Rankings

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

DISCLOSURE — Coreage Rx pays this desk a commission when a reader signs up through our link. It buys no ranking, no score and no deletions. Method: how we rate. Full terms: disclosure.

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.

14 of the 21 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	$149	$2,400/yr	$1,788
2	Trimi	$99	$3,000/yr	$1,188
3	PlexusDx	$189	$1,920/yr	$2,268
4	Ozari Health	$86	$3,156/yr	$1,032
5	Ivím Health	$199	$1,800/yr	$2,388
6	Mochi Health	$178	$2,052/yr	$2,136
7	Coby Health	$229	$1,440/yr	$2,748
8	Hims & Hers	$188	$1,932/yr	$2,256
9	Ro	$448	$0/yr	$5,376
10	Zealthy	$151	$2,376/yr	$1,812
11	Remedy Meds	$299	$600/yr	$3,588
12	Lemonaid Health	$278	$852/yr	$3,336
13	Eden	$198	$1,812/yr	$2,376
14	Henry Meds	$297	$624/yr	$3,564

Cheapest qualifying option: Ozari Health at $86 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

$149 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 $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year. Read the full Coreage Rx review.

2. 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.

3. PlexusDx — Pharmacy transparency and genetic testing

$189 a month, no membership fee. Prescription GLP-1 and peptide programmes with no membership fee, built around genetic testing, using independent clinicians and a publicly listed set of 503A pharmacies.

The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier. Read the full PlexusDx 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.

Caveat from the desk

Compounded preparations are not FDA-approved. Two approved oral GLP-1s now start around $149 a month, and from 1 July 2026 eligible Medicare beneficiaries can access certain GLP-1s for $50 a month — both of which beat a large part of this market. See the approved pills and the Medicare programme.

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.