Checked November 5, 2026
Free and low-cost GLP-1 and weight-loss help in North Dakota
North Dakota 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 Dakota.
No insurance needed.
Prices checked Nov 12, 2026.
- Check price →Eden's GLP-1 page, then an online assessment
- 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.
| Household | Smallest fee at or below | Full 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 Dakota to call:
- Family Healthcare Center, Fargo, 701-271-3344
- Spectra Health, Grand Forks, 701-757-2100
- Northland Health Centers, Turtle Lake, 701-246-3391
- Coal Country Community Health Center, Beulah, 701-873-4445
Find the health center nearest you. Ask for the sliding fee form when you book.
Clinics in the biggest North Dakota counties
In North Dakota, Cass, Grand Forks, Burleigh, Ward, Rolette and Stark counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.
Cass County
About 34 in 100 adults here live with obesity, 6 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).
- Family Healthcare South Fargo, 4025 9Th Ave S, Fargo, 701-271-3344
- Homeless Health Services - Resource & Recovery Center, 2001 1St Ave N, Fargo, 701-551-2449
County public health: Fargo Cass Public Health, 401 3Rd Avenue North, Fargo, 701-241-1360.
Grand Forks County
About 35 in 100 adults here live with obesity, 7 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).
- Spectra Health Dental Clinic, 212 S 4Th St Ste 101, Grand Forks, 701-757-2100
- Spectra Health Grand Forks Medical, 212 S 4Th St Ste 301, Grand Forks, 701-757-2100
- Spectra Health Larimore, 607 Towner Ave, Larimore, 701-343-6418
County public health: Grand Forks Public Health Department, 151 South 4Th Street, Grand Forks, 701-787-8100.
Burleigh County
About 35 in 100 adults here live with obesity, 6 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).
- Bismarck Clinic, 914 S 12Th St, Bismarck, 701-255-4242
- Bismarck North Health Center, 4401 Coleman St, Bismarck, 701-448-2054
County public health: Bismarck-Burleigh Public Health, 500 East Front Avenue, Bismarck, 701-355-1540.
Ward County
About 34 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).
- Minot Clinic, 1600 2Nd Ave Sw Ste 19, Minot, 701-448-2054
County public health: First District Health Unit - Ward County, 11 West Division Street, Kenmare, 701-385-4328.
Rolette County
About 50 in 100 adults here live with obesity, 11 in 100 adults under 65 have no health insurance and 24 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Rolette Clinic, 401 2Nd Ave, Rolette, 701-246-3391
- St. John Health Center, 128 Foussard Ave Se, Saint John, 701-448-2054
County public health: Rolette County Public Health District, 211 1St Avenue Northeast, Rolla, 701-477-5646.
Williams County
About 40 in 100 adults here live with obesity, 10 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).
- Ray Clinic, 24 Railroad Ave, Ray, 701-568-5600
County public health: Trenton Indian Service Area - Trenton Community Clinic, 331 4Th Avenue East, Trenton, 701-774-0461.
Barnes County
About 38 in 100 adults here live with obesity, 7 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).
- Family Healthcare Valley City, 415 2Nd Ave Ne, Valley City, 701-271-3344
County public health: City-County Health Department, 230 4Th Street Northwest, Valley City, 701-845-8518.
McLean County
About 40 in 100 adults here live with obesity, 7 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).
- Northland Health Centers, 55 1St Ave E, Turtle Lake, 701-448-2054
County public health: First District Health Unit - McLean County, 703 2Nd Avenue, Washburn, 701-462-3330.
Walsh County
About 36 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).
- Community Health Service Inc. - Grafton, 1113 W 11Th St, Grafton, 701-352-4048
County public health: Walsh County Health District, 638 Cooper Avenue, Grafton, 701-352-5139.
Mercer County
About 40 in 100 adults here live with obesity, 8 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).
- Coal Country Community Health Center, 1312 Highway 49 N, Beulah, 701-873-4445
- Ccchc Hazen Clinic, 510 8Th Ave Ne, Hazen, 701-748-2256
Dunn County
About 37 in 100 adults here live with obesity, 8 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).
- Ccchc Killdeer Clinic, 220 4Th Ave Sw, Killdeer, 701-764-5822
County public health: Dunn County Health Department, 125 Central Avenue North, Killdeer, 701-764-5513.
LaMoure County
About 34 in 100 adults here live with obesity, 7 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).
- Family Healthcare Lamoure, North Dakota, 100 1St Ave Sw, Lamoure, 701-271-3344
County public health: Lamoure County Public Health Department, 100 1St Avenue Southwest, Lamoure, 701-883-5356.
Sheridan County
About 36 in 100 adults here live with obesity, 8 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).
- McClusky Clinic, 122 2Nd St Ne, Mcclusky, 701-363-2296
County public health: Sheridan County Public Health Nurse, 215 2Nd Street East, Mcclusky, 701-363-2506.
Oliver County
About 35 in 100 adults here live with obesity, 6 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).
- Coal Country CHC - Center, 111 Main St, Center, 701-794-8798
County public health: Oliver County Nurse, 111 Main Street East, Center, 701-794-3105.
Burke County
About 37 in 100 adults here live with obesity, 7 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).
- Bowbells Clinic, 18 Main St Sw Ste B, Bowbells, 701-377-6400
County public health: First District Health Unit - Burke County, 103 Main Street Southeast, Bowbells, 701-377-2316.
Stark County
About 37 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).
County public health: Southwestern District Health Unit, 2869 3Rd Avenue West, Dickinson, 701-483-0171.
Morton County
About 39 in 100 adults here live with obesity, 7 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).
County public health: Custer Health Unit, 210 2Nd Avenue Northwest, Mandan, 701-667-3370.
Stutsman County
About 40 in 100 adults here live with obesity, 8 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).
County public health: Central Valley Health District, 122 2Nd Street Northwest, Jamestown, 701-252-8130.
Richland County
About 36 in 100 adults here live with obesity, 7 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).
County public health: Richland County Health Department, 413 3Rd Avenue North, Wahpeton, 701-642-7735.
Ramsey County
About 41 in 100 adults here live with obesity, 8 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).
County public health: Lake Region District Health Unit, 524 4Th Avenue Northeast, Devils Lake, 701-662-7035.
Mobile clinics that drive to towns and neighborhoods in North Dakota. Call for this week's stops:
- Family HealthCare mobile clinic, based in Fargo: 701-271-3344
Maker programs and prices
| Program | What you pay | Who it fits |
|---|---|---|
| NovoCare Pharmacy, Wegovy pen | $199 a month for the first two fills, then $349 | Anyone with a prescription |
| NovoCare Pharmacy, Wegovy pill | $149 for 1.5 mg, $199 for 4 mg, $299 for 9 mg and 25 mg | Anyone with a prescription |
| Zepbound from Lilly | KwikPen $299 at 2.5 mg, $399 at 5 mg, from $449 at higher doses | Anyone with a prescription |
| TrumpRx | Wegovy pill $149, Wegovy pen $199, Zepbound $299 a month | Anyone with a prescription |
| Novo Nordisk Patient Assistance | Ozempic at no cost | No insurance and income up to $31,920 for one person |
| Lilly Cares | Trulicity at no cost | Income up to $47,880 for one person |
| Medicare GLP-1 Bridge | $50 a month for Wegovy, Foundayo or Zepbound KwikPen | Part 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 Dakota Medicaid and GLP-1s
North Dakota 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 North Dakota Medicaid GLP-1 coverage.
Food help in North Dakota
- SNAP: call 800-755-2716, or apply online. Program details.
- 2-1-1: dial 211 for food, rides, rent help and clinics near your zip code.
Food bank:
- Great Plains Food Bank, Fargo, 701-232-6219
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 North Dakota that meet in person include:
- North Dakota State University Extension, 1400 Centennial Blvd., Fargo: 701-231-8592
- Sanford Health, Fargo, 2400 32nd Ave S, Fargo: 701-234-8656
- Altru Health System, 1200 South Columbia Rd., Grand Forks: 701-732-7620
- Trinity Health Outpatient Nutrition, 400 Burdick Expy E # 1, Minot: 701-857-5268
- Sanford Health Wahpeton, 332 2nd Ave. N, Wahpeton: 701-642-7000 ext. 4513
- North Dakota SACCHO, 1661 Capitol Way, Bismarck: 701-328-2698
- Sanford Health - Fargo region, 2400 32nd Ave. S, Fargo: 701-234-8656
- Spirit Lake Special Diabetes Program for Indians, 123 1st Ave., Saint Michael: 701-766-4988
- Age 65 or older: State Health Insurance Counseling Program (SHIC) gives free one-to-one Medicare help. Call 888-575-6611.
Four ways to stretch your health dollar
- Ask every clinic and pharmacy for the cash price before you book or fill.
- Bring your last tax return or pay stubs to a health center visit so the sliding fee applies on day one.
- Ask for a 90-day supply when your prescriber agrees.
- Apply for Medicaid any time of year, and check Marketplace savings during open enrollment.
North Dakota free-help FAQ
How much does a health center visit cost in North Dakota?
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 Dakota.
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.