Ask "how much does Ozempic cost?" and you will get at least four different honest answers, depending on who is selling. There is the list price the manufacturer publishes, the pharmacy counter price an uninsured patient is quoted, the cash-pay price through a manufacturer's own direct program or a telehealth service, and the compounded price for a pharmacy-made version of the same active ingredient. These numbers can sit hundreds of dollars apart for a single month of the same medication. This hub exists to put all of them on one page per drug, so you know which number applies to you before a checkout screen surprises you.
Here is why the sticker price is so misleading in this market. Brand-name GLP-1 pens — Ozempic, Wegovy, Zepbound, Mounjaro — carry U.S. list prices of roughly $1,000 to $1,350 a month, but almost nobody hands over that amount. Insured patients with coverage might pay a two-digit copay. Uninsured patients who know about manufacturer self-pay programs can often get the same pen for a few hundred dollars. And telehealth programs selling compounded semaglutide or tirzepatide advertise entry prices under $200 — though those advertised prices frequently exclude membership fees, clinical consult charges, and the dose-based increases that arrive by month three or four. The advertised number and the twelve-month reality are rarely the same number.
Each guide below follows one medication through every purchase route and states the realistic monthly figure for each: retail without insurance, manufacturer or pharmacy savings programs, telehealth cash-pay, and compounded alternatives where they exist. We also flag the recurring traps — teaser pricing that expires after the first fill, "from $X" claims that only apply to the lowest starter dose, and subscription terms that keep billing after you stop injecting. One safety note that belongs in every cost conversation: compounded semaglutide and tirzepatide are legal when prepared by licensed pharmacies, but they are not FDA-approved products, and a lower price never changes that distinction.
Prices in these guides are verified against published sources — manufacturer pricing pages, provider checkout flows, and savings program terms — on the date shown at the top of each guide, and the date only changes when we actually re-check. Our ranking method explains how provider scores are built, and our advertising disclosure explains which links pay us. If you would rather start from a ranked shortlist than a price sheet, the top 10 rankings are the other half of this site.