Wegovy (semaglutide) now has honest cash prices: Novo Nordisk sells the pen for $349 a month at every standard dose through NovoCare Pharmacy, with a $199-per-month promo on the first two fills for new patients through the end of 2026, and the Wegovy pill runs $149 to $299 by dose. Telehealth brands sell the same medication at the same med prices, then add a required membership fee on top. Every current channel is below, sorted by what actually leaves your account.
| Channel | Form & dose | Med / month | Required fee | True monthly | First month | Status |
|---|---|---|---|---|---|---|
| NovoCare Pharmacy LOWEST LISTED Manufacturer direct, cash pay | pill · 1.5 mg | $149 | — | $149 | — | listed price source |
| Sesame Care Telehealth — brand pass-through | pill · 1.5/4 mg | $149 | — | $149 | — | listed price source |
| NovoCare Pharmacy Manufacturer direct, cash pay | pill · 4 mg | $199 | — | $199 | — | listed price source |
| Hims & Hers Telehealth — brand meds only (since Mar 2026) | pill · from $149 | $149 | $149/mo | $298 | — | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pill · 1.5 mg | $149 | $149/mo | $298 | — | listed price source |
| NovoCare Pharmacy Manufacturer direct, cash pay | pill · 9 mg | $299 | — | $299 | — | listed price source |
| NovoCare Pharmacy Manufacturer direct, cash pay | pill · 25 mg | $299 | — | $299 | — | listed price source |
| Sesame Care Telehealth — brand pass-through | pill · 9/25 mg | $299 | — | $299 | — | listed price source |
| Hims & Hers Telehealth — brand meds only (since Mar 2026) | pen · from $199 | $199 | $149/mo | $348 | — | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pill · 4 mg | $199 | $149/mo | $348 | — | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pen · 0.25/0.5 mg (promo) | $199 | $149/mo | $348 | — | listed price source |
| LifeMD Telehealth + insurance navigation | pen · starting at $199 | $199 | $149/mo | $348 | — | listed price source |
| NovoCare Pharmacy Manufacturer direct, cash pay | pen · 0.25–2.4 mg (all standard doses) | $349 | — | $349 | $199 | listed price source |
| Sesame Care Telehealth — brand pass-through | pen · standard doses | $349 | — | $349 | $199 | listed price source |
| NovoCare Pharmacy Manufacturer direct, cash pay | pen · 7.2 mg (high dose) | $399 | — | $399 | $199 | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pill · 9/25 mg | $299 | $149/mo | $448 | — | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pen · 1–2.4 mg | $349 | $149/mo | $498 | — | listed price source |
| Ro (Ro Body) Telehealth — brand meds only | pen · 7.2 mg (high dose) | $399 | $149/mo | $548 | — | listed price source |
True monthly = medication plus any required membership/program fee. "Listed price" is the provider's own published number on the date shown; the green check is reserved for rows we've walked to checkout. Cheapest listed right now: NovoCare Pharmacy at $149/month.
As of 2026-09-04: NovoCare Pharmacy at $149 per month (pill, 1.5 mg) — and if you have any insurance angle (commercial coverage or Medicare's Bridge program), check it before paying cash; copays can beat every number here. Or let the Savings Wizard compute your personal cheapest path in four questions.
They charge a required monthly membership on top of the manufacturer's med price — typically $149/month. That fee buys the prescriber relationship and support. Whether it's worth $1,800 a year is the question our membership-fee analysis answers.
Constantly — that's the reason this site exists. Automated monitoring diffs every tracked pricing page weekly, and every confirmed change lands in the changelog. The alert list on the homepage gets one email per change.
Pricing journalism, not medical advice. Some links may earn us a commission; rankings are ordered by verified cost, never by compensation — disclosure.