State guides
About these guides
Cash telehealth prices are set nationally, so a Texas resident pays the same cash price as a patient in New York. What differs by state is Medicaid coverage, program availability (a handful of programs are licensed in select states only), and the state-specific Medicaid cost path. Each guide covers all three. The lowest all-in cash-pay price tracked is $149 a month at Strut Health (compounded semaglutide); 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, the cheapest branded cash path tracked.
For the full ranked list of all programs by price, see the program chart. For the complete Medicaid breakdown across all 50 states, see Medicaid GLP-1 coverage by state. For manufacturer savings cards and cash programs, see the GLP-1 coupons and savings guide.
Common questions
What is the cheapest GLP-1 you can get?
The cheapest cash route tracked is compounded semaglutide at about $149 a month at Strut Health, 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.