Checked November 5, 2026

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

Montana 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 Montana.

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 Montana to call:

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

Clinics in the biggest Montana counties

In Montana, Yellowstone, Missoula, Cascade, Flathead, Gallatin and Lewis and Clark counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.

Yellowstone County

About 34 in 100 adults here live with obesity, 9 in 100 adults under 65 have no health insurance and 10 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Ag Worker Health & Services, 3318 3Rd Ave N, Suite 200, Billings, 406-248-3149
  • Health Care for the Homeless - Mrm, 21 S 29Th St, Billings, 406-247-3200

County public health: Riverstone Health, Billings, 406-247-3200.

Missoula County

About 26 in 100 adults here live with obesity, 9 in 100 adults under 65 have no health insurance and 11 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Ag Worker Health & Services, 9801 Valley Grove Dr, Apartment D, Lolo, 406-273-4633
  • Phc - Lowell Health Center, 1150 Sherwood Street, Missoula, 406-258-4789

County public health: Missoula City-County Health Department, Missoula, 406-258-4750.

Cascade County

About 35 in 100 adults here live with obesity, 10 in 100 adults under 65 have no health insurance and 12 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Community Health Care Center - 510 1st Ave N, 510 1St Ave N, Great Falls, 406-454-6973

County public health: The Cascade City-County Health Department, Great Falls, 406-454-6950.

Flathead County

About 31 in 100 adults here live with obesity, 9 in 100 adults under 65 have no health insurance and 10 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Greater Valley Health Center - Columbia Falls Pharmacy, 500 12Th Ave W, Suite 1 A, Columbia Falls, 406-607-4900

County public health: Flathead City-County Health Department, Kalispell, 406-751-8110.

Gallatin County

About 23 in 100 adults here live with obesity, 8 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).

  • One Health - Belgrade, 19 E Main St, Belgrade, 406-922-0820

County public health: Gallatin City-County Health Department, Bozeman, 406-582-3100.

Lewis and Clark County

About 31 in 100 adults here live with obesity, 8 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).

  • Healthcare for the Homeless, 533 N Last Chance Gulch, Helena, 406-449-5682

County public health: Lewis and Clark County Health Department, Helena, 406-443-2584.

Silver Bow County

About 32 in 100 adults here live with obesity, 10 in 100 adults under 65 have no health insurance and 16 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Blacktail Health - Butte Clinic, 445 Centennial Ave, Butte, 406-723-4075

County public health: Butte-Silver Bow County Health Department, Butte, 406-497-5020.

Ravalli County

About 32 in 100 adults here live with obesity, 9 in 100 adults under 65 have no health insurance and 11 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Sapphire Community Health, 316 N 3Rd St, Hamilton, 406-541-0032

County public health: Ravalli County Public Health Department, Hamilton, 406-375-6671.

Lake County

About 33 in 100 adults here live with obesity, 10 in 100 adults under 65 have no health insurance and 14 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

County public health: Lake County Health Department, Polson, 406-883-7288.

Glacier County

About 40 in 100 adults here live with obesity, 14 in 100 adults under 65 have no health insurance and 28 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Glacier Community Health Center, 519 E Main St, Cut Bank, 406-873-5670

County public health: Glacier Local County Health Nurse, Cut Bank, 406-873-2924.

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.

Montana Medicaid and GLP-1s

Montana Medicaid covers GLP-1s for type 2 diabetes, Wegovy for heart protection and Zepbound for sleep apnea, with prior approval. It does not cover them for weight loss alone. The full rules are on Montana Medicaid GLP-1 coverage.

Food help in Montana

  • SNAP: call 888-706-1535. Program details.
  • 2-1-1: dial 211 for food, rides, rent help and clinics near your zip code.

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 Montana that meet in person include:
    • Community Hospital of Anaconda, Anaconda: 563-8551
    • St. Vincent's Healthcare DPP, Billings: 237-8599
    • Bozeman Health Nutrition and Diabetes Center, Bozeman: 414-5331
    • Gallatin City-County Health Department, Bozeman: 582-3100
    • St James Healthcare, Butte: 723-2960
    • Teton County Health Department, Choteau: 466-2562
    • St. Peter's Health, Helena: 444-2386
    • Logan Health, Kalispell: 751-5454
    • Central Montana Medical Center, Lewistown: 535-7711
    • Holy Rosary Healthcare, Miles City: 233-4067
  • Age 65 or older: Montana State Health Insurance Assistance Program (SHIP) gives free one-to-one Medicare help. Call 406-444-4077.

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.

Montana free-help FAQ

How much does a health center visit cost in Montana?

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 Montana.

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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