Affiliate disclosure: This page may contain affiliate links; I may earn a commission at no extra cost to you. Not medical advice. Last updated Nov 1, 2026 (prices checked Oct 31, 2026).
Zepbound vs Wegovy: self-pay cost compared
Side-by-side manufacturer self-pay prices for Zepbound (tirzepatide) and Wegovy (semaglutide), checked Oct 31, 2026.
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Monthly self-pay prices
| Dose stage | Zepbound (LillyDirect) | Wegovy pen (NovoCare) |
|---|---|---|
| Starting doses | 2.5 mg: $299/mo · 5 mg: $399/mo | 0.25 & 0.5 mg: $199/mo for first 2 fills (new patients, through Dec 31, 2026), then $349 |
| Higher doses | 7.5–15 mg: $449/mo if refilled within 45 days (otherwise $499 for 7.5 mg, $699 for 10–15 mg) | 1–2.4 mg: $349/mo · Wegovy HD 7.2 mg: $399/mo |
| What a "month" is | 28 days: 4 single-dose vials or 1 KwikPen | 1 box of 4 pens |
| Extras | Needles/syringes or pen needles bought separately | — |
There's also a Wegovy pill: $149/mo (1.5 mg), $199 (4 mg), $299 (9 mg and 25 mg). See the Wegovy pill cost page.
Sources: LillyDirect – Zepbound · Zepbound savings · NovoCare – Wegovy
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FAQ
Is Zepbound or Wegovy cheaper without insurance?
At starting doses the Wegovy pen intro offer is $199/month vs $299 for Zepbound 2.5 mg. At higher doses Wegovy is $349/month vs $449 for Zepbound 7.5–15 mg with on-time refills (checked Oct 31, 2026).
Is there a cheaper Wegovy option?
The Wegovy pill starts at $149/month for 1.5 mg through NovoCare self-pay.
Affiliate links: I may earn a commission at no extra cost to you. Not medical advice.