— Pricing Guide · 2026
How Much Does Semaglutide Cost?
Semaglutide pricing varies dramatically depending on whether you fill a brand-name prescription (Ozempic, Wegovy) or a compounded version. Brand-name semaglutide retails for $1,300+ per month at the pharmacy counter without insurance. Compounded semaglutide from FDA-registered 503A pharmacies typically costs 70-85% less. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. This page breaks down current 2026 pricing across the main paths to semaglutide therapy.
Semaglutide price by dose
New to semaglutide? You start at the starter dose. Already on it? Choose your current dose when you order and your physician confirms it at review. Every price is all-in and monthly.
- 0.25mgstarter dose$119/mo
- 0.5mg$124/mo
- 1mg$124/mo
- 1.7mg$134/mo
- 2mg$139/mo
- 2.5mg$150/mo
Brand-name pricing
Competitor pricing
- Hims weight lossComparable entry pricing.$199
- Henry MedsHigher monthly fees on most doses.$249
- Mochi HealthSpecialty obesity medicine clinic.$299
— Insurance
Paying for Semaglutide.
Brand-name Wegovy is FDA-approved for weight loss and is covered by some commercial insurance plans (often with prior authorization). Compounded semaglutide is typically self-pay and not covered by insurance. HSA and FSA funds can usually be applied to either.
— Common questions
Semaglutide pricing,
answered.
Ozempic and Wegovy are brand-name, FDA-approved products from Novo Nordisk priced at $1,300+/mo retail. Compounded semaglutide is prepared by an FDA-registered 503A pharmacy at a fraction of the cost — there's no brand markup, marketing budget, or supply chain layered on top. Compounded medications are not FDA-approved.
No. The active ingredient is chemically identical. Differences are in formulation (typically with B12 in compounded versions) and packaging. Clinical effect at equivalent doses is the same.
No — Pepti is cash-pay only and doesn't bill insurance. Compounded medications are self-pay regardless of carrier, which is why pricing is published up front — from $119/month all-in at the starter dose, with each higher dose priced above. Already on semaglutide? Choose your current dose when you order. Your plan is HSA/FSA eligible.
Your price includes the medication, physician review, free shipping, and unlimited messaging with your prescribing physician. Pepti is subscription-based — refills ship when your supply runs out, and you can cancel anytime. No hidden fees.
GLP-1 receptor agonist prescribed for medical weight management under licensed physician supervision. Compounded; not FDA-approved. Semaglutide is prescription-only at Pepti: a licensed physician reviews your assessment and, if appropriate, prescribes it to be compounded by a state-licensed, FDA-registered pharmacy.
Semaglutide is $119 per month at Pepti. That is all-in: medication, physician review and ongoing care, shipping, and messaging. No membership, consult, or visit fees, and the price is the same in every state.
— More questions25 more questions about Pepti, answered.
Semaglutide is commonly prescribed for: Adults with a BMI in the range their physician considers appropriate for GLP-1 therapy; Patients who have struggled with appetite and weight despite diet and exercise; People who want physician-managed dose escalation rather than a fixed dose; Patients already on semaglutide who want to continue at their current dose. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. Semaglutide is prescription-only. The free online assessment takes about five minutes, a physician licensed in your state reviews it within 24 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
Yes. Semaglutide is one of the medications Pepti requires recent bloodwork for before it is prescribed. Upload a recent lab report from any lab, or order Pepti's at-home panel; the physician reviews the results with your assessment.
Semaglutide is a subcutaneous injection into the abdomen or thigh with a small insulin syringe. Your kit ships with sterile syringes and alcohol prep pads, and the exact dose and schedule are printed on the pharmacy label. Dosing videos are in your account.
One vial is your monthly supply at the dose your physician prescribes. A fresh vial ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs, refrigerated.
Once per fill, $119 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded Semaglutide with sterile syringes and alcohol prep pads, free tracked shipping in an unbranded box with insulated packaging, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Reported side effects of Semaglutide are usually mild: nausea (most common, especially first 2 weeks); constipation or diarrhea; fatigue; heartburn; reduced appetite (this is the goal). The physician screens your history, medications, and allergies before prescribing, the medication-specific consent lists the known risks, and you can message your physician about anything you notice. Seek emergency care for severe symptoms.
Response varies by person, goal, and dose, and Semaglutide is prescribed for ongoing use rather than a short trial. Your physician sets expectations at approval, tracks how you respond through your account, and adjusts the dose without an appointment.
Yes, one step at a time. Semaglutide moves up the pharmacy's strength ladder when your physician approves, and you pay the cost difference for the higher strength. It is never doubled.
Yes. Add Semaglutide to a plan with another treatment and every medication is 5% off, three are 8% off, and four or more are 10% off, on every refill. The physician reviews the combination and can adjust it.
Compounded Semaglutide is not FDA-approved. A brand-name form of the active ingredient is FDA-approved for specific indications; Pepti's version is compounded to your physician's prescription by an FDA-registered 503A pharmacy and prescribed off-label.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in every state it serves. Research-use-only Semaglutide sold without a prescription is labeled not for human use and is a different product.
Semaglutide is a GLP-1 receptor agonist that mimics the body's natural incretin hormone. At Pepti it is prescribed to support appetite control, significant weight loss, blood sugar support, cardiovascular health. Individual response varies, and your physician sets expectations at approval.
Semaglutide is a GLP-1 receptor agonist that mimics the body's natural incretin hormone. It slows gastric emptying, reduces appetite at the hypothalamic level, and improves insulin sensitivity. Clinical trials show 15-20% body weight loss over 68 weeks. Compounded Semaglutide is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
Semaglutide is prescribed for appetite control, significant weight loss, blood sugar support, cardiovascular health. It is commonly requested by adults with a BMI in the range their physician considers appropriate for GLP-1 therapy; patients who have struggled with appetite and weight despite diet and exercise; people who want physician-managed dose escalation rather than a fixed dose; patients already on semaglutide who want to continue at their current dose. Whether it is appropriate for you is the reviewing physician's decision.
Semaglutide is studied for appetite control, significant weight loss, blood sugar support, cardiovascular health. Those are the goals it is prescribed to support at Pepti; results vary by person, dose, and consistency, and no outcome is guaranteed. Your physician tracks how you respond through your account.
The landmark STEP 1 trial (Wilding et al., NEJM 2021) randomized 1,961 adults with obesity to weekly subcutaneous semaglutide 2.4 mg vs placebo. After 68 weeks, the semaglutide arm achieved a mean weight loss of 14.9% of body weight compared to 2.4% on placebo. The SUSTAIN program demonstrated significant HbA1c reduction in type 2 diabetes, and the SELECT trial (2023) extended the evidence to cardiovascular outcomes — semaglutide reduced major adverse cardiovascular events by 20% in overweight or obese adults with established cardiovascular disease. Compounded semaglutide uses the identical active pharmaceutical ingredient prepared by FDA-registered 503A pharmacies. References are listed on this page.
Semaglutide is generally not prescribed with: active cancer or history of cancer (unless approved by oncologist); pregnancy or breastfeeding; severe kidney or liver disease; known allergy to the peptide or excipients; personal or family history of medullary thyroid cancer; multiple endocrine neoplasia syndrome type 2; pancreatitis history. The physician screens for these in your intake, and anything that rules Semaglutide out means it is not prescribed and is refunded.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 24 hours, and if appropriate Semaglutide is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $119 per month, all-in. Not prescribed means refunded.
Injectable vial: 2 mL, containing compounded to your dose Semaglutide + included Pyridoxine (B6). One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Not currently. Semaglutide ships as a multi-dose vial with sterile syringes and prep pads. The pepti Pen is available for 10 other treatments.
$119 per month covers the compounded Semaglutide, the physician review, ongoing physician care including dose adjustments and refill review, unlimited messaging, and free tracked shipping. There is no membership, consult, visit, or refill fee; the only separate charges are optional at-home lab panels and a physician-approved dose increase billed at pharmacy cost.
Yes. Semaglutide is on Pepti's live catalog, which lists only treatments a partner pharmacy can compound and ship today. If a physician prescribes it, it ships; if it ever cannot be dispensed, the charge is refunded.
Semaglutide ships to all 50 states and Washington, D.C, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
Ready to start with Semaglutide?
Free intake review by a licensed physician. Medication refunded if not approved.
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