PURE WEIGHT MANAGEMENT

GLP-1 Pricing information - paid directly to pharmacy

Cheapest Out-of-Pocket Options for Wegovy® (No Insurance Coverage)

If your health insurance plan does not cover Wegovy® (semaglutide) for weight loss, you do not have to pay the standard retail list price of ~$1,349/month. By utilizing Novo Nordisk’s official self-pay programs, you can access steep discounts directly from the manufacturer.

Here are the best cash-pay pricing options and where to fill them.

Option 1: Wegovy® Oral Tablets (Pills) – Lowest Cash Price

For patients preferring a daily pill over a weekly injection, Novo Nordisk offers its lowest out-of-pocket pricing on oral tablets.

  • Best Pharmacy Route: NovoCare® Pharmacy (Direct Mail-Order) or digital platforms like GoodRx Care Direct.

  • The Price: * Starter Doses (1.5 mg & 4 mg): $149 per month (Note: The 4 mg promotional rate is valid through August 31, 2026, after which it becomes $199).

    • Maintenance Doses (9 mg & 25 mg): $299 per month.

Option 2: Wegovy® Prefilled Injection Pens

If you prefer the standard weekly subcutaneous injection, you can access manufacturer-discounted cash rates at local retail pharmacies.

  • Best Pharmacy Route: Major national retail chains including CVS, Walgreens, Walmart, Costco, and Amazon Pharmacy.

  • The Price:

    • Introductory Offer (First 2 Months): $199 per month for the low starter doses (0.25 mg and 0.5 mg).

    • Standard Self-Pay Offer: $349 per month for all primary maintenance doses (1 mg, 1.7 mg, and 2.4 mg).

    • High Dose Pen (7.2 mg HD): $399 per month.

How to Lock In These Cash Prices

Cheapest Out-of-Pocket Options for Zepbound® (No Insurance Coverage)

If your insurance plan does not cover Zepbound® for weight loss, you do not have to pay the standard retail list price of ~$1,086/month. Eli Lilly offers a massive discount program specifically designed for self-pay patients, featuring steep discounts on Single-Dose Vials and the KwikPen®.

Here are the best cash-pay pricing options and where to fill them.

Option 1: Zepbound® Single-Dose Vials – Lowest Overall Price

To make the medication more affordable, Eli Lilly offers Zepbound in single-dose vials (which you draw up with a traditional syringe) instead of the standard auto-injector pen.

  • Best Pharmacy Route: LillyDirect® Pharmacy Solutions (The manufacturer’s official direct-to-patient mail-order service).

  • The Price (Tiered by Dosage):

    • Starter Dose (2.5 mg): $299 per month

    • Low Maintenance Dose (5 mg): $399 per month

    • Higher Maintenance Doses (7.5 mg up to 15 mg): $449 per month (Through the Zepbound Self Pay Journey Program; requires refilling your prescription within 45 days of your last delivery to maintain this rate).

Option 2: Zepbound® Single-Patient-Use KwikPen® & Auto-Injector Pens

If you prefer the convenience of an integrated injection pen, you can access discounted manufacturer cash rates at local pharmacies.

  • Best Pharmacy Route: Major national retail chains including CVS, Walgreens, Walmart, Costco, and Amazon Pharmacy.

  • The Price: $499 per month across all standard pen dosages (a savings of up to $620 off the retail list price).

How to Lock In These Cash Prices

Insurance Coverage for GLP-1 Weight-Loss Medications

If your commercial health insurance covers GLP-1 medications (like Wegovy® or Zepbound®) for weight management, you are in a great position to start your treatment at a heavily discounted rate.

Here is a quick look at how the process works:

The Prior Authorization (PA) Process

Even though your plan covers these medications, insurance companies almost always require a Prior Authorization before they will pay for them. This means our medical team must submit your clinical information (such as your BMI and health history) to your insurance provider to prove the medication is medically necessary for you.

Bringing Your Cost Down to $25

While your insurance coverage does the heavy lifting, your plan’s standard copay might still leave you with an out-of-pocket balance. You can maximize your savings by downloading a Commercial Savings Card directly from the medication manufacturer’s website. When your pharmacy runs this card alongside your approved insurance, it can drop your final cost to as low as $25 per month.

Keeping Your Coverage Long-Term

Initial insurance approvals are temporary and typically last for 6 months to monitor how your body responds to the medication. To extend your coverage for the following year, your insurance company will require clinical proof that the treatment is working. We will need to see you for a follow-up appointment around Month 5 to document your progress and submit your renewal paperwork on time.

Pure Access Management, Inc. | Pure Access Care of Florida, P.A.

Address: 407 Lincoln Rd. Suite 6H, PMB 7340, Miami Beach, FL 33139