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Cheapest GLP-1 in September 2026: $149 a month with auto-refill at Strut Health

The cheapest GLP-1 in GLP Chart's September 7, 2026 price check is $149 a month, with auto-refill, at Strut Health. That buys compounded semaglutide, a pharmacy-made version that is not FDA-approved and is not Wegovy, Ozempic, Zepbound or Mounjaro. The other 23 cash prices run up to $448 a month.

Two cash programs to check.

  1. Strut Health$149 a month, with auto-refillcompounded semaglutideCheck price →
  2. Shed$199 a monthcompounded semaglutideCheck price →A health form first, then you choose your plan

Every cash price on the chart, cheapest first

Cash prices are national, so your state does not change them. Checked September 7, 2026.

ProgramAll-inWhat it buys
Strut Health$149
with auto-refill
compounded semaglutide
Mochi Health$178compounded semaglutide
Shed$199compounded semaglutide
Ivim Health$200compounded semaglutide
Noom Med$249compounded semaglutide
Found$289compounded semaglutide
Henry Meds$297compounded semaglutide
Medvi$299compounded semaglutide
Knownwell$299Wegovy pill
Amazon Pharmacy$299Wegovy pill
NovoCare$299Wegovy pill
Hone Health$315liraglutide
CVS MinuteClinic$328Wegovy
GoodRx for Weight Loss$338Wegovy pill
Lemonaid Health$348compounded semaglutide
Walgreens Weight Management$348Wegovy
WeightWatchers Clinic$373Wegovy pill
Sesame Care$398Wegovy pill
Costco / Success by Sesame$398Wegovy pill
Sam's Club Member Health$399
rises to $699 at higher doses
Zepbound KwikPen
LillyDirect$399Zepbound
Hims & Hers$448Wegovy pill
Ro Body$448Wegovy pill
LifeMD$448Wegovy pill

State guides

Your Medicaid changes the answer, and the 50 state guides below say how.

AL cost guide
Cheapest GLP-1 in Alabama
No Medicaid weight-loss coverage; cash-pay is the primary route.
AK cost guide
Cheapest GLP-1 in Alaska
No Medicaid weight-loss coverage; cash-pay is the primary route.
AZ cost guide
Cheapest GLP-1 in Arizona
No Medicaid weight-loss coverage; cash-pay is the primary route.
AR cost guide
Cheapest GLP-1 in Arkansas
No Medicaid weight-loss coverage; cash-pay is the primary route.
CA cost guide
Cheapest GLP-1 in California
No Medicaid weight-loss coverage; cash-pay is the primary route.
CO cost guide
Cheapest GLP-1 in Colorado
No Medicaid weight-loss coverage; cash-pay is the primary route.
CT cost guide
Cheapest GLP-1 in Connecticut
No Medicaid weight-loss coverage; cash-pay is the primary route.
DE cost guide
Cheapest GLP-1 in Delaware
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+, documented comorbidity); cash-pay available statewide.
DC cost guide
Cheapest GLP-1 in District of Columbia
No Medicaid weight-loss coverage; cash-pay is the primary route.
FL cost guide
Cheapest GLP-1 in Florida
No Medicaid weight-loss coverage; cash-pay is the primary route.
GA cost guide
Cheapest GLP-1 in Georgia
No Medicaid weight-loss coverage; cash-pay is the primary route.
HI cost guide
Cheapest GLP-1 in Hawaii
No Medicaid weight-loss coverage; cash-pay is the primary route.
ID cost guide
Cheapest GLP-1 in Idaho
No Medicaid weight-loss coverage; cash-pay is the primary route.
IL cost guide
Cheapest GLP-1 in Illinois
No Medicaid weight-loss coverage; cash-pay is the primary route.
IN cost guide
Cheapest GLP-1 in Indiana
No Medicaid weight-loss coverage; cash-pay is the primary route.
IA cost guide
Cheapest GLP-1 in Iowa
No Medicaid weight-loss coverage; cash-pay is the primary route.
KS cost guide
Cheapest GLP-1 in Kansas
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
KY cost guide
Cheapest GLP-1 in Kentucky
No Medicaid weight-loss coverage; cash-pay is the primary route.
LA cost guide
Cheapest GLP-1 in Louisiana
No Medicaid weight-loss coverage; cash-pay is the primary route.
ME cost guide
Cheapest GLP-1 in Maine
No Medicaid weight-loss coverage; cash-pay is the primary route.
MD cost guide
Cheapest GLP-1 in Maryland
No Medicaid weight-loss coverage; cash-pay is the primary route.
MA cost guide
Cheapest GLP-1 in Massachusetts
No Medicaid weight-loss coverage; cash-pay is the primary route.
MI cost guide
Cheapest GLP-1 in Michigan
Medicaid covers GLP-1 for obesity under limited criteria (BMI 40+); cash-pay available statewide.
MN cost guide
Cheapest GLP-1 in Minnesota
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+ on its own, or BMI 27+ with a qualifying weight-related condition); cash-pay available statewide.
MS cost guide
Cheapest GLP-1 in Mississippi
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
MO cost guide
Cheapest GLP-1 in Missouri
No Medicaid weight-loss coverage; cash-pay is the primary route.
MT cost guide
Cheapest GLP-1 in Montana
No Medicaid weight-loss coverage; cash-pay is the primary route.
NE cost guide
Cheapest GLP-1 in Nebraska
No Medicaid weight-loss coverage; cash-pay is the primary route.
NV cost guide
Cheapest GLP-1 in Nevada
No Medicaid weight-loss coverage; cash-pay is the primary route.
NH cost guide
Cheapest GLP-1 in New Hampshire
No Medicaid weight-loss coverage; cash-pay is the primary route.
NJ cost guide
Cheapest GLP-1 in New Jersey
No Medicaid weight-loss coverage; cash-pay is the primary route.
NM cost guide
Cheapest GLP-1 in New Mexico
No Medicaid weight-loss coverage; cash-pay is the primary route.
NY cost guide
Cheapest GLP-1 in New York
No Medicaid weight-loss coverage; cash-pay is the primary route.
NC cost guide
Cheapest GLP-1 in North Carolina
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
OH cost guide
Cheapest GLP-1 in Ohio
No Medicaid weight-loss coverage; cash-pay is the primary route.
OK cost guide
Cheapest GLP-1 in Oklahoma
No Medicaid weight-loss coverage; cash-pay is the primary route.
OR cost guide
Cheapest GLP-1 in Oregon
No Medicaid weight-loss coverage; cash-pay is the primary route.
PA cost guide
Cheapest GLP-1 in Pennsylvania
No Medicaid weight-loss coverage; cash-pay is the primary route.
RI cost guide
Cheapest GLP-1 in Rhode Island
Medicaid covers GLP-1 for obesity under limited criteria; cash-pay available statewide.
SC cost guide
Cheapest GLP-1 in South Carolina
No Medicaid weight-loss coverage; cash-pay is the primary route.
SD cost guide
Cheapest GLP-1 in South Dakota
No Medicaid weight-loss coverage; cash-pay is the primary route.
TN cost guide
Cheapest GLP-1 in Tennessee
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
TX cost guide
Cheapest GLP-1 in Texas
No Medicaid weight-loss coverage; cash-pay is the primary route.
UT cost guide
Cheapest GLP-1 in Utah
No Medicaid weight-loss coverage; cash-pay is the primary route.
VT cost guide
Cheapest GLP-1 in Vermont
No Medicaid weight-loss coverage; cash-pay is the primary route.
VA cost guide
Cheapest GLP-1 in Virginia
Medicaid covers GLP-1 for obesity under limited criteria (BMI over 40 on its own, or BMI over 37 with a qualifying weight-related condition); cash-pay available statewide.
WA cost guide
Cheapest GLP-1 in Washington
No Medicaid weight-loss coverage; cash-pay is the primary route.
WV cost guide
Cheapest GLP-1 in West Virginia
No Medicaid weight-loss coverage; cash-pay is the primary route.
WI cost guide
Cheapest GLP-1 in Wisconsin
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30 or higher on its own, or 27 to 29.9 with two or more weight-related risk factors); cash-pay available statewide.
WY cost guide
Cheapest GLP-1 in Wyoming
No Medicaid weight-loss coverage; cash-pay is the primary route.

Pick North Dakota on the chart to see every program that serves it.

Every state's Medicaid rules are on Medicaid by state. Cash prices are the same in all 50. Not every program ships to every state. GLP-1 prices by state counts how many deliver to each one.

About these guides

Cash telehealth prices are set nationally. A Texas resident pays the same cash price as a patient in New York. What changes by state is Medicaid coverage, program availability (a handful of programs are licensed in select states only), and the state Medicaid cost path. Each guide covers all three.

For compounded medication, Mochi Health charges one flat $178 a month at every dose tier. For branded medication, Amazon Pharmacy dispenses the oral Wegovy pill from $149 a month at the starter dose, the cheapest branded cash path tracked. Costco pairs a discounted Sesame membership with the Wegovy pill at $299 a month. For the full-year cost, see the cheapest GLP-1 over 12 months, and this week's offers in the best GLP-1 deals right now.

Our guide to GLP-1 maintenance dose protocols by drug gives the maintenance dose on each FDA label.

Paying with no coverage at all? GLP-1 without insurance sets the three cash routes side by side. Want the full ranked list by score? See the program chart. The complete Medicaid breakdown across all 50 states is on Medicaid GLP-1 coverage by state, and manufacturer savings cards and cash programs are in the GLP-1 coupons and savings guide. If the cash price is still out of reach, patient assistance programs can cover the drug at no cost for people who qualify.

Common questions

What is the cheapest GLP-1 you can get?

The cheapest cash route tracked is compounded semaglutide, a pharmacy-made version that is not FDA-approved and is not Wegovy or Ozempic. Strut Health charges $149 a month, with auto-refill, billed month to month. Mochi Health runs $178 a month flat at every dose tier. For branded medication, Amazon Pharmacy dispenses the oral Wegovy pill from $149 a month at the starter dose.

Does the cheapest GLP-1 price change by state?

No. Cash telehealth prices are set nationally, so a Texas resident pays the same cash price as a patient in New York. What changes by state is Medicaid coverage, program availability (a few programs are licensed in select states only), and the state Medicaid cost path.

Does Medicaid cover GLP-1 for weight loss?

It depends on the state. Some state Medicaid programs cover weight-loss GLP-1 with prior authorization, some cover it only under limited criteria such as a BMI threshold or a documented comorbidity, and some do not cover it at all. Coverage for all 50 states is listed on the Medicaid by state guide.