Ozempic cost without insurance is $349 a month for the 0.25 mg, 0.5 mg or 1 mg pen (checked 10/18/2026). That's Novo Nordisk's self-pay price. The 2 mg pen costs $499. Each price buys one pen, which Novo counts as a month.
If you're new to the offer, your first two fills of the 0.25 mg or 0.5 mg pen cost $199 each. Ozempic also comes as a daily pill now, priced from $149 to $299 a month by strength.
The list price is $1,027.51 a pen. That's the number Novo charges wholesalers, not what a cash buyer pays.
How much is each Ozempic pen without insurance?
NovoCare Pharmacy, Novo's own pharmacy service, ships for free. You can also take the self-pay offer to a local pharmacy for pickup.
Buying more at once doesn't lower the price. Novo's offer terms price three months of the 1 mg pen at $1,047, which is three times $349.
The $199 intro price has rules. It's for patients new to the Ozempic savings offer, defined as anyone who hasn't used an Ozempic savings offer in the past 365 days. It covers only the first two 28-day fills, and the prescription has to be filled by 12/31/2026.
The 0.25 mg to 1 mg pens cost less than they did a year ago. Novo lowered the price on 11/17/2025: $499 $349 changed 11/17/2025
The same release said the 2 mg pen will remain $499 per month
. It still is (checked 10/18/2026).
What's inside an Ozempic pen?
Each pen holds several weekly doses. The Ozempic label (revised 05/2026) lists three pens:
- The 0.25 mg or 0.5 mg pen holds 2 mg of semaglutide in 3 mL.
- The 1 mg pen holds 4 mg, as four doses.
- The 2 mg pen holds 8 mg, as four doses.
So at $349, the 1 mg pen works out to $87.25 per mg, and the 2 mg pen at $499 to $62.38 per mg. That's our arithmetic, not a reason to choose a strength. Your prescriber sets the dose.
How much is the Ozempic pill?
$149 to $299 a month for a bottle of 30 tablets, depending on strength (checked 10/18/2026). Novo started selling the pill in the US on 05/04/2026, according to its launch release.
The pill replaces Rybelsus, Novo's older semaglutide tablet. Our Rybelsus cost page covers what that switch means for the price.
What is the Ozempic list price?
NovoCare's list price page shows $1,027.51 for each pen strength and each pill strength. The government's TrumpRx site uses the same $1,027.51 as its "original price."
One oddity: the version of NovoCare's page built for phone screens still shows $997.58 (checked 10/18/2026). We treat $1,027.51 as current, since two sources agree on it.
A cut is scheduled. On 02/24/2026, Novo announced a new list price for the 0.5 mg, 1 mg and 2 mg pens. It takes effect 01/01/2027: $1,027.51 $675 from 01/01/2027
Novo put that at about 35% lower. It also said the change has no impact on self-pay prices, so $349 stays $349 by Novo's own account.
How does the Ozempic savings card work?
It's for people whose commercial plan covers Ozempic. Novo's terms let you pay as little as $25, but the card saves no more than $100 per 1-month fill. For 2-month and 3-month fills, the caps are $200 and $300.
The $25 for up to three months needs two things. Your prescription has to be written and dispensed as a 3-month supply, and your plan has to cover a 3-month fill.
Other limits in the terms:
- No Medicaid, Medicare, VA, DOD, TRICARE or similar government drug coverage.
- Ozempic must be prescribed for an FDA-approved use on its label.
- The card can't be combined with the self-pay offer or another coupon.
- Activation lasts up to 48 months from enrollment.
The cap is what to watch. If your copay is $110, the card takes off $85 and you pay $25. If your plan bills you $600 before your deductible, the card takes off $100 and you owe $500.
In that second case, the $349 self-pay price is cheaper. The catch: Novo's self-pay terms say you will not apply those costs toward any deductible or true out-of-pocket requirements
. The $500 billed through your plan would count.
Plans often require prior authorization first, meaning your prescriber has to show the plan you meet its rules (see how to appeal a denial). That review may sit with a pharmacy benefit manager, the company that runs your plan's drug benefits.
Novo also bars the card if your plan uses an accumulator or maximizer program, which changes how manufacturer help counts toward your costs.
Does Medicare cover Ozempic?
Medicare Part D plans can cover it for type 2 diabetes, and your cost depends on your plan. Ozempic isn't in the $50 Medicare GLP-1 Bridge, which CMS limits to certain weight-loss drugs for people without type 2 diabetes.
The savings card is closed to Medicare. The self-pay price isn't: NovoCare says government-insured patients may use this program if they self pay and process outside of their insurance
. Under the terms, that purchase doesn't count toward your Part D out-of-pocket costs.
NovoCare also points to a Patient Assistance Program that may provide the Ozempic pen at no cost to people who qualify. Its list price page links to the eligibility check.
Is Ozempic cheaper on TrumpRx?
No, it's the same deal. TrumpRx shows $199 for a new patient's first two fills of 0.25 mg or 0.5 mg, through 12/31/2026. After that it's $349, or $499 for 2 mg (checked 10/18/2026).
TrumpRx gives you a coupon to show at a retail pharmacy. NovoCare Pharmacy can also ship to your door. Either way the price is Novo's.
For the weight-loss version of semaglutide, see Wegovy price without insurance. For Lilly's diabetes drug, see Mounjaro cost without insurance.
How we checked these prices
We read every price on Novo Nordisk's or the government's own pages on 10/18/2026, and each table lists its sources with that date. When a price changes, we date the correction on this page and add it to the price change log.
