Checked November 5, 2026

Free and low-cost GLP-1 and weight-loss help in Hawaii

Hawaii has health centers that charge by income, maker programs that start at $149 a month, and food help across the state. Start with the one that fits your week.

Ready to start this week? Two cash programs that ship to Hawaii.

No insurance needed.

Prices checked Nov 12, 2026.

  1. Eden$99 a monthcompounded semaglutidecompounded tirzepatide $129 a month
    Check price →Eden's GLP-1 page, then an online assessment
  2. Collective$59 a month, drug pricecompounded semaglutidecompounded tirzepatide $69 a month
    Check price →

Health centers that charge by income

Federally funded health centers set your fee by household size and income. At or below the poverty line the fee is a small flat amount, and it rises in steps to the full price at twice the line.

HouseholdSmallest fee at or belowFull price from
1 person$15,960 a year$31,920 a year
2 people$21,640 a year$43,280 a year
3 people$27,320 a year$54,640 a year
4 people$33,000 a year$66,000 a year

Health centers in Hawaii to call:

Find the health center nearest you. Ask for the sliding fee form when you book.

Clinics in the biggest Hawaii counties

In Hawaii, Honolulu, Hawaii, Maui and Kauai counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.

Honolulu County

About 25 in 100 adults here live with obesity, 5 in 100 adults under 65 have no health insurance and 9 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Ewa - West O`ahu Community Health Center, 91-1841 Fort Weaver Rd, Ewa Beach, 808-697-3300
  • Kaaahi Clinic, 546 Kaaahi St, Honolulu, 808-853-1700
  • Kkv Wellness Center, 2229 N School St, Honolulu, 808-791-9400
  • Waikiki Health Makahiki, 935 Makahiki Way, Honolulu, 808-922-4787
  • Red Raider Health Center, 56-490 Kamehameha Hwy, Kahuku, 808-293-9231

County public health: State of Hawaii Department of Health - Honolulu County, Honolulu, 808-586-4400.

Hawaii County

About 27 in 100 adults here live with obesity, 7 in 100 adults under 65 have no health insurance and 17 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Hilo Family Dental Center, 1257 Kilauea Ave, #100, Hilo, 808-333-3600
  • Hamakua Health Center, 45-549 Plumeria St, Honokaa, 808-775-7204

County public health: State of Hawaii Department of Health - Hawaii County, Hilo, 808-974-6001.

Maui County

About 26 in 100 adults here live with obesity, 6 in 100 adults under 65 have no health insurance and 9 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Hana Community Health Center, 4590 Hana Hwy, Hana, 808-248-8294
  • Molokai Community Health Center, 30 Oki Pl, Kaunakakai, 808-553-5038
  • Lanai Community Health Center, 333 6Th St, Lanai City, 808-565-6919 x121
  • Community Clinic of Maui, 1881 Nani St, Wailuku, 808-871-7772

County public health: State of Hawaii Department of Health - Maui County, Wailuku, 808-984-8200.

Kauai County

About 24 in 100 adults here live with obesity, 6 in 100 adults under 65 have no health insurance and 9 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Kauai Community Health Ctr-West, 4643 Waimea Canyon Dr, Waimea, 808-240-0100

County public health: State of Hawaii Department of Health - Kauai County, Lihue, 808-241-3614.

Maker programs and prices

ProgramWhat you payWho it fits
NovoCare Pharmacy, Wegovy pen$199 a month for the first two fills, then $349Anyone with a prescription
NovoCare Pharmacy, Wegovy pill$149 for 1.5 mg, $199 for 4 mg, $299 for 9 mg and 25 mgAnyone with a prescription
Zepbound from LillyKwikPen $299 at 2.5 mg, $399 at 5 mg, from $449 at higher dosesAnyone with a prescription
TrumpRxWegovy pill $149, Wegovy pen $199, Zepbound $299 a monthAnyone with a prescription
Novo Nordisk Patient AssistanceOzempic at no costNo insurance and income up to $31,920 for one person
Lilly CaresTrulicity at no costIncome up to $47,880 for one person
Medicare GLP-1 Bridge$50 a month for Wegovy, Foundayo or Zepbound KwikPenPart D members who meet the weight and health test, until December 31, 2027

Zepbound has a $25 savings card for people whose insurance covers it, good through December 31, 2026. Prices read November 5, 2026. Compare every cash program on the cash price chart.

Hawaii Medicaid and GLP-1s

Med-QUEST covers GLP-1s for type 2 diabetes, with prior approval. It does not cover them for weight loss alone. The full rules are on Hawaii Medicaid GLP-1 coverage.

Food help in Hawaii

Food bank:

Find the food bank for your county.

Free coaching and Medicare help

  • Lifestyle change programs: a year of group coaching on food and movement, led by trained coaches. Search the CDC list for your zip code, in person or online. Programs in Hawaii that meet in person include:
    • KTA Puainako Pharmacy, Hilo: 959-8700
    • Hamakua-Kohala Health, Honokaa: 775-7204
    • HPCA-Hana Kihapai, Honolulu: 536-8442
    • Kaiser Permanente Hawaii, Honolulu: 432-2260
    • National Kidney Foundation of Hawaii, Honolulu: 589-5903
    • The Queen's Health Systems, Honolulu: 691-3370
    • Times Pharmacy, Honolulu: 832-8265
    • Ko'olauloa Community Health and Wellness Center, Kahuku: 293-9231
    • Hawai'i Island Community Health Center, Kailua-Kona: 326-3882
    • Kauai Medical Clinic Health Management Program, Lihue: 246-1380
  • Age 65 or older: Hawaii State Health Insurance Assistance Program (SHIP) gives free one-to-one Medicare help. Call 888-875-9229.

Four ways to stretch your health dollar

  1. Ask every clinic and pharmacy for the cash price before you book or fill.
  2. Bring your last tax return or pay stubs to a health center visit so the sliding fee applies on day one.
  3. Ask for a 90-day supply when your prescriber agrees.
  4. Apply for Medicaid any time of year, and check Marketplace savings during open enrollment.

Hawaii free-help FAQ

How much does a health center visit cost in Hawaii?

It depends on your income. At or below the poverty line the fee is a small flat amount, and between one and two times the line it steps up. Ask for the sliding fee form.

Can I get help with a GLP-1 if I have no insurance?

Yes. NovoCare Pharmacy and Lilly sell directly at the prices above, and the cash programs at the top of this page ship to Hawaii.

Where do I start if I need food and a clinic?

Dial 211. It connects you with food banks, clinics and other help near your zip code.

Sources: Health center fee rule (42 CFR 51c.303); 2026 poverty guidelines (ASPE); HRSA health center list; Feeding America member list; USDA SNAP directory; maker pages linked above; state Medicaid drug lists. Read November 5, 2026. How we check.

This page lists public programs and is not medical advice. Ask your clinician before starting any medicine.

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