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Medication Cost & Access Resource

A practical guide to where patients may look for common weight-management medications

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Promise Pharmacy

Why Promise Pharmacy?

A 503A pharmacy compounds medication or an individual patient based on a valid prescription. Compounded medications are customized and are not the same as FDA-approved brand-name drugs. For more information, visit their website: www.promisepharmacy.com.

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Compounded Semaglutide Injection

$249

per Month
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225f61ea-d7cc-4a6f-aa08-c85dad1da293_edi
225f61ea-d7cc-4a6f-aa08-c85dad1da293_edi

Same price regardless of dose​

For qualifying patients

Cold shipping included

​​

Compounded Tirzepatide Injection

$349

per Month
225f61ea-d7cc-4a6f-aa08-c85dad1da293_edi
225f61ea-d7cc-4a6f-aa08-c85dad1da293_edi
225f61ea-d7cc-4a6f-aa08-c85dad1da293_edi

Same price regardless of dose​

For qualifying patients

Cold shipping included

​​

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Best places to check If Using Insurance

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Insurance Portal

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Manufacturer savings pages

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GoodRx

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SingleCare

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Amazon Pharmacy

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Local Retail Pharmacy

Medication
Places to look
Estimated price
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Tirzepatide

(Zepbound)

• zepbound.lilly.com
• LillyDirect / lillydirect.lilly.com
• GoodRx.com/zepbound
• SingleCare.com/prescription/zepbound
• Local retail pharmacy

• Self-pay direct options may be about $299–$699/month
• Retail/list pricing may range about $499–$1,000+ per fill
• Insurance coverage varies

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Wegovy

(semaglutide injection)

• wegovy.com
• NovoCare / novocare.com
• GoodRx.com/wegovy
• SingleCare.com/prescription/wegovy
• Amazon Pharmacy or local retail pharmacy

• Retail/list pricing often about $1,200–$1,350/month
• Eligible savings programs may reduce cost
• Insurance coverage varies

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Saxenda

(Liraglutide)

• saxenda.com
• NovoCare / novocare.com
• GoodRx.com/saxenda
• SingleCare.com/prescription/saxenda
• Local retail pharmacy

• Retail/list pricing often about $1,350–$1,600/month
• Eligible patients may have savings programs
• Insurance coverage varies

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Contrave

(bupropion/naloxone ER)

• contrave.com/save
• CurAccess Program
• GoodRx.com/contrave
• SingleCare.com/prescription/contrave
• Amazon Pharmacy or local retail pharmacy

• CurAccess often about $99/month
• GoodRx cash pricing may be about $199/month
• Retail cash pricing may be higher depending on pharmacy

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Orlistat

(Xenical/ Alli)

• GoodRx.com/orlistat
• GoodRx.com/xenical
• SingleCare.com/prescription/orlistat
• Amazon for OTC Alli
• Local retail pharmacy

• Generic orlistat coupons may be about $40–$65
• Retail pricing may be about $600–$725
• OTC Alli is often about $40–$60+

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Orforglipron

(Foundayo)

• foundayo.lilly.com
• LillyDirect Pharmacy
• GoodRx.com/foundayo
• SingleCare.com/prescription/foundayo

  • Eligible commercial insurance as low as $25/month

  • Self pay starting at $149/month

    • 0.8mg $149/month​

    • 2.5mg $199/month

    • 5.5 or 9mg $299/month

    • 14.5 or 17.2mg $349/month

  • Eligible Medicare Part D: as low as $50/month

  • Retail, coupon, and insurance pricing may vary

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Metformin

• GoodRx.com/metformin
• SingleCare.com/prescription/metformin
• Pharmacy.amazon.com
• Local retail pharmacy

• Common low-cost generic
• Often about $4–$25/month
• Some Amazon-preferred pricing may be around $1–$8

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Topiramate

• GoodRx.com/topiramate
• SingleCare.com/prescription/topiramate
• Pharmacy.amazon.com
• Local retail pharmacy

• Immediate-release generic often about $4–$25/month
• Extended-release forms may cost more

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Rybelsus

(oral semaglutide)

• rybelsus.com
• NovoCare / novocare.com
• GoodRx.com/rybelsus
• SingleCare.com/prescription/rybelsus
• Local or mail-order pharmacy

• Retail/list pricing often about $1,000–$1,100/month
• Eligible savings programs may reduce cost
• Coverage varies; weight-management use may be off-label

Important Notes
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  • This is a general resource only

  • Manufacturer programs often apply only to eligible commercially insured patients and may exclude Medicare or Medicaid.

  • Many GLP-1 medications require prior authorization and may have supply changes

  • Cash, coupon, and insurance prices can all differ.

  • Ask your pharmacy to compare insurance, cash, and coupon pricing

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