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Checked November 5, 2026

Free and low-cost GLP-1 and weight-loss help in North Carolina

North Carolina 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 North Carolina.

No insurance needed.

Prices checked Nov 2, 2026.

  1. Collective$59 a month, drug pricecompounded semaglutide
    Check price →
  2. SnagRx$59 a month, pre-Black Friday salecompounded semaglutide
    Check price →SnagRx's homepage shows its 12-month prepaid prices first

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 North Carolina to call:

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

Clinics in the biggest North Carolina counties

In North Carolina, Mecklenburg, Guilford, Wake, Forsyth, Cumberland and Robeson counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.

Mecklenburg County

About 30 in 100 adults here live with obesity, 10 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).

  • C.W. Williams Community Health Center, 800 Clanton Road, Charlotte, 704-393-7720 x1027
  • Crchc at Shelter Health Services, 534 Spratt St, Charlotte, 704-792-2242
  • Charlotte Community Health Clinic, 8401 Medical Plaza Dr, Suite 300, Charlotte, 704-316-6561

Guilford County

About 38 in 100 adults here live with obesity, 10 in 100 adults under 65 have no health insurance and 15 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Family Medicine at Arlington, 1205 Arlington Street, Greensboro, 336-333-3348

Wake County

About 29 in 100 adults here live with obesity, 8 in 100 adults under 65 have no health insurance and 7 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Advance Careplex - Holly Springs, 9764 Holly Springs Rd, Apex, 919-833-3111
  • NC Department of Health and Human Services, 1915 Health Services Way, Raleigh, 800-662-7030
  • Neighborhealth Center Susanne Berger Clinic, 2605 Blue Ridge Rd, Suite 225, Raleigh, 984-222-8000

Forsyth County

About 41 in 100 adults here live with obesity, 11 in 100 adults under 65 have no health insurance and 15 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • United Health Centers @ Commons, 1430 Felicity Ln, Winston Salem, 336-293-8728

Cumberland County

About 40 in 100 adults here live with obesity, 12 in 100 adults under 65 have no health insurance and 15 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Adult Health Clinic/Cumberland County Health Department, 1235 Ramsey St, Fayetteville, 910-433-3649
  • Goshen Medical Center - Cape Fear, 3613 Cape Center Drive, Fayetteville, 910-354-1720

Robeson County

About 48 in 100 adults here live with obesity, 16 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).

  • South Robeson Medical Center - New Construction, 210 S Walnut St, Fairmont, 910-628-6711

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.

North Carolina Medicaid and GLP-1s

NC Medicaid covers Wegovy and Zepbound for weight loss with prior approval. Both are preferred drugs on the list that took effect October 1, 2026. The full rules are on North Carolina Medicaid GLP-1 coverage.

Food help in North Carolina

  • SNAP: call 866-719-0141. Program details.
  • 2-1-1: dial 211 for food, rides, rent help and clinics near your zip code.

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.
  • Age 65 or older: Seniors’ Health Insurance Information Program (SHIIP) gives free one-to-one Medicare help. Call 855-408-1212.

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.

North Carolina free-help FAQ

How much does a health center visit cost in North Carolina?

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 North Carolina.

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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