How Wegovy self-pay works
Novo Nordisk sells the Wegovy pen through NovoCare Pharmacy at a flat $349 a month for every strength from 0.25 mg to 2.4 mg, and $399 for the higher-strength Wegovy HD 7.2 mg. People new to the offer pay $199 a month for their first two fills of the 0.25 mg or 0.5 mg pen, through December 31, 2026. After that, the price goes back to $349.
Novo also sells a Wegovy pill for self-pay customers. Its price ranges from $149 to $299 a month depending on strength ($149 for 1.5 mg, $199 for 4 mg, $299 for 9 mg and 25 mg). It's a different product from the weekly pen, so it isn't in the table above.
How Zepbound self-pay works
Lilly sells Zepbound vials and the multi-dose KwikPen through LillyDirect. The 2.5 mg starting strength is $299 a month (2.5 mg is a starting dose, not a maintenance dose, per Lilly) and 5 mg is $399. The higher strengths are $449 a month under Lilly's "Self Pay Journey Program," but only if each refill is bought within 45 days of the last delivery. Miss that window and the price rises to $499 for 7.5 mg or $699 for 10 mg and up.
Lilly lowered these vial prices on December 1, 2025. Before that, 2.5 mg was $349 and the other strengths were $499.
What to watch for
- Intro offers end. Wegovy's $199 price lasts for two fills only, and the offer ends December 31, 2026.
- Refill timing matters for Zepbound. A late refill can add $50 to $250 a month.
- Supplies cost extra for Zepbound. Budget for needles or syringes.
- Prices can change. Both companies say they can change or cancel these programs at any time.