How much do GLP-1 medications cost without insurance?
Paying cash for a GLP-1 should not mean a mystery bill. This guide lays out the real numbers: brand list prices, manufacturer self-pay offers, and our flat all-inclusive membership. Every price here is published by the source we name, current as of July 2026.
Check your eligibility, freeWhat the brands cost when you pay cash
These figures come from the manufacturers' own published pricing.
Wegovy®
Novo Nordisk publishes a list price of $1,349.02 per package, which is about a 28-day supply. Most cash payers use the manufacturer's self-pay pharmacy instead, where the pens run $349 to $399 a month depending on dose. The daily pill starts at $149 a month through the same program.
Zepbound®
Eli Lilly's self-pay program prices Zepbound pens at $299 to $699 a month, rising with the dose. Before self-pay discounts, brand GLP-1 list prices often top $1,000 a month. Either way, the price covers the medication only, not your doctor.
Here is the part cost pages often skip. Brand self-pay prices buy the medication and nothing else. You still need a prescriber, follow-up visits, and someone managing your dose, and those are billed separately.
Sources: Novo Nordisk pricing pages at novocare.com and wegovy.com; Eli Lilly pricing at zepbound.lilly.com. Accessed July 2026. Manufacturer prices and offers change; check their pages for current figures.
Monthly cash cost, compared
What you pay, and what that payment actually includes.
Swipe the table sideways on small screens →
| Option | Monthly cash cost | Doctor visits included? | Source of price |
|---|---|---|---|
| Wegovy® at full list price | $1,349.02 per package | No | Novo Nordisk published list price |
| Wegovy® pens, manufacturer self-pay | $349 to $399 | No | Novo Nordisk self-pay pharmacy |
| Zepbound® pens, manufacturer self-pay | $299 to $699 by dose | No | Eli Lilly self-pay program |
| TOM compounded semaglutide membership | $199, all-inclusive | Yes | Our published pricing |
| TOM compounded tirzepatide membership | $249, all-inclusive | Yes | Our published pricing |
Manufacturer prices verified July 2026 and subject to change. Brand rows cover medication only; TOM rows include physician care, medication, and shipping. Full plan details are on our pricing page.
Compounded semaglutide is prepared by state-licensed pharmacies. It is not reviewed or approved by the FDA for safety or effectiveness, is not the same as commercially available brand-name products, and carries additional risks. Talk with your licensed provider about whether a compounded medication is right for you.
Compounded tirzepatide is prepared by state-licensed pharmacies. It is not reviewed or approved by the FDA for safety or effectiveness, is not the same as commercially available brand-name products, and carries additional risks. Talk with your licensed provider about whether a compounded medication is right for you.
Why compounded pricing is different
Compounded semaglutide and tirzepatide contain the same active ingredients as Wegovy and Zepbound. The difference is who prepares them. A compounding pharmacy (a state-licensed pharmacy that prepares medication to a physician's prescription) makes them, rather than the brand manufacturer.
Our flat monthly membership includes the medication, and current prices are on our pricing page.
The tradeoff is real and worth knowing. Compounded medications are not FDA-approved, while the brands are. Dr. Le walks through that choice with you, and if brand is the better fit, we support it through our $100/month à la carte plan.
Compounded semaglutide is prepared by state-licensed pharmacies. It is not reviewed or approved by the FDA for safety or effectiveness, is not the same as commercially available brand-name products, and carries additional risks. Talk with your licensed provider about whether a compounded medication is right for you.
Compounded tirzepatide is prepared by state-licensed pharmacies. It is not reviewed or approved by the FDA for safety or effectiveness, is not the same as commercially available brand-name products, and carries additional risks. Talk with your licensed provider about whether a compounded medication is right for you.
Why brand cash prices run high
- List prices are set before any insurance rebates
- Many insurance plans deny coverage for weight loss
- Self-pay offers change and can expire
- Prescriber visits and monitoring are billed on top
What "all-inclusive" covers at TOM
$199/month for compounded semaglutide, $249/month for compounded tirzepatide. Here is everything inside that number.
Your medical care
Physician consultations with Dr. Le, ongoing check-ins, and dose adjustments as your body responds. Everything happens online for patients in Texas and Utah. See the full process on our how it works page.
Your medication
The compounded medication itself, shipped cold-packed to your door. No separate pharmacy bill, no insurance needed, and no prior authorization to fight through. Plan details are on the pricing page.
Compounded semaglutide is prepared by state-licensed pharmacies. It is not reviewed or approved by the FDA for safety or effectiveness, is not the same as commercially available brand-name products, and carries additional risks. Talk with your licensed provider about whether a compounded medication is right for you.
Using FSA or HSA funds
Paying with pre-tax dollars can soften the monthly cost. We provide an itemized receipt for every payment, and many patients submit those to their FSA or HSA administrator for reimbursement.
Eligibility rules vary by plan. Some administrators ask for a Letter of Medical Necessity, which is a doctor's note explaining why treatment is medically needed, and Dr. Le can provide one. Check with your plan administrator before you count on reimbursement.
What we provide
- Itemized receipt for every payment
- Letter of Medical Necessity when your plan requires one
- Flat monthly pricing that is easy to document
GLP-1 cost FAQs
How much does semaglutide cost without insurance?
How much does Zepbound (tirzepatide) cost without insurance?
How does the cost of compounded medication compare with brand-name?
What does the all-inclusive membership actually cover?
Can I pay with FSA or HSA funds?
Know your price before you start
Start with a free eligibility check. Then a board-certified doctor helps you compare brand and compounded options against your budget, with no insurance required.
Check your eligibility, freePrescription required. Not all patients qualify. A physician evaluation is required before treatment.