Wegovy and Zepbound Self-Pay Prices: NovoCare, LillyDirect and Foundayo by Dose
Novo Nordisk and Eli Lilly now sell Wegovy, Zepbound and Foundayo directly to people paying cash, at a fraction of list price. Here is every self-pay price by dose, the conditions attached, and what a first year costs.
Prices at a Glance
| Medication | Starting price | Maintenance price | Where |
|---|---|---|---|
| Wegovy pen | $199/mo for the first 2 fills (new patients, 0.25 or 0.5 mg) | $349/mo (any dose up to 2.4 mg) | NovoCare Pharmacy or savings offer |
| Wegovy HD pen 7.2 mg | $399/mo | $399/mo | NovoCare |
| Wegovy pill | $149/mo (1.5 mg) | $299/mo (9 or 25 mg) | NovoCare |
| Zepbound KwikPen or vial | $299/mo (2.5 mg) | $449/mo (7.5 to 15 mg, refilled within 45 days) | LillyDirect |
| Foundayo pill | $149/mo (0.8 or 2.5 mg) | $299/mo (9 to 17.2 mg) | LillyDirect |
Prices were read from the manufacturers' own pages on October 21, 2026. You need a valid prescription from a licensed prescriber.
Wegovy Through NovoCare
- Wegovy pen: $349 a month for any dose from 0.25 mg to 2.4 mg. New patients pay $199 a month for their first two fills of 0.25 mg or 0.5 mg; that offer runs through December 31, 2026.
- Wegovy HD (7.2 mg): $399 a month.
- Wegovy pill: $149 a month at 1.5 mg, $199 at 4 mg, and $299 at 9 mg or 25 mg (30 tablets).
- With commercial insurance that covers Wegovy, the savings offer can bring the copay to as little as $25 a month (maximum savings $100 a month).
- Novo Nordisk says self-pay pricing will be updated after December 31, 2026.
Zepbound Through LillyDirect
- $299 a month for 2.5 mg and $399 for 5 mg, for the KwikPen or a month of vials.
- $449 a month for 7.5, 10, 12.5 or 15 mg, but only if you refill within 45 days of your previous delivery.
- Miss that window and the regular price applies: $499 for 7.5 mg and $699 for 10, 12.5 or 15 mg.
- With commercial coverage, the Zepbound savings card can bring the cost to as little as $25 (the card expires December 31, 2026).
Foundayo Through LillyDirect
- $149 a month for 0.8 mg and 2.5 mg, and $199 for 5.5 mg (the 2.5 mg and 5.5 mg prices are temporarily reduced through December 31, 2026).
- $299 a month for 9 mg, and for 14.5 mg and 17.2 mg when refilled within 45 days.
- With commercial coverage, the savings card can bring the cost to as little as $25 a month.
What a First Year Costs
These totals assume one month at each dose step until the top maintenance dose, then that dose for the rest of the year, and current prices throughout. Your schedule depends on your clinician and how you tolerate each step.
| Medication | Calculation | Approximate first-year cost |
|---|---|---|
| Wegovy pen | $199 × 2 intro months + $349 × 10 | $3,888 |
| Wegovy pill | $149 + $199 + $299 × 10 | $3,338 |
| Foundayo | $149 + $149 + $199 + $299 × 9 | $3,188 |
| Zepbound | $299 + $399 + $449 × 10 (refilled on time) | $5,188 |
How to Buy at These Prices
- Get a prescription from any licensed prescriber: your own doctor or a telehealth provider.
- Have it sent electronically to NovoCare Pharmacy (Wegovy) or LillyDirect's pharmacy partners (Zepbound, Foundayo), or use the savings offer at a retail pharmacy where the manufacturer allows it.
- If you have commercial insurance, check coverage first: a covered prescription with a savings card can cost far less than self-pay.
- Medicare enrollees may qualify for the Medicare GLP-1 Bridge, which caps Wegovy, Zepbound KwikPen and Foundayo at $50 a month for eligible people.
Telehealth programs that prescribe these drugs usually charge close to the manufacturer price for the medication and add a membership. In October 2026 those memberships ranged from about $74 to $199 a month.