Checked November 5, 2026

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

Nebraska 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 Nebraska.

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 Nebraska to call:

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

Clinics in the biggest Nebraska counties

In Nebraska, Douglas, Lancaster, Sarpy, Hall, Scotts Bluff and Lincoln counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.

Douglas County

About 37 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).

  • Charles Drew Health Center Inc. at Benson Sbhc, 5120 Maple St, Omaha, 402-451-3553
  • Oneworld Healthcare Workforce Training and Behavioral Health Center, 4915 S 30Th St, Omaha, 402-734-4110

County public health: Douglas County Health Department, Omaha, 402-444-7476.

Lancaster County

About 34 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).

  • Bluestem Health: Kreshel Clinic, 3100 N 14Th St, Lincoln, 402-477-6600

County public health: Lincoln-Lancaster County Health Department, Lincoln, 402-441-8000.

Sarpy County

About 36 in 100 adults here live with obesity, 8 in 100 adults under 65 have no health insurance and 5 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

County public health: Sarpy/Cass Department of Health and Wellness, Papillion, 402-339-4334.

Hall County

About 41 in 100 adults here live with obesity, 16 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).

  • Heartland Health Center - Grand Island, 2116 W Faidley Ave, Suite 2100, Grand Island, 308-382-4376

County public health: Central District Health Department, Grand Island, 308-385-5175.

Scotts Bluff County

About 39 in 100 adults here live with obesity, 12 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).

  • Capwn Health Center, 975 Crescent Dr, Gering, 308-632-2540

County public health: Scotts Bluff County Health Department, Gering, 308-436-6636.

Lincoln County

About 40 in 100 adults here live with obesity, 10 in 100 adults under 65 have no health insurance and 13 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

County public health: West Central Health District, North Platte, 308-696-1201.

Madison County

About 40 in 100 adults here live with obesity, 11 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).

  • Midtown Health Center - Madison, 222 S Main St, Madison, 402-454-3304

Buffalo County

About 37 in 100 adults here live with obesity, 9 in 100 adults under 65 have no health insurance and 8 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Heartland Health Center - Ravenna Clinic, 104 W Seneca St, Ravenna, 308-375-4223

Adams County

About 41 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).

  • Heartland Health Center - Hastings, 223 E 14Th St, Suite 100, Hastings, 308-382-4297

County public health: South Heartland District Health Department, Hastings, 402-462-6211.

Dodge County

About 40 in 100 adults here live with obesity, 12 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).

  • Good Neighbor Fremont Clinic Permanent Site, 2740 N Clarkson St, Fremont, 402-721-0951

County public health: Three Rivers Public Health Department, Fremont, 402-727-5396.

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.

Nebraska Medicaid and GLP-1s

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

Food help in Nebraska

Food banks:

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 Nebraska that meet in person include:
    • Panhandle Public Health District, Bridgeport: 487-3600
    • Chadron Community Hospital, Chadron: 432-5586
    • Columbus Community Hospital, Columbus: 562-3322
    • South Heartland District Health Department, Hastings: 462-6211
    • Bryan Diabetes Center, Lincoln: 481-6305 Ext. 6371
    • Madonna Wellness Club, Lincoln: 420-0000
    • Community Hospital, Mccook: 344-8539
    • U-Save Pharmacy & Medical Supply, Mccook: 345-5670
    • Ponca Tribe of Nebraska, Niobrara: 733-3621
    • Oneworld Community Health Centers, Omaha: 734-4110 Ext. 1353
  • Age 65 or older: Nebraska SHIP gives free one-to-one Medicare help. Call 800-234-7119.

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.

Nebraska free-help FAQ

How much does a health center visit cost in Nebraska?

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 Nebraska.

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.

Print a one-page flyer for Nebraska