Wegovy alternatives

Wegovy is Novo Nordisk’s semaglutide, approved for weight management. Through NovoCare it has run at $199 a month for the first two fills through the end of 2026 and $349 a month afterwards.

That step from $199 to $349 is what sends most people looking. The alternatives are compounded semaglutide — same molecule, pharmacy-prepared, not FDA-approved — and the Wegovy pill itself, which starts around $149 a month and is approved.

What qualifies for this list

• Delivers semaglutide, the same active ingredient as Wegovy.
• Monthly price includes the medication.
• Sorted cheapest first.

14 of the 21 providers we track qualify. Prices verified 2026-09-18 and re-checked periodically.

The list

Every row below is priced against Wegovy at $349 a month, and sorted by how much it saves you over a year. We use the $349 ongoing NovoCare rate rather than the $199 introductory price, because the introductory rate covers only the first two fills. Ranked on our overall score rather than price alone — for pure cost see cheapest semaglutide.

Cheapest qualifying option: Ozari Health at $86 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.

1. Coreage Rx — Best overall on true monthly cost

$149 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.

The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year. Read the full Coreage Rx review.

2. Trimi — Lowest flat price with named pharmacies

$99 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.

Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.

3. PlexusDx — Pharmacy transparency and genetic testing

$189 a month, no membership fee. Prescription GLP-1 and peptide programmes with no membership fee, built around genetic testing, using independent clinicians and a publicly listed set of 503A pharmacies.

The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier. Read the full PlexusDx review.

4. Ozari Health — Lowest advertised semaglutide price

$86 a month, no membership fee. Flat-rate compounded GLP-1 telehealth service operating in all 50 states, with physician review through the Arora Health network and a dedicated health concierge.

Confirm whether $86 is a month-to-month rate or requires a longer commitment, and ask which pharmacy compounds it. Read the full Ozari Health review.

5. Ivím Health — Unlimited clinician access

$199 a month, no membership fee. All-inclusive individualised GLP-1 programme with unlimited virtual visits and weekly dose adjustments, founded by a physician in 2021.

Pharmacy sourcing is not published. Ask which pharmacy fills your prescription and whether it is 503A or 503B before starting. Read the full Ivím Health review.

Common questions

Is compounded semaglutide the same as Wegovy?

Same active ingredient, but it is not Wegovy and it is not a generic. There is no approved generic semaglutide. Compounded versions are prepared by pharmacies and are not FDA-approved.

Is the Wegovy pill cheaper than the injection?

At the starting dose, yes — self-pay has started around $149 a month against $349 for the injection after the introductory fills. Higher doses of the pill cost more.

What is the cheapest route to semaglutide overall?

Compounded programmes start around $86 a month. For Medicare beneficiaries, the $50 monthly programme beginning July 2026 is likely to beat everything.