Wegovy GoodRx, NovoCare $299, Costco $349, Sam's Club: Every GLP-1 Cash-Pay Coupon & Channel (2026)

Cash-pay GLP-1 pricing changed dramatically in 2025-2026. NovoCare repriced Wegovy from $499 to $299/month. LillyDirect launched the Self Pay Journey Program for Zepbound vials at $299-$449/month. Sam's Club launched oral Wegovy at $149/month with free same-day refrigerated delivery for Plus members. Costco offers Wegovy + Ozempic at $349/month via the Sesame partner. Amazon Pharmacy launched Foundayo at $149/month with same-day delivery in 3,000+ cities. Every channel, every drug, every verified 2026 price below.

Quick reference: cheapest cash-pay path by drug

NovoCare Pharmacy (Wegovy + Ozempic, Novo Nordisk)

NovoCare is Novo Nordisk's direct-to-consumer self-pay pharmacy for Wegovy and Ozempic. The platform launched at $499/month for Wegovy in early 2025 — the headline that drove most of the press coverage at the time. As of the verified July 2026 fetch, those prices have come down significantly:

• Wegovy standard pen (0.25-2.4 mg): $299/month
• Wegovy oral pill (1.5 mg, 4 mg): $149/month (promotional pricing through August 31, 2026, then $199/mo for the 4 mg dose)
• Wegovy HD pen 7.2 mg: $399/month
• Wegovy new patient promotion: $199/month for the first 2 months of treatment on the lowest two doses (0.25 mg + 0.5 mg) — through June 30, 2026
• Wegovy with insurance copay savings card: as little as $25/month with maximum savings of $100/month
• Ozempic standard pen: $199/month for new patients (first 2 months); $349/month standard self-pay
• Ozempic with insurance copay card: as little as $25/month for up to 3 months

Eligibility: the NovoCare self-pay path is for “uninsured patients or eligible patients with commercial insurance who do not have coverage for obesity medicines.” Government beneficiaries (Medicare, Medicaid, VA, TRICARE) are excluded from the $25 copay offer per Novo Nordisk policy.

LillyDirect (Zepbound, Mounjaro, Foundayo, Eli Lilly)

LillyDirect is Eli Lilly's DTC platform for self-pay access to its weight-management and diabetes products. The Self Pay Journey Program for Zepbound vials launched December 1, 2025 with the verbatim verified pricing:

• Zepbound 2.5 mg vial: $299/month (a $50 price reduction from launch)
• Zepbound 5 mg vial: $399/month (a $100 reduction)
• Zepbound 7.5 / 10 / 12.5 / 15 mg vials: $449/month (from the original $499)
• Zepbound KwikPen: $299–$699 by strength (higher than vials)
• Foundayo (orforglipron): $149/month at launch
• Mounjaro: NOT in the LillyDirect Self Pay Journey Program — the only Mounjaro cash-pay path is via the Mounjaro Savings Card for commercially insured patients

Eligibility: “self-paying patients using LillyDirect” with “a valid prescription.” See our Mounjaro vs Zepbound complete comparison for the dual-brand context — Mounjaro and Zepbound are the same molecule, but only Zepbound has the LillyDirect self-pay path.

Costco Member Prescription Program (CMPP) via Sesame

Costco launched the Member Prescription Program partnership with Sesame for GLP-1 access in early 2026. The program offers Wegovy and Ozempic at $349/month — the first true retailer-discount tier below the manufacturer's NovoCare floor — via a Sesame-managed prescriber and Costco-pharmacy fulfillment. Verified pricing:

• Wegovy / Ozempic standard: $349/month
• New patient promotion: $199/month for the first 2 months on the lowest two doses
• Wegovy 4 mg pill: $149/month through August 31, 2026, then $199/month
• Eligibility: “Any Costco Member can join CMPP.” Membership-gated for the discount tier; non-members can fill Rx at posted cash price by federal pharmacy access law (but cannot use the CMPP discount).
• Exclusions: “CMPP is not insurance … Claims submitted for coverage under publicly funded programs (Medicare, Medicaid, etc.) or private insurance are not eligible for CMPP participation.”
• Zepbound: Costco CMPP page exists for Zepbound but no Lilly partnership equivalent to the Novo $349 deal — Zepbound dispensed at LillyDirect-equivalent self-pay tier.

Sam's Club Plus Pharmacy

Sam's Club's GLP-1 program is the most aggressive retail-channel offering as of 2026. Two distinct paths:

• Oral Wegovy (1.5 mg) at $149/month — launched January 7, 2026 via the manufacturer's self-pay offer
• Wegovy + Ozempic injection pens at $499/month — through the Novo Nordisk Copay Savings Program for eligible Sam's Club members (commercial insurance without coverage; uninsured)
• Zepbound KwikPen by strength: $299 (2.5 mg) / $399 (5 mg) / $499 (7.5 mg) / $699 (10/12.5/15 mg)
• Free same-day refrigerated delivery for Plus members when ordered by 2 p.m. (Club and non-members pay $12)
• Eligibility for manufacturer copay programs: gated by Novo Nordisk and Eli Lilly eligibility criteria (uninsured / commercial without coverage; government beneficiaries excluded)

Amazon Pharmacy (Foundayo same-day delivery)

Amazon Pharmacy launched Foundayo (orforglipron) on April 9, 2026 — eight days after FDA approval. Verified pricing:

• Insured price: “starts as low as $1 per day or $25 per month”
• Cash price: “$5 per day or $149 per month”
• Manufacturer-sponsored coupons are applied automatically before checkout
• Same-day delivery: “in nearly 3,000 cities and towns, expanding to nearly 4,500 by year end”
• Pharmacist-supported kiosks at select One Medical locations for in-office pickup immediately after medical appointments

GoodRx coupon path for every GLP-1

GoodRx aggregates manufacturer-funded coupons for GLP-1 medications across its 70,000+ network pharmacies. Verified cheapest cash prices via GoodRx as of 2026-05-09:

• Wegovy oral pill 1.5 mg: $149.00 through April 15, 2026 (manufacturer-funded; $199 for 4 mg post April 15)
• Wegovy injection pen: ~$1,300+ retail with a 9–24% coupon (the GoodRx headline price for Wegovy isn't the cheapest path — NovoCare $299 wins)
• Ozempic: $149.00 low (oral 1.5 mg); injection pen via Novo $199 first 2 fills then $349
• Zepbound: $299/month for KwikPen via manufacturer offer; $995 retail for vials/pen without coupon
• Mounjaro: ~$995 at the cheapest pharmacy — the only GLP-1 with no DTC discount path
• Foundayo: $149.00 cash; $25 with manufacturer coupon for 30-tab 0.8 mg

Important: GoodRx coupons cannot stack with insurance — using a GoodRx coupon means paying cash and forgoing your insurance copay. Manufacturer-funded GoodRx prices (Wegovy oral pill, Foundayo, Zepbound KwikPen) require eligibility for the brand's underlying self-pay program.

Wegovy GoodRx: what is the actual price?

Wegovy GoodRx prices for the injection pen typically display ~$1,300 retail with a 9–24% manufacturer-funded coupon — that is not the cheapest channel. The cheapest cash-pay route for the Wegovy pen is NovoCare self-pay at $299/month direct from Novo Nordisk (verified July 2026). For Wegovy oral pill, GoodRx shows $149/month for 1.5 mg through April 15, 2026 ($199 for 4 mg after that). Bottom line: “Wegovy GoodRx” searches should redirect to NovoCare for the pen and to GoodRx for the oral pill — the price floor differs by formulation.

Channels NOT carrying brand-name GLP-1s in 2026

• Cost Plus Drugs (Mark Cuban): 0 brand-name GLP-1 SKUs as of 2026-05-09. Per Mark Cuban directly: “Our mission is to sell any FDA approved drug. Right now the manufacturer won't sell through us.” The April 2026 9amHealth partnership covers oral weight-management adjuncts only — branded GLP-1s are not available at MCCPDC.
• Walmart Pharmacy has no Walmart-specific national cash price for branded GLP-1s — accepts NovoCare ($299–$499) and LillyDirect ($299–$449) self-pay vouchers per the October 2025 LillyDirect-at-Walmart pickup deal. Walmart+ Rx generic formulary does NOT include branded GLP-1s.

HSA / FSA eligibility

Brand-name and compounded GLP-1s are generally HSA/FSA eligible as a medical expense with a valid prescription per IRS Publication 502. This applies regardless of cash-pay channel — NovoCare, LillyDirect, Costco, Sam's Club, Amazon Pharmacy, and GoodRx coupon purchases can all be paid from your HSA/FSA debit card. Compounded GLP-1s from licensed 503A pharmacies are also typically eligible with a prescription, though some plan administrators require a Letter of Medical Necessity. See our insurance coverage hub for the broader payer landscape.

Further reading

• GLP-1 coupons, discounts & promo codes — live offer tracker — manufacturer savings cards plus the live telehealth intro-offer table, generated from our verified provider database.
• The $25/month Ozempic savings card explained — eligibility, the commercial-insurance requirement, and how it stacks up against cash-pay options.
• Top semaglutide weight-loss studies (curated PubMed reading list)
• Top semaglutide side-effect questions on Reddit, answered