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Semaglutide Cost Without Insurance

Apr 9, 2024
Semaglutide Cost Without Insurance

Have you heard of the new diet trend—Oatzempic? People are making meal replacement shakes from oats, water, lime juice, and a pinch of cinnamon. While oats are high in fiber and beta-glucan and are a nutritious carbohydrate source, consuming a diet based on oats is not healthy. So why are people doing it?

Ozempic (semaglutide) is expensive. As people ask their doctor, “How much is semaglutide without insurance?” and search online to determine their semaglutide cost without insurance, they become frustrated. The cost of semaglutide without insurance is beyond most people’s reach.

Semaglutide belongs to a class of medications called glucagon-like peptide-1 (GLP-1) receptor agonists. These medications act like GLP-1 hormone and attach to receptors in the gut and the brain. Semaglutide can stimulate insulin secretion from the pancreas and decrease glucagon release. Together, these actions can stabilize your blood sugar levels. Semaglutide slows stomach emptying and increases satiety, so you feel full longer.

What forms of semaglutide are available?

Semaglutide is available in oral and injectable forms to treat type 2 diabetes and obesity.

  • Ozempic: Prescribed to treat type 2 diabetes, Ozempic is administered as a once-weekly injection. It can be injected at any time of day and is not affected by food consumption. If you have type 2 diabetes and heart disease, Ozempic may also lower your risk of cardiovascular disease.
  • Rybelsus: Prescribed to treat type 2 diabetes, Rybelsus is taken first thing in the morning. After taking Rybelsus, you need to wait 30 minutes before eating, drinking, or taking other medications.
  • Wegovy: Prescribed to treat obesity, Wegovy is used to treat obesity or overweight if you have a medically related health condition. Wegovy can also reduce the risk of cardiovascular disease.
  • Compounded semaglutide: As long as semaglutide remains on the FDA drug shortages list, compounding pharmacies are permitted to produce small batches of compounded semaglutide for patients with a prescription for the medication. Compounded semaglutide has the same active ingredient as other forms of semaglutide, but compounded semaglutide is not FDA-approved. It has not gone through clinical trials. This is because the medication is prepared for patients with prescriptions, not mass-produced by a drug manufacturer.

The cost of Semaglutide without insurance

Prescription semaglutide is expensive. Novo Nordisk offers savings programs for people who do not have insurance and have a prescription for semaglutide.

Ozempic

Ozempic has a list price of $935.77 per pen. Novo Nordisk has a savings program for people with commercial or private insurance and a prescription for Ozempic. If you are eligible, you could pay as little as $25 for a 1 to 3-month supply for up to 24 months.

Novo Nordisk also offers a patient assistance program (PAP) that provides Ozempic free of charge to people who qualify. To be eligible for the program, you must:

  • Be a U.S. citizen or legal resident.
  • Have a total household income that is at or below 400% of the federal poverty level.
  • Have Medicare or no insurance.
  • Not qualify for or be enrolled in any other federal, state, or government program that may provide benefits.

Rybelsus

Without insurance, Rybelsus’s list price is $935.77 per package, which works out to about $31 per tablet. If you do not have insurance, you may have to pay the list price for Rybelsus, along with any associated pharmacy charges.

Novo Nordisk offers a PAP for people who do not have insurance and meet the program requirements. To be eligible for the program, you must:

  • Be a U.S. citizen or legal resident.
  • Have a total household income that is at or below 400% of the federal poverty level.
  • Have Medicare or no insurance.
  • Not qualify for or be enrolled in any other federal, state, or government program that may provide benefits.
semaglutide cost without insurance

Wegovy

Wegovy (semaglutide) is an FDA-approved medication for weight loss. It currently has a list price of about $1,350 for a 28-day supply. Novo Nordisk, the company that manufactures Wegovy, has a savings offer for people without insurance. On their website, you can also check whether your insurance plan covers Wegovy.

Steps to check whether you qualify for the Wegovy savings offer.

  1. Navigate to NovoCare and select the Get a Savings Offer tab.
  2. Eligibility: You are not eligible for the savings plan if you receive health benefits from any government, state, or federally funded program such as Medicare, Medicaid, Medigap, VA, DOD, or Tricare.
  3. You must be over the age of 18 and be a U.S. resident to qualify for Wegovy savings.

Compounded Semaglutide

Compounded semaglutide is an option as long as semaglutide remains on the FDA drug shortage list. Invigor Medical has partnered with compounding pharmacies to offer compounded semaglutide.

If you meet the BMI requirements (BMI 30 or higher, or 27 or higher with a weight-related medical condition) and do not have any contraindications to using semaglutide, you are eligible to meet with an Invigor Medical healthcare professional to discuss whether semaglutide is appropriate for you. If so, they will send a prescription to the compounding pharmacy, and the medication will be shipped to your home. Current prices for Invigor Medical compounded semaglutide are $316 per month.

Tips for navigating Semaglutide costs without insurance

While the cost of Semaglutide without insurance may seem daunting, these tips and strategies can help you navigate these costs more effectively:

1. Research and compare prices

Research and compare prices. GoodRx and Singlecare, among others, make it easy to compare the prices of semaglutide at various pharmacies. For example, in a moderate-sized midwestern town, the cost of Wegovy, 1 carton of 4 prefilled 0.25 mg pens varies from $1,311 to $1,619.

Shop online for compounded semaglutide to find the best prices, but be aware that not all compounded forms of semaglutide are the same. The U.S. Food and Drug Administration (FDA) continues to investigate counterfeit Ozempic. Choose a telemedicine platform, like Invigor Medical, that partners with licensed, U.S.-based compounding pharmacies.

2. Look for manufacturer discounts and patient assistance programs

Many pharmaceutical companies offer discounts and patient assistance programs for people who do not have insurance and are prescribed their medications. These programs can help reduce the cost of the medication or provide it at no cost for eligible individuals. Researching and reaching out to the manufacturers of Ozempic, Rybelsus, and Wegovy can help you determine if you qualify for any financial assistance.

3. Explore generic alternatives

Novo Nordisk is the company that makes semaglutide. Wegovy, Rybelsus, and Ozempic are all covered under patent protection, and no generic alternatives are available.

However, since semaglutide is currently listed under the FDA medication shortage list, compounded forms of semaglutide are available if you have a prescription for semaglutide from a licensed healthcare provider.

4. Use prescription discount cards

Prescription discount cards can provide significant savings on medications, including Wegovy, Rybelsus, and Ozempic. These cards can be obtained online or through various organizations, and they can help reduce the cost of the medication at participating pharmacies.

A person talking to a doctor about the cost of semaglutide without insurance.

Importance of discussing semaglutide costs with your healthcare provider

If you are interested in prescription medications as an adjunct to a reduced-calorie diet and exercise to assist in your weight-loss journey but cannot afford prescription semaglutide, talk with your doctor about other prescription alternatives.

Prescription weight-loss medications are highly effective but also prohibitively expensive. Manufacturers, such as Novo Nordisk, offer programs to reduce the cost of prescription weight loss medications for people with and without insurance who meet the program qualifications.

Currently, options like compounded semaglutide are available. If you are interested in enrolling in an Invigor Medical weight loss program, start the process by completing your health forms. Semaglutide and other Invigor Medical weight loss programs include a doctor’s consultation, the medication, and any medical equipment you may need to administer the medication.  

Frequently Asked Questions

Why are people using Ozempic for weight loss despite its potential health risks?

While oats are nutritious, relying solely on oat-based meal replacement shakes, known as Ozempic, for weight loss isn’t advisable. People might turn to Ozempic due to its simplicity and perceived effectiveness, but it’s essential to understand that a balanced diet is crucial for overall health.

How much does semaglutide cost without insurance, and why is it so expensive?

Semaglutide, with the brand names Ozempic, Wegovy, and Rybelsus, can be costly without insurance coverage, often beyond many individuals’ means. Novo Nordisk provides savings programs and patient assistance to alleviate the financial burden for eligible individuals

What forms of semaglutide are available for treating type 2 diabetes and obesity?

Semaglutide is available in various forms, including injectable options like Ozempic and oral tablets like Rybelsus, each with its own administration instructions. Wegovy, another form of semaglutide, is specifically approved for treating obesity. Additionally, compounded semaglutide may be available during shortages.

How can individuals navigate the costs of semaglutide without insurance?

Researching prices, exploring manufacturer discounts and patient assistance programs, considering generic alternatives or compounded forms, and utilizing prescription discount cards are essential strategies for managing the costs of semaglutide. Discussing financial concerns with healthcare providers is also crucial for exploring available options.

What should individuals know about Ozempic and its potential risks?

Ozempic, a trend involving oat-based meal replacement shakes, might seem appealing for weight loss due to oats’ nutritional benefits. However, relying solely on Ozempic can lead to an unbalanced diet and may not provide adequate nutrition. It’s important to prioritize a diverse and balanced diet for overall health and well-being.

Disclaimer
While we strive to always provide accurate, current, and safe advice in all of our articles and guides, it’s important to stress that they are no substitute for medical advice from a doctor or healthcare provider. You should always consult a practicing professional who can diagnose your specific case. The content we’ve included in this guide is merely meant to be informational and does not constitute medical advice.

Semaglutide Cost Without Insurance

Leann Poston, M.D.

Dr. Leann Poston is a licensed physician in the state of Ohio who holds an M.B.A. and an M. Ed. She is a full-time medical communications writer and educator who writes and researches for Invigor Medical. Dr. Poston lives in the Midwest with her family. She enjoys traveling and hiking. She is an avid technology aficionado and loves trying new things.


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