety, effectiveness and quality. Wegovy's approximate US cash list price is around $1,349/mo. Compounded semaglutide, which is almost everything here, is a different product prepared by a compounding pharmacy — same active ingredient in most cases, but not FDA-approved and not FDA-reviewed as a finished drug.
How much less does semaglutide cost than tirzepatide at the same provider?
Across the providers we track that disclose both molecules, choosing semaglutide over tirzepatide saves $-3,600 to $4,596 a year, averaging about $893. 19 providers on that list price both molecules identically, so the saving there is zero.
Does pricing a full year change which provider is cheapest?
Sometimes. A plan billed monthly is twelve charges a year, so it keeps the order a monthly list would show; a plan billed every four weeks is thirteen charges, so its year costs one charge more than its sticker suggests. What can also move a row on the page you're looking at is placement: partners are surfaced first, as they are on every ranking on this site (see our disclosure), and every row is still ordered strictly by twelve-month cost within its group. The dollar figure next to each provider is never adjusted either way.
What does the twelve-month semaglutide figure leave out?
It is the disclosed semaglutide rate times the charges in a year (13, not 12, for a plan billed every four weeks), plus any membership or care fee the company requires and publishes at a fixed monthly or yearly amount, such as a $199 annual membership. Nothing is estimated. It does not model dose escalation into a higher price tier, a promotional first month that resets, one-time consultation or lab fees, optional add-ons, or a fee the company does not publish. Every one of those pushes the real figure up, never down.

The other rankings

Related reading: compounded vs brand-name GLP-1 cost, is compounded semaglutide legit and safe, semaglutide vs tirzepatide value, or line two finalists up side by side.

Prices are each provider's public disclosures at last check and move fast — confirm before you buy. Compounded medications are not FDA-approved. Not medical advice; see our medical disclaimer.