Rankings

Wegovy alternatives

Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.

Illustration of ascending stacked blocks

Updated 2026-09-18

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 listing on this board

Delivers semaglutide, the same active ingredient as Wegovy.
Monthly price includes the medication.
Sorted cheapest first.

16 of the 23 providers we track qualify. Board 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.

Reader questions

Is compounded semaglutide the same as Wegovy?

Same active ingredient, but it is not Wegovy and it is not a generic. There is no approved generic semaglutide. Compounded versions are prepared by pharmacies and are not FDA-approved.

What is the cheapest route to semaglutide overall?

Compounded programmes start around $86 a month. For Medicare beneficiaries, the $50 monthly programme beginning July 2026 is likely to beat everything.