Semaglutide online: how it works and what it costs
Short answer
First you need a prescription from a licensed clinician, which you can get in an online visit. Then you can buy brand-name Wegovy from Novo Nordisk's NovoCare Pharmacy, from $149 a month for the pill or $199 a month for the pen for new patients, or compounded semaglutide through an online clinic such as GobyMeds, from $169 for one month. Compounded semaglutide is not FDA-approved.
Prices checked September 26, 2026
How getting semaglutide online works
Online visit. A licensed clinician reviews your health history online and decides whether semaglutide is right for you.
Prescription. Semaglutide always needs a prescription, whether it is brand-name or compounded.
Pharmacy. Brand-name Wegovy is filled by a pharmacy, including Novo Nordisk's own NovoCare Pharmacy. Compounded semaglutide is made and shipped by the clinic's compounding pharmacy.
Refills. Check the price after any intro offer ends and at higher strengths. NovoCare's $199 pen price, for example, is for new patients at the two starting strengths.
Brand-name or compounded?
FDA-approved
Wegovy (semaglutide)
Approved for long-term weight management in adults and children 12 and older with obesity (with diet and exercise), and to lower the risk of heart attack and stroke in adults with heart disease and obesity or overweight.
FDA says the shortages of tirzepatide (resolved December 19, 2024) and semaglutide (resolved February 21, 2025) are over. Compounded drugs are not FDA-approved. Now that the shortages are over, pharmacies may not make copies of these drugs unless a prescriber decides and writes down that a change in the compounded version makes a significant difference for that one patient.
NovoCare Pharmacy Novo Nordisk's own self-pay pharmacy
$149 to $299 a month
$149 a month for the starting strength, then $199 or $299 a month for higher strengths. One month is a bottle of 30 tablets. Needs a valid prescription.
NovoCare Pharmacy Novo Nordisk's own self-pay pharmacy
$199 to $399 a month
New patients pay $199 a month for the two starting strengths (offer through December 31, 2026), then $349 a month. The highest strength, Wegovy HD, is $399 a month. One month is a box of 4 pens. Needs a valid prescription.
Compounded semaglutide made by a compounding pharmacy Compounded, not FDA-approved
GobyMeds Online clinic
From $169 for one month, or $299 for 3 months
One month starts at $169. A 3-month starter plan for first-time patients is $299 and includes the medicine, shipping, the consultation and an injection kit. Bundles for higher strengths cost more. Needs a prescription from the clinic's provider. Compounded medicines are not FDA-approved.
Compounded semaglutide or tirzepatide made by U.S. compounding pharmacies Compounded, not FDA-approved
TeleWellnessMD Online clinic
Semaglutide from $199.95; tirzepatide from $279.95
Prices go up with the strength prescribed. TeleWellnessMD says the price includes the provider review, the medicine, supplies and shipping, with no membership fee. Its page does not say how long that supply lasts. Needs a prescription from the clinic's provider. Compounded medicines are not FDA-approved.
Wegovy or Zepbound through an online clinic brand-name, same medicines as above FDA-approved brand
GobyMeds Online clinic
$1,399 to $1,695 a month
GobyMeds lists Zepbound at $1,399 a month and Wegovy at $1,695 a month. Buying the same brand-name medicine through the maker's own self-pay pharmacy costs less. Needs a prescription.
Prices copied from each seller's own page on September 26, 2026. The seller's page is final. See every GLP-1, including Zepbound, on the cheapest GLP-1 without insurance.
Online clinics on Peptide Care Finder
TeleWellnessMD
Online visits with licensed U.S. clinicians. Prescriptions are filled by U.S. compounding pharmacies.
Offers
40+ prescription options, including peptide options for recovery and strength, GLP-1 medicines, NAD+ and B12.
Yes, with a prescription from a licensed clinician, which you can get in an online visit where your state allows it. Brand-name Wegovy is FDA-approved. Compounded semaglutide is not FDA-approved, and FDA says pharmacies may now make it only when a prescriber documents a significant difference for that one patient.
How much does semaglutide cost online without insurance?
On September 26, 2026: the Wegovy pill costs $149 to $299 a month and the Wegovy pen $199 to $399 a month at NovoCare Pharmacy. Compounded semaglutide starts at $169 for one month or $299 for a 3-month starter plan at GobyMeds, and from $199.95 at TeleWellnessMD.
Is compounded semaglutide the same as Wegovy?
No. Wegovy is an FDA-approved medicine. Compounded semaglutide is made by a compounding pharmacy and is not FDA-approved. FDA-approved drugs go through FDA review for safety, effectiveness and quality; compounded drugs do not.
Which online clinics offer semaglutide?
TeleWellnessMD and GobyMeds, both listed on Peptide Care Finder, offer compounded semaglutide, and GobyMeds also lists brand-name Wegovy. What is available depends on your state.
Does it matter which state I live in?
Yes. What each online clinic offers depends on your state. Enter your ZIP code on Peptide Care Finder to see the online clinicians for your state.
We don't give medical advice. Talk to a licensed clinician about whether semaglutide is right for you.