Ozempic, a popular medication for type 2 diabetes, has gained attention for its effectiveness in managing blood sugar and aiding weight loss.
Many people turn to Walmart for their prescriptions due to its widespread availability and competitive pricing.
Understanding the Ozempic cost at Walmart with insurance can help you plan your budget and explore savings options. This article breaks down the costs, insurance factors, and ways to save in simple terms.
What Is Ozempic?
Ozempic is an injectable prescription drug containing semaglutide, a GLP-1 receptor agonist. It helps adults with type 2 diabetes control blood sugar, reduce cardiovascular risks, and manage kidney disease progression.
Some doctors prescribe it off-label for weight loss, though insurance coverage for this use is limited. Knowing its uses helps explain its cost variations.
Why Walmart for Ozempic?
Walmart pharmacies are known for affordable medications and convenient services. With locations across the U.S., Walmart offers in-store and online prescription options.
Many choose Walmart for its competitive pricing and acceptance of various insurance plans. This makes it a go-to for those seeking Ozempic at a reasonable cost.
How Much Does Ozempic Cost Without Insurance?
Without insurance, Ozempic can be expensive. At Walmart, the average cash price for a one-month supply (typically one pen) ranges from $900 to $1,200. Prices vary based on dosage (0.25 mg, 0.5 mg, 1 mg, or 2 mg) and location. Higher doses often cost more due to increased medication per pen.
The list price for a 1.5 mL pen (0.25 mg or 0.5 mg) is around $997.58, according to Novo Nordisk, the drug’s manufacturer. For a 12-month period, costs can reach $12,000 or more. These figures highlight why insurance or discounts are crucial for affordability.
Ozempic Cost at Walmart with Insurance
The Ozempic cost at Walmart with insurance can be significantly lower than the cash price. With commercial insurance, you might pay as little as $25 for a one-, two-, or three-month supply, thanks to manufacturer savings cards. However, the exact cost depends on your insurance plan, deductible, and whether Ozempic is covered for your condition.
Medicare Part D or Advantage plans often cover Ozempic for type 2 diabetes, with copays ranging from $10 to $50 monthly, depending on your plan’s tier and coverage phase.
Medicaid coverage varies by state, but copays are typically low if approved. Always check with your insurer to confirm coverage details.
Factors Affecting Ozempic Cost at Walmart
Several factors influence the Ozempic cost at Walmart with insurance. Your insurance plan’s formulary (preferred drug list) determines coverage and copay amounts. Ozempic is often a Tier 3 or specialty drug, which may lead to higher copays.
Dosage also plays a role—higher doses like 1 mg or 2 mg cost more per pen. Location matters too; urban Walmart stores may charge slightly more due to higher demand or overhead. Lastly, prior authorization requirements can delay coverage, affecting when you pay.
How Insurance Plans Cover Ozempic
Private insurance plans often cover Ozempic for type 2 diabetes but may require prior authorization.
This means your doctor must prove it’s medically necessary, often after trying other drugs like metformin. Coverage for weight loss is rare, as it’s considered off-label use.
Medicare Part D covers Ozempic for diabetes, heart disease, or kidney disease, but not for weight loss. The 2025 Inflation Reduction Act caps Medicare Part D out-of-pocket drug costs at $2,000 annually, which can help. Medicaid coverage depends on state guidelines, often requiring strict criteria.
Savings Programs and Coupons
Novo Nordisk offers a savings card for eligible commercially insured patients. With this card, you may pay as little as $25 for a one-, two-, or three-month supply, with savings up to $150 per 28-day prescription. This offer lasts up to 48 months but isn’t available for Medicare or Medicaid patients.
Discount programs like GoodRx, SingleCare, and Optum Perks can reduce costs at Walmart. For example, a GoodRx coupon might lower the price to around $985.57 for a one-month supply. Always compare coupon prices with your insurance copay to find the best deal.
Walmart’s Pharmacy Savings Options
Walmart’s pharmacy accepts various discount cards, including RxSaver and SingleCare.
These can lower the Ozempic cost at Walmart with insurance or without. Walmart’s $4 Prescription Program doesn’t include Ozempic, as it’s limited to select generic drugs.
You can also use Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) to pay for Ozempic with pre-tax dollars. This effectively reduces your cost by your tax rate. Check with Walmart’s pharmacy staff to apply these options.
Table: Ozempic Cost Comparison at Walmart
| Payment Method | Estimated Monthly Cost | Notes |
|---|---|---|
| Without Insurance | $900–$1,200 | Varies by dosage and location; no discounts applied. |
| With Commercial Insurance | $25–$150 | Requires savings card or low copay; prior authorization may be needed. |
| With Medicare Part D | $10–$50 | Depends on plan tier and coverage phase; capped at $2,000/year in 2025. |
| With GoodRx/SingleCare Coupon | $824.95–$985.57 | Discounts for uninsured or high-copay plans; check for latest offers. |
This table shows how costs vary based on payment method. Always verify with Walmart’s pharmacy for exact pricing.
Tips to Lower Ozempic Costs at Walmart
To reduce the Ozempic cost at Walmart with insurance, start by confirming coverage with your insurer.
Ask your doctor to submit prior authorization paperwork promptly. Use Novo Nordisk’s savings card if you have commercial insurance.
Compare prices using discount programs like GoodRx or SingleCare. Opt for a 90-day supply if your insurance allows, as it may lower the cost per dose. Finally, check if your FSA or HSA can cover out-of-pocket expenses.
Novo Nordisk’s Patient Assistance Program
Novo Nordisk’s Patient Assistance Program (PAP) offers Ozempic at no cost to eligible uninsured or underinsured patients.
You must be a U.S. citizen or legal resident with a household income at or below 400% of the federal poverty line. Medicare and Medicaid enrollees are not eligible.
To apply, contact Novo Nordisk at 1-866-310-7549 or visit their website. If approved, you’ll receive Ozempic free, but you must reapply periodically. This program is ideal for those without insurance facing high costs.
Online Pharmacy and Telehealth Options
Walmart’s online pharmacy allows you to order Ozempic with a valid prescription. You can pick it up in-store or have it shipped.
Telehealth services like PlushCare or Ro Body can prescribe Ozempic after a virtual consultation, though costs vary.
Without insurance, PlushCare charges around $949 per pen, plus consultation fees. Ro Body’s program starts at $99 for an initial visit, with monthly memberships at $149, excluding medication costs. Compare these with Walmart’s pricing for the best option.
Why Costs Vary Across Pharmacies
Ozempic prices differ due to pharmacy agreements, regional demand, and supply availability. Walmart’s large scale often leads to competitive pricing, but smaller pharmacies may offer better discounts through coupons. Always ask Walmart’s pharmacist to check for savings programs.
Compounded semaglutide, sometimes cheaper, isn’t available at Walmart, which only stocks FDA-approved brands. Avoid compounded versions due to safety concerns. Stick with Walmart for reliable, brand-name Ozempic.
Potential Alternatives to Ozempic
If Ozempic’s cost is too high, discuss alternatives with your doctor. Rybelsus, an oral semaglutide, may be cheaper and covered similarly. Other GLP-1 agonists like Trulicity or Victoza might also be options.
These alternatives vary in cost and coverage, so check with your insurance and Walmart’s pharmacy. Your doctor can help determine if they’re suitable for your condition. Switching medications could save money without compromising treatment.
Budgeting for Long-Term Use
Ozempic is often a long-term medication for diabetes management, making budgeting essential. Plan for monthly costs, even with insurance, and factor in potential copay increases. Use savings cards and discounts consistently to keep expenses manageable.
If using Ozempic off-label for weight loss, expect higher out-of-pocket costs due to limited coverage. Discuss with your doctor whether the benefits justify the expense. Regular monitoring can help you stay on track financially.
Summary
The Ozempic cost at Walmart with insurance varies based on your plan, dosage, and savings options. With commercial insurance, you might pay as little as $25 monthly using a Novo Nordisk savings card.
Medicare and Medicaid offer coverage for diabetes but not weight loss, with copays as low as $10–$50. Without insurance, costs range from $900 to $1,200 per month, but discount programs like GoodRx can lower this to around $824.95–$985.57.
Walmart’s pharmacy, combined with coupons, FSAs, or the Patient Assistance Program, offers multiple ways to save. Always verify coverage and compare prices to get the best deal.
FAQ
How much is Ozempic at Walmart with insurance?
With commercial insurance and a Novo Nordisk savings card, you may pay as little as $25 for a one- to three-month supply. Medicare Part D copays range from $10 to $50, depending on your plan. Check with your insurer for exact costs.
Can I use coupons for Ozempic at Walmart?
Yes, Walmart accepts coupons from GoodRx, SingleCare, and Optum Perks. These can lower the cost to around $824.95–$985.57 for a one-month supply. Compare coupon prices with your insurance copay.
Does Medicare cover Ozempic at Walmart?
Medicare Part D covers Ozempic for type 2 diabetes, heart disease, or kidney disease, with copays of $10–$50. Coverage for weight loss is not available. The 2025 cost cap limits annual expenses to $2,000.
Is there a generic version of Ozempic at Walmart?
No, as of 2025, there’s no FDA-approved generic semaglutide. Walmart only stocks brand-name Ozempic. Compounded versions are available elsewhere but are not recommended due to safety concerns.
How can I get Ozempic for free?
Novo Nordisk’s Patient Assistance Program provides Ozempic at no cost to eligible uninsured U.S. residents with low income. Call 1-866-310-7549 to apply. Medicare and Medicaid patients are not eligible.