Wegovy alternatives
Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.
Updated 2026-09-18 · every price checked by hand
Wegovy is Novo Nordisk’s semaglutide, approved for weight management. Through NovoCare it has run at $199 a month for the first two fills through the end of 2026 and $349 a month afterwards.
That step from $199 to $349 is what sends most people looking. The alternatives are compounded semaglutide — same molecule, pharmacy-prepared, not FDA-approved — and the Wegovy pill itself, which starts around $149 a month and is approved.
What gets a programme onto this table
- Delivers semaglutide, the same active ingredient as Wegovy.
- Monthly price includes the medication.
- Sorted cheapest first.
16 of the 23 providers we track qualify. Every figure checked by hand and verified 2026-09-18 and re-checked periodically.
The list
Every row below is priced against Wegovy at $349 a month, and sorted by how much it saves you over a year. We use the $349 ongoing NovoCare rate rather than the $199 introductory price, because the introductory rate covers only the first two fills. Ranked on our overall score rather than price alone — for pure cost see cheapest semaglutide.
| # | Provider | Per month | Saves vs Wegovy | Per year |
|---|---|---|---|---|
| 1 | Coreage Rx | $139 | $2,520/yr | $1,668 |
| 2 | SuperHealthy Rx | $85 | $3,168/yr | $1,020 |
| 3 | Likeness Rx | $139 | $2,520/yr | $1,668 |
| 4 | Trimi | $99 | $3,000/yr | $1,188 |
| 5 | PlexusDx | $189 | $1,920/yr | $2,268 |
| 6 | Ozari Health | $86 | $3,156/yr | $1,032 |
| 7 | Ivím Health | $199 | $1,800/yr | $2,388 |
| 8 | Mochi Health | $178 | $2,052/yr | $2,136 |
| 9 | Coby Health | $229 | $1,440/yr | $2,748 |
| 10 | Hims & Hers | $188 | $1,932/yr | $2,256 |
| 11 | Ro | $448 | $0/yr | $5,376 |
| 12 | Zealthy | $151 | $2,376/yr | $1,812 |
| 13 | Remedy Meds | $299 | $600/yr | $3,588 |
| 14 | Lemonaid Health | $278 | $852/yr | $3,336 |
| 15 | Eden | $198 | $1,812/yr | $2,376 |
| 16 | Henry Meds | $297 | $624/yr | $3,564 |
Cheapest qualifying option: SuperHealthy Rx at $85 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.
1. Coreage Rx — Best overall on true monthly cost
$139 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.
The $79 semaglutide and $129 tirzepatide rates require 12-month plans. One-month plans are $139 and $199 respectively. Read the payment and refund terms before committing to a longer plan. Read the full Coreage Rx review.
2. SuperHealthy Rx — Public offer; not independently scored
$85 a month, no membership fee. Online provider review for compounded semaglutide and tirzepatide; provider visit and shipping included according to the offer.
Confirm the total upfront payment, renewal, state availability and dispensing pharmacy. Read the full SuperHealthy Rx review.
3. Likeness Rx — Public offer; not independently scored
$139 a month, no membership fee. Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month.
The lowest monthly equivalents accompany 12-month subscriptions: $948 for semaglutide or $1,548 for tirzepatide. One-month plans are $139 and $199. The page says the selected term renews automatically; check the amount due and cancellation date. Read the full Likeness Rx review.
4. Trimi — Lowest flat price with named pharmacies
$99 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.
Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.
Two things worth knowing before you buy on price
Before you spend anything: approved oral GLP-1s start at $149 a month and Medicare drops to $50 in July 2026. Both undercut a large part of this market, and neither is compounded.
In STEP-1, adults on 2.4 mg lost an average of about 14.9% of body weight over 68 weeks. That figure comes from a controlled trial of the active ingredient, not from any particular seller's product.
Read next
Coreage Rx pays us a commission on sign-ups through our links. It does not affect our scores or rankings. How we rate · Disclosure