
Medication Cost & Access Resource
A practical guide to where patients may look for common weight-management medications

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.

Compounded Semaglutide Injection
$249
per Month
Same price regardless of dose
For qualifying patients
Cold shipping included
Compounded Tirzepatide Injection
$349
per Month
Same price regardless of dose
For qualifying patients
Cold shipping included

Medication
Places to look
Estimated price

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

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

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

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

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+

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

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

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

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
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Manufacturer programs often apply only to eligible commercially insured patients and may exclude Medicare or Medicaid.
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Many GLP-1 medications require prior authorization and may have supply changes
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Cash, coupon, and insurance prices can all differ.
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Ask your pharmacy to compare insurance, cash, and coupon pricing






