How much does Ozempic cost without insurance?
Ozempic Overview
Ozempic, also known as Semaglutide, developed by Novo Nordisk, was initially approved by the U.S. Food and Drug Administration (FDA) in 2017 for the treatment of type 2 diabetes.
It is an anti-diabetic medication, that is part of a drug class known as glucagon-like peptide 1 agonist, or “GLP-1 agonist” for short.
This medication mimics a hormone found naturally in your body, GLP-1, produced in your gut and released when food is consumed, which regulates digestion, insulin levels, and blood sugar levels. GLP-1 agonists enhance glucose-dependent insulin production and reduce glucagon, which increases blood sugar levels production, slows gastric emptying, and promotes satiety, leading to weight loss.
In addition to managing blood sugar levels in those with type 2 diabetes, Ozempic is used to lower the risk of serious cardiovascular events in those with a history of heart diseases like heart attacks or strokes.
This medication is FDA-approved for the management of type 2 diabetes when used in conjunction with an appropriate diet and exercise regimen. Although weight loss is a common side effect, it is important to note that Ozempic is not FDA-approved for weight loss but may be prescribed off-label by healthcare providers.
Cost of Ozempic
The typical retail cost of Ozempic, without insurance, can vary, but on average it ranges from $900 to $1,200 monthly, resulting in an annual cost surpassing $11,000.
Keep in mind that there is currently no generic for Ozempic, resulting in higher costs, even for those with insurance coverage.
However, actual prices can differ based on factors such as location, pharmacy, insurance coverage, and specific dosage requirements.
Ozempic and Insurance
Whether Ozempic is covered by health insurance depends on factors such as the condition this medication is being prescribed for, such as type 2 diabetes or weight loss, and the specific coverage provided by your plan.
It is important to keep in mind that the majority of insurance plans that provide coverage for Ozempic typically extend it to those with Type 2 diabetes, excluding those using the medication specifically for weight loss purposes.
In cases where insurance does not cover this medication, it is recommended to speak with your doctor about alternative generic options, or similar medications that cost less. These alternatives can provide comparable weight loss benefits to Ozempic and may be obtainable at a potentially lower cost.
Ways to Save
You may be able to lower the expense of Ozempic by leveraging savings programs and health insurance options.
Novo Nordisk, the manufacturer of Ozempic, provides an Ozempic savings card applicable to a 90-day supply. Eligibility requires private or commercial insurance and a prescription for 1, 2, or 3 months. Depending on your insurance plan, potential savings include up to $150 off a one- month prescription, $300 off a two-month prescription, or $450 off a three-month prescription.
Additionally, if you are covered by Medicare or do not have insurance, you may qualify to receive Ozempic at no cost through the Novo Nordisk Patient Assistance Program.
ATo qualify, you must be a U.S. citizen or legal resident, and your total household income should not exceed 400% of the federal poverty line. Additionally, eligibility requires not having any form of insurance, including Medicare, and not participating in any federal, state, or government programs such as Medicaid or VA benefits.
Certain pharmacies may also provide discounts for purchasing medications in larger quantities, such as a 90-day supply. However, it is important to confirm whether your insurance plan accommodates a 90-day supply of the medication beforehand.