Ozempic's list price is $997.58 for a 28-day pen — the same across every dose — which works out to roughly $12,000 a year. That's the number pharmacies bill when you have no coverage and no plan. It is not the number you should ever pay, because Novo Nordisk now sells Ozempic directly to cash payers at roughly a third of list, and the biggest money mistake uninsured patients make in 2026 is grabbing the wrong discount and paying $825+ for a $349 drug.
Direct answer: Without insurance, Ozempic costs $349 per month for the 0.25 mg, 0.5 mg, and 1 mg pens through NovoCare Pharmacy, GoodRx's Novo-backed offer, or Costco — with a $199/month introductory price for your first 2 fills as a new patient (offer currently runs through June 30, 2026). The 2 mg pen is $499/month. The new Ozempic tablets run $149-$299/month by dose. Standard discount cards land at $822-$965 — never use them.
This page is the price sheet. For every savings program ranked, the fine print, and the scam filter, see the Ozempic coupon guide.
How Much Is Ozempic Without Insurance? The Cash Price Ladder
Every self-pay route in June 2026, worst to best:
| Route | Monthly price | Catch |
|---|---|---|
| List price / walk-in retail | $997.58 | What you pay with no program at all |
| Standard GoodRx coupon | ~$825-$965 | The trap — more than double the Novo price |
| SingleCare discount card | ~$822-$851 | Same trap; only niche is government-plan patients |
| NovoCare pen, 2 mg | $499 | Highest maintenance dose costs more |
| NovoCare pen, 0.25/0.5/1 mg | $349 ($199 first 2 fills, new patients) | Government beneficiaries excluded |
| Costco Pharmacy (via Sesame) | $349 ($199 intro) | Requires active Costco membership |
| Ozempic tablets, 9 mg | $299 | One month = 30 tablets |
| Ozempic tablets, 4 mg | $199 | — |
| Ozempic tablets, 1.5 mg | $149 | Lowest brand-name entry price |
| Novo Patient Assistance Program | Free | Uninsured, income ≤400% FPL, T2D diagnosis |
| Compounded semaglutide (telehealth) | ~$146-$300 | Not brand Ozempic; licensed pharmacies only |
For how these numbers compare to Wegovy, Mounjaro, and the rest of the class, see the GLP-1 price comparison and cheapest GLP-1 options.
How Much Does Ozempic Cost Per Month via NovoCare?
Novo's official price guide (May 2026), dose by dose:
| Product | Dose | Cash price |
|---|---|---|
| Ozempic pen | 0.25 mg, 0.5 mg | $199/month first 2 fills (new patients, through June 30, 2026), then $349 |
| Ozempic pen | 1 mg | $349/month |
| Ozempic pen | 2 mg | $499/month |
| Ozempic tablets | 1.5 mg | $149/month |
| Ozempic tablets | 4 mg | $199/month |
| Ozempic tablets | 9 mg | $299/month |
You still need a prescription — your prescriber sends it electronically to NovoCare Pharmacy for free home delivery, or you redeem the same pricing at retail through GoodRx's Novo partnership. One month means 1 pen box (28 days) or 1 bottle of 30 tablets. Government beneficiaries are excluded even when self-paying, and the $199 intro deadline has already been extended once (it originally ended March 31, 2026), so verify the current window before filling.
The GoodRx Trap: Two Very Different Ozempic Prices
GoodRx shows two unrelated prices for the same drug, and uninsured searchers routinely grab the wrong one:
| GoodRx option | Price | Verdict |
|---|---|---|
| GoodRx × Novo Nordisk offer | $199 first 2 fills, then $349 (2 mg: $499) | Use this — Novo's own price at nearly all retail pharmacies |
| Standard GoodRx coupon | ~$825-$965 | Skip — it's a generic pharmacy discount on a full-price brand |
The difference is ~$500 a month for identical pens. If the price on your screen starts with an 8 or 9, you're looking at the wrong offer. Neither can be combined with insurance or with the manufacturer savings card — every fill uses exactly one payment route.
Ozempic Cost at Costco
Since November 2025, active Costco members can fill self-pay Ozempic at Costco Pharmacy for $349/month with the same $199 intro for the first two months. The prescription comes through Success by Sesame (Sesame's telehealth program) or your own doctor, and Costco Executive members and Citi cardholders earn an extra 2% back. It's the same Novo-set price as home delivery — choose it if you'd rather pick up in person.
Ozempic Out-of-Pocket Cost Per Year
| Scenario | Monthly | Annualized |
|---|---|---|
| List price, no programs | $997.58 | ~$11,971 |
| Standard discount card | ~$825-$965 | ~$9,900-$11,580 |
| NovoCare/GoodRx/Costco, first year (≤1 mg) | $199 × 2, then $349 | $3,888 |
| 2 mg maintenance, full year | $499 | $5,988 |
| Ozempic tablets at 9 mg | $299 | $3,588 |
The honest comparison: the official cash route saves roughly $8,000 a year versus list. If $3,888 is still out of reach, that's the decision point below.
None of these numbers work for you? Yücca telehealth — online evaluation, doctor-prescribed compounded Semaglutide+ or Tirzepatide+ filled by a licensed US pharmacy, from $146/month. (Partner link: we may earn a commission, at no extra cost to you.)
The Type 2 Diabetes Label Changes the Math
Ozempic is FDA-approved for type 2 diabetes only. Cash payers can buy it for off-label weight loss — NovoCare's self-pay program doesn't check indication — but the label matters in three places:
- Insurance almost never covers Ozempic without a T2D diagnosis, which is what pushes weight-loss patients into cash pricing in the first place.
- The $25 savings card requires an on-label prescription plus commercial coverage — off-label users are locked out (see Ozempic vs Wegovy for why the label split exists).
- The free Patient Assistance Program (uninsured, income ≤400% of the federal poverty level) also requires a T2D diagnosis.
If weight loss is the goal and you're paying cash anyway, compare the same-molecule alternative first: Wegovy's cash prices start at $149/month for the pill and include a $249/month 12-month subscription that Ozempic doesn't offer.
Ozempic Price With Insurance: Briefly
With commercial insurance that covers Ozempic and a T2D prescription, the savings card drops your cost to as little as $25 per fill (up to a 3-month supply), capped at $100/month in savings, for up to 48 months — full terms in the Ozempic savings card guide. Most Medicare Part D plans cover Ozempic for diabetes, with plan-dependent copays.
And mark January 1, 2027: Novo is cutting Ozempic's list price to $675/month (about 35% off), which lowers deductible-phase and co-insurance costs — though Novo says self-pay prices stay as they are. New to the drug? Start with the complete Ozempic guide.
Frequently Asked Questions
How much is Ozempic without insurance? $349/month for the 0.25, 0.5, and 1 mg pens via NovoCare, GoodRx's Novo offer, or Costco — $199/month for your first 2 fills as a new patient. The 2 mg pen is $499, and Ozempic tablets run $149-$299 by dose. List price is $997.58.
How much does Ozempic cost per month at the pharmacy with no discounts? The list price: $997.58 per 28-day pen, sometimes more at retail. A standard discount card only trims that to roughly $822-$965 — always use the Novo-backed cash pricing instead.
What's the cheapest way to get Ozempic without insurance? Ozempic tablets at $149/month (1.5 mg) are the cheapest brand entry; pens bottom out at $199/month for the first 2 fills, then $349. Low-income uninsured patients with type 2 diabetes can get it free through Novo's Patient Assistance Program.
How much is Ozempic per year without insurance? About $3,888 in year one on the official cash route at doses up to 1 mg ($5,988 at 2 mg), versus ~$11,971 at list price.
Can I buy Ozempic for weight loss without insurance? Yes — self-pay pricing doesn't check indication, only the savings card does. But compare Wegovy first: same molecule, weight-loss label, and cheaper entry points ($149 pill, $249/month subscription).
Will Ozempic get cheaper? Its list price drops to $675/month on January 1, 2027, per Novo's February 2026 announcement. Cash prices ($199-$499) are unaffected — they're already below that.
Last reviewed: June 13, 2026
Sources
- Ozempic Savings, Self Pay, & Home Delivery — NovoCare Pharmacy
- Ozempic Pill and Pen Price Guide (PDF) — NovoCare
- Ozempic Cost and Insurance Coverage — ozempic.com
- Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic for $199 per month — PR Newswire
- Novo Nordisk announces significant reduction in US list price for Wegovy, Ozempic, and Rybelsus — PR Newswire
- Costco Members Can Now Get Half-Priced Ozempic & Wegovy Through Sesame — Sesame
- Ozempic 2026 Prices, Coupons & Savings Tips — GoodRx
