How Much Does GLP-1 Cost on Medicare?

How Much Does GLP-1 Cost on Medicare?

The cost of semaglutide depends on whether you use the brand-name version or a compounded alternative through a telehealth provider. Brand-name semaglutide costs $0–$500/mo, while compounded semaglutide through telehealth costs $149–$299/mo.

With insurance coverage, your out-of-pocket cost for semaglutide could be as low as $0–$500/mo. However, insurance coverage for GLP-1 medications varies significantly by plan and often requires prior authorization.

Ways to Save on GLP-1 Medications

1. Medicare Part D covers GLP-1s approved for diabetes (Ozempic, Mounjaro)
2. Medicare began covering Wegovy for heart disease patients in 2024
3. Out-of-pocket cap is $2,000/year under Medicare Part D in 2025+
4. Savings cards cannot be used with Medicare — it is illegal
5. Compounded GLP-1 is not covered by Medicare and must be paid out of pocket

Is semaglutide Worth the Cost?

When evaluating the cost of semaglutide, consider the total value: clinical trials demonstrate significant weight loss results, and the associated health improvements often reduce costs for other medications and medical visits. Many patients find that the monthly cost of GLP-1 treatment is offset by reduced spending on blood pressure medications, diabetes management, and fewer doctor visits.