Checked November 5, 2026

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

South 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 South Carolina.

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 South Carolina to call:

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

Clinics in the biggest South Carolina counties

In South Carolina, Richland, Greenville, Spartanburg, Horry, Charleston and Lexington counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.

Richland County

About 35 in 100 adults here live with obesity, 11 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).

  • Eau Claire Family Dentistry at Monticello Road, 4605 Monticello Rd, Columbia, 803-733-5969
  • Genesis Healthcare, 3400 West Ave, Columbia, 803-254-3676

County public health: Richland County Health Department, Columbia, 803-576-2980.

Greenville County

About 33 in 100 adults here live with obesity, 11 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).

  • New Horizon Family Dental Care, 1 Memorial Medical Dr, Greenville, 864-351-2400 x3005
  • Regenesis Health Care-Phoenix Center, 1400 Cleveland St, Greenville, 864-467-3790

County public health: Greenville Public Health Department, Greenville, 864-282-4100.

Spartanburg County

About 38 in 100 adults here live with obesity, 13 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).

  • Regenesis Health Care - Westside Center, 1663 E Main St, Duncan, 864-416-7933

County public health: Spartanburg County Public Health Department, Spartanburg, 864-596-3337.

Horry County

About 32 in 100 adults here live with obesity, 12 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).

  • Careteam + Family Health and Specialty Care, 100 Professional Park Dr, Conway, 843-234-0005
  • Health Care Partners of Sc Women's Care, 243 Singleton Ridge Rd, Conway, 843-248-4700
  • Little River Medical Center, Inc.: Main Site, 4303 Live Oak Dr, Little River, 843-663-8024

County public health: Conway Health Department, Conway, 843-915-8804.

Charleston County

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

  • Charleston Dorchester Mental Health Center, 2100 Charlie Hall Blvd, Charleston, 843-852-4100
  • St. James-Santee Family Health Center, 1189 Tibwin Rd, Mc Clellanville, 843-887-3274

County public health: Charleston Public Health Department, Charleston, 843-579-4500.

Lexington County

About 36 in 100 adults here live with obesity, 11 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).

  • Pediatrics of Batesburg - Leesville (Dba Cooperative Health Batesburg-Leesville), 120 W Church St, Batesburg, 803-532-2208

County public health: Lexington County Health Department, West Columbia, 803-791-3580.

York County

About 37 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).

  • Affinity Health Center- Clover, 300 Clinton Ave, Clover, 803-909-6363
  • Community Medicine Foundation, 1131 Saluda St, Rock Hill, 803-325-7744

County public health: York County Health Department, York, 803-684-7004.

Anderson County

About 36 in 100 adults here live with obesity, 12 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).

  • Foothills Community Health Care - Lakeside Anderson, 302 Pearman Dairy Rd, Ste C1, Anderson, 864-224-0822

County public health: Anderson County Health Department, Anderson, 864-260-5541.

Florence County

About 41 in 100 adults here live with obesity, 12 in 100 adults under 65 have no health insurance and 19 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).

  • Genesis Healthcare, Inc. Dba Genesis Healthcare Florence, 1523 Heritage Ln, Florence, 843-673-9992
  • Hopehealth @ Fmu, 121 S Evander Dr, Florence, 843-432-2935

County public health: Florence Health Department, Florence, 843-661-4835.

Berkeley County

About 38 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).

  • Elijah Wright Family Health Center, 1681 Old Highway 6, Cross, 843-753-2334
  • Genesis Healthcare, Inc. Dba Lowcountry Pediatrics, 99 Bridgetown Rd, Goose Creek, 843-572-3300

County public health: Moncks Corner Health Department, Moncks Corner, 843-719-4600.

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.

South Carolina Medicaid and GLP-1s

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

Food help in South Carolina

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 South Carolina that meet in person include:
    • Medical University of South Carolina, Charleston: 792-2350
    • Prisma Health, Columbia: 296-3070
    • Health Care Partners of SC, Conway: 488-6349
    • The Balm In Gilead - SDFI South Carolina, Darlington: 644-2256
    • HopeHealth, Florence: 432-3717
    • Tidelands Health, Georgetown: 527-7045
    • Círculos de Bienestar, LLC, Goose Creek: 754-3768
    • Doctor For Life, Greenville: 640-0009
    • Prisma Health Virtual, Greenville: 360-5479
    • Lakelands YMCA, Greenwood: 223-9622
  • Age 65 or older: State Health Insurance Assistance Program (SHIP) gives free one-to-one Medicare help. Call 800-868-9095.

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.

South Carolina free-help FAQ

How much does a health center visit cost in South 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 South 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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