Compounded semaglutide typically costs $100-$400 per month in the US. See what drives the price, how it compares to Ozempic, and what to ask your doctor.
Compounded semaglutide typically costs between $100 and $400 per month in the United States, though some telehealth programs charge as much as $500. The exact price depends on the dose, the compounding pharmacy, and whether you pay month-to-month or through a subscription. Compounded semaglutide is not FDA-approved, and it is not the same product as brand-name Ozempic or Wegovy.
What Drives the Price of Compounded Semaglutide
Compounded semaglutide is made by licensed compounding pharmacies, not by Novo Nordisk. That means there is no single list price. Each pharmacy, telehealth platform, and clinic sets its own rate based on its costs and business model.
Several factors explain why two people can pay very different amounts for the same medication:
- Dose: Higher doses use more active ingredient, so the price usually rises as you titrate up.
- Pharmacy type: A 503A pharmacy (state-licensed) and a 503B outsourcing facility can charge different rates.
- Telehealth markup: Some platforms bundle the consultation, lab work, and medication into one monthly fee.
- Subscription length: A 3-month prepay often lowers the monthly cost compared with month-to-month billing.
- Shipping and supplies: Cold-chain shipping, syringes, and alcohol swabs may be included or billed separately.
- State rules: Some states restrict how compounded semaglutide can be sold, which can affect availability and price.
A higher dose of compounded semaglutide usually costs more because the pharmacy uses more active ingredient.
Typical Monthly Cost Ranges for Compounded Semaglutide
Most US telehealth companies that sell compounded semaglutide quote a flat monthly price that includes the medication and basic support. The table below shows common price ranges by dose, based on publicly advertised rates in 2025.
| Weekly Dose | Typical Monthly Cost | Notes |
|---|---|---|
| 0.25 mg (starting) | $100-$200 | Often the introductory rate |
| 0.5 mg | $120-$250 | Price may stay flat in a subscription |
| 1 mg | $150-$300 | Most common maintenance range |
| 1.7 mg | $200-$350 | Higher ingredient cost |
| 2.4 mg | $250-$450 | Top dose; some programs charge more |
Some programs advertise a flat $199 or $299 per month regardless of dose, while others increase the price at each titration step. Always confirm whether the quoted price includes the consultation, syringes, and shipping.
Compounded vs Brand-Name Semaglutide Costs
Brand-name semaglutide is far more expensive without insurance. If you are wondering how much does semaglutide cost without insurance, list prices for Ozempic and Wegovy commonly fall between $900 and $1,600 per month.
| Option | Typical Monthly Cost Without Insurance | Insurance Coverage |
|---|---|---|
| Compounded semaglutide | $100-$400 | Usually not covered |
| Ozempic (semaglutide) | $900-$1,300 | Often covered for type 2 diabetes |
| Wegovy (semaglutide) | $1,300-$1,600 | Covered for some patients with obesity |
| Rybelsus (oral semaglutide) | $900-$1,000 | Covered for type 2 diabetes |
Compounded semaglutide is almost never covered by insurance because it is not an FDA-approved product. Some people use an HSA or FSA to pay for it if a licensed provider writes a prescription.
How to Compare Compounded Semaglutide Prices
Price alone is not the best way to choose a compounded semaglutide provider. Focus on what is included and who is making the medication.
- Check the pharmacy: Ask whether the medication comes from a 503A or 503B facility and whether it is tested for potency and sterility.
- Add up extras: Consultation fees, lab work, syringes, and shipping can add $50-$150 to the first month.
- Read the refill policy: Some subscriptions auto-renew and can be difficult to cancel.
- Confirm the dose: A low price may reflect a low starting dose that increases later.
- Ask about the BUD: The beyond-use date tells you how long the vial is safe to use.
A low advertised price for compounded semaglutide often excludes consultation fees, syringes, or shipping.
How Compounded Semaglutide Costs Compare to Other Peptides
Semaglutide sits in the middle of the compounded peptide price range. Other injectable peptides vary just as widely, and some are far more expensive.
- For recovery research, how much does bpc-157 peptide cost usually runs $50 to $200 per vial.
- For metabolic and body-composition research, how much does tesamorelin cost per month often lands between $300 and $800.
- Growth hormone sits at the top of the range: how much does hgh cost typically exceeds $1,000 per month from US pharmacies.
- Simple vitamin injections sit at the bottom: how much do lipo c injections cost usually falls between $50 and $150 per session.
Those numbers are for context only. Compounded semaglutide remains one of the more affordable prescription injectables available through telehealth.
Safety, Legality, and What to Ask a Doctor
Compounded semaglutide is not FDA-approved for human use in the United States. The FDA has warned about dosing errors and adverse events linked to compounded semaglutide, especially when patients switch between products or draw doses from a vial themselves.
Before you buy, talk with a licensed healthcare professional about your medical history, current medications, and whether a GLP-1 medication is appropriate for you. Ask the following questions:
- Which pharmacy compounds this semaglutide, and is it licensed in my state?
- What is the exact dose in milligrams, and how do I measure it?
- What side effects should I watch for, and when should I call you?
- Is the price guaranteed for future refills?
Compounded semaglutide costs less than brand-name semaglutide, but the lower price comes with fewer regulatory guarantees. A qualified provider can help you weigh the risks and benefits.
Frequently Asked Questions
Why is compounded semaglutide so much cheaper than Ozempic or Wegovy?
Compounded semaglutide is made by licensed compounding pharmacies without the brand-name marketing, packaging, and FDA-approval costs that Novo Nordisk carries. It also does not go through the same FDA review process because it is a compounded product, not an approved drug. The lower price reflects those differences, along with the fact that compounded semaglutide is not covered by insurance.
Is compounded semaglutide covered by insurance?
No. Compounded semaglutide is not FDA-approved, and most insurance plans do not cover it. Some people pay with an HSA or FSA if they have a prescription from a licensed provider. Brand-name Ozempic or Wegovy may be covered for specific diagnoses such as type 2 diabetes or obesity.
How much does compounded semaglutide cost per month with a subscription?
Many telehealth subscriptions charge between $150 and $350 per month, with some introductory offers as low as $99 for the first month. The price may increase at higher doses or after a promotional period ends. Always check whether the consultation, syringes, and shipping are included in the quoted monthly rate.
This page provides educational research information and does not replace medical advice, diagnosis, or treatment.