Cost analysis · Semaglutide

What a year of compounded semaglutide actually costs

A year of compounded semaglutide runs from $1,188 to $7,764 across the 29 programs this database can rank. The cheapest is bmiMD; the most expensive is Ro (Ro Body). Same molecule, same dose, $6,576 apart.

Where the spread comes from

The middle of the semaglutide field sits at $2,544 — Enhance MD. The lowest twelve-month figure belongs to bmiMD at $1,188, on a prepaid term.

Semaglutide pricing is structurally tighter than tirzepatide pricing in this database, and the reason is competitive rather than clinical: more programs offer it, and more of them price it flat. 21 of the 29 rankable semaglutide programs publish a price at every dose from 0.25 through 2.4 mg per week.

The dose ladder

Semaglutide's ladder has five steps rather than tirzepatide's six, and the maximum weight-management dose is 2.4 mg per week. This site quotes every semaglutide figure at that dose. Our dose encyclopedia breaks out what each program charges at each step, and shows the ones that publish nothing between the start and the top.

Oral and sublingual versions cost differently

Some programs sell compounded semaglutide as an oral or sublingual tablet rather than an injection. Those are priced separately and are not ranked against injectables on this site, for a straightforward reason: the trial evidence for weight loss with semaglutide comes from specific formulations at specific doses, and absorption of a compounded oral or sublingual preparation is not established. Comparing their prices head-to-head would imply an equivalence that does not exist.

The approved product, for reference

NovoCare Pharmacy (Wegovy) is the lowest FDA-approved semaglutide channel in this database at $349 a month, or $4,188 across a year. Compounded semaglutide is not FDA-approved and is not a generic of the approved product. If you have insurance coverage, check what the approved product costs you under it before comparing cash prices at all.

Questions

How much does compounded semaglutide cost per year?

Between $1,188 and $7,764 all-in across the 29 rankable programs in this database, with the middle of the field around $2,544.

What is the cheapest compounded semaglutide?

bmiMD at $129 a month all-in at 2.4 mg per week, reported. Computed from the published dataset at this build.

Is oral or sublingual semaglutide cheaper?

It is priced separately and is not ranked against injectables here. The weight-loss trial evidence comes from specific formulations at specific doses, and absorption of compounded oral or sublingual preparations is not established.