Self-pay vs insurance

What a GLP-1 medication really costs you a year.

A free calculator that compares the self-pay price of a GLP-1 with what you'd pay through insurance - deductible, copay or coinsurance, and any savings card. Enter your own plan details for a realistic yearly estimate.

Free & no sign-upDated, sourced pricesSelf-pay vs insured
Medication on a pharmacy shelf
Example · enter your own price
$6,000/yr
$500/mo self-pay × 12 (illustrative)

Why it's confusing

The "price" of a GLP-1 depends entirely on how you pay

The same medication can cost wildly different amounts: a manufacturer self-pay program, a pharmacy cash price, or an insured price that changes month to month as you move through your deductible. Headline numbers rarely match what you'll actually pay.

This calculator works from your quoted price and your plan, so you compare real out-of-pocket totals - not a figure from an ad.

A pharmacist handling medication

How it works

Three steps to a real number

1

Enter the price

The self-pay price from the manufacturer, or what your pharmacy quotes.

2

Add your plan

Deductible, copay or coinsurance, out-of-pocket max, and any savings card.

3

See the year

Your estimated 12-month out-of-pocket cost, self-pay vs insured, side by side.

What you get

Month-by-month, not a guess

Because insured costs front-load into your deductible, the calculator models each month - high while you're meeting the deductible, then your copay or coinsurance, capped at your out-of-pocket maximum. It shows which route is cheaper over the year and by how much.

Every figure is one you enter or can trace to a manufacturer or Medicare page, so you're never relying on our numbers.

Reviewing insurance costs on paper
Medication and a prescription

Why trust these numbers

Sourced, dated, and yours to edit

Any price we quote comes from the manufacturer's own pages - Novo Nordisk's NovoCare for Wegovy, Lilly's site for Zepbound - or from Medicare.gov for coverage, each shown with the date we checked it. We never copy prices from other calculator sites.

Drug prices and coverage change often, so treat every figure as "as of" its date and confirm the current price with the manufacturer, your pharmacy and your insurer. This is a cost-estimating tool - not medical, insurance or financial advice - and it's not affiliated with Novo Nordisk or Eli Lilly.

Ready?

Estimate your year of costs now

Free and private - compare self-pay and insured out-of-pocket costs with your own numbers.

Open the calculator

Common questions

How much does a GLP-1 medication cost per month without insurance?

Self-pay list prices vary by drug: Wegovy (semaglutide) is around $1,349/month, Zepbound (tirzepatide) vials start around $549/month through Lilly Direct, and Ozempic carries a similar list price to Wegovy. Actual out-of-pocket cost depends on whether you use a manufacturer savings card, a compounding pharmacy, or a telehealth programme. Use the calculator above with your own quoted price for a realistic figure.

Does insurance cover GLP-1 medications for weight loss?

Coverage varies widely. Medicare Part D does not cover GLP-1s for weight loss (only for diabetes). Many commercial plans exclude them for obesity; some cover them with prior authorisation. Medicaid coverage differs by state. Enter your plan's deductible, copay or coinsurance percentage in the calculator to estimate your actual annual cost with insurance versus self-pay.

What is a GLP-1 savings card and how much does it save?

Manufacturer savings cards (such as Novo Nordisk's Wegovy savings card or Lilly's Zepbound savings card) cap monthly out-of-pocket cost for eligible commercially insured patients — typically at $25–$150 per month. They do not apply to Medicare or Medicaid patients. The calculator has a savings card field so you can see the annual saving against your insurance cost.

Is Ozempic the same as Wegovy?

Both contain semaglutide, but they are different products at different doses. Ozempic is approved for type 2 diabetes (up to 2 mg weekly); Wegovy is approved for weight management (up to 2.4 mg weekly). Insurance coverage, list price and savings card eligibility differ between the two. Enter the price you are actually quoted in the calculator rather than using either drug's headline list price.