How Much Does Compounded Semaglutide Cost in 2026?

When prescribed for a documented clinical need, compounded semaglutide typically costs between $149 and $399 per month. The exact price depends on dose, pharmacy, and whether consultations are included.

Back to: Compounded Semaglutide Overview

Factors That Affect Pricing

• Dosage strength: Lower starting doses (0.25mg) cost less than maintenance doses (1mg-2.4mg).
• Dosage form: Injectable semaglutide is generally the most affordable. Sublingual tablets and troches may cost more.
• Consultation fees: Some providers bundle consultations into the price; others charge separately.
• Supply duration: Multi-month supplies (60- or 90-day) may offer per-unit savings.

Price Comparison Overview

• Compounded semaglutide: $149 - $399/month
• Ozempic (brand): ~$998/month without insurance
• Wegovy (brand): ~$1,349/month without insurance
• Rybelsus (oral, brand): ~$998/month without insurance

Brand-name pricing may be lower with insurance or manufacturer savings programs. Compounded medications are typically not covered by insurance.

What Is Typically Included

When comparing providers, check whether the price includes:

• One month supply of medication
• Syringes and injection supplies
• Shipping and handling
• Medical consultation
• Third-party potency and sterility testing

Who Is Eligible?

Since the FDA resolved the semaglutide shortage in February 2025, compounding pharmacies may only prepare semaglutide for patients with a documented clinical need — such as an allergy to branded excipients or a need for non-standard dosing. Cost alone is not a qualifying reason.

Compare compounded semaglutide options on Compounding Finder