Prices checked Jun 15, 2026
Cheapest cash options in South Dakota
Cash telehealth prices are set nationally. A South Dakota resident pays the same price as a patient anywhere else in the US. The programs below all serve South Dakotaand represent the cheapest all-in monthly price at maintenance dose, as verified against each program's published pricing.
| Program | All-in / mo | What the price covers |
|---|---|---|
| Amazon Pharmacy | $149/mo | Branded GLP-1 at upfront cash prices. From $149/mo. |
| Sam's Club Member Health | $149/mo | Oral Wegovy at $149/mo for members, plus the Well app. |
| Found | $169/mo | Widest medication catalog. A 12-month plan is the catch. |
| Mochi Health | $178/mo | Flat compounded pricing, no surprise dose-tier jumps. |
Prices are checked every Monday against each program's published pricing. We do not create accounts or make purchases to verify them. See the full ranked list at the comparison chart.
Programs available in South Dakota
31 of the programs we track are licensed and available to South Dakota residents. 2 programs do not serve South Dakota: WeightWatchers Clinic, Lindora. They do not currently serve South Dakota residents, usually because of state telehealth or pharmacy rules.
The remaining 31 programs all operate via telehealth and can onboard South Dakota patients remotely. You do not need to visit a clinic in person for the initial assessment or follow-up care. See the programs guide for the full breakdown by onboarding time and lock-in terms.
What South Dakota Medicaid covers
South Dakota Medicaid does not cover Wegovy or Zepbound for obesity. The diabetes path (Ozempic, Mounjaro) is covered with PA and a documented A1c above threshold.
For the full prior-authorization criteria, MCO list, and step-therapy requirements, see the dedicated South Dakota Medicaid GLP-1 coverage page. That page also covers appeal options if you are denied on first submission.
The complete cost picture for South Dakota residents
A South Dakota resident has three realistic paths to a GLP-1 in 2026:
| Path | Cost / mo | Who qualifies |
|---|---|---|
| Cash-pay telehealth | $149 and up | Anyone. No insurance required. 31 programs serve South Dakota. |
| Commercial insurance (employer or marketplace plan) | $25 to $100 copay | Depends on your plan. Prior authorization required, BMI and comorbidity criteria vary by payer. |
| South Dakota Medicaid | Not covered for weight loss | Weight-loss indication not covered. Diabetes path (Ozempic, Mounjaro) available with PA. |
For the full insurance picture, including how to file a prior-authorization request and what to do if denied, see the GLP-1 insurance guide. For a side-by-side of every cash program ranked by price, see programs ranked by price.
Related resources
- Homepage comparison chart with all programs ranked by score and price
- GLP-1 coupons and savings programs including manufacturer patient-assistance routes
- South Dakota Medicaid coverage in full with PA criteria, MCO list, and appeal templates
- How much does a GLP-1 cost in 2026? with every path and per-year totals