Checked November 5, 2026
Free and low-cost GLP-1 and weight-loss help in South Dakota
South 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 South 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 South Dakota to call:
- Community Health Center of the Black Hills, Rapid City, 605-721-8939
- Rural Health Care, Fort Pierre, 605-234-6584
- Horizon Health Care, Howard, 605-245-2700
Find the health center nearest you. Ask for the sliding fee form when you book.
Clinics in the biggest South Dakota counties
In South Dakota, Minnehaha, Pennington, Oglala Lakota, Brookings, Brown and Codington counties have the most adults who struggle to afford care, so a call to a clinic there is a good first step.
Minnehaha 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).
- Falls Community Health, 521 N Main Ave Ste 101, Sioux Falls, 605-367-8793
- Falls Community Health/Hawthorne Site, 601 N Spring Ave, Sioux Falls, 605-367-8793
County public health: Minnehaha County Public Health Nurse, 1200 North West Avenue, Sioux Falls, 605-367-5360.
Pennington County
About 34 in 100 adults here live with obesity, 9 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).
- Main Clinic, 350 Pine St, Rapid City, 605-721-8939
County public health: South Dakota Department of Health - Pennington County, 909 East Saint Patrick Street, Rapid City, 605-394-2516.
Brookings 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).
- Access Health - Brookings, 400 22Nd Ave, Brookings, 605-697-9500
County public health: Brookings Community Health, 1310 Main Avenue South, Brookings, 605-688-5802.
Brown County
About 35 in 100 adults here live with obesity, 8 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).
- Horizon Health - Aberdeen, 506 S Wilson St, Aberdeen, 605-725-3900
County public health: Brown County Health Department, 402 South Main Street, Aberdeen, 605-626-2649.
Yankton County
About 38 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).
- Horizon Health - Yankton Medical and Dental, 920 Broadway Ave, Yankton, 605-260-0310
County public health: Yankton County Community Health, 321 West 3Rd Street, Yankton, 605-260-4400.
Beadle County
About 35 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).
- Horizon Health - Huron, 1000 18Th St Sw Ste 27, Huron, 605-554-1015
County public health: Beadle County Public Health Nurse, 495 3Rd Street Southwest, Huron, 605-353-7135.
Todd County
About 49 in 100 adults here live with obesity, 18 in 100 adults under 65 have no health insurance and 36 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Horizon Health - Mission, 161 S Main St, Mission, 605-856-4703
Meade County
About 30 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).
- Horizon Health - Faith, 112 N 2Nd Ave W, Faith, 605-967-2644
County public health: Meade County Health Nurse, 112 2Nd Avenue West, Faith, 605-967-2150.
Davison County
About 38 in 100 adults here live with obesity, 9 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).
- Access Health - Mitchell, 1900 Grassland Dr, Mitchell, 605-995-7000
County public health: Davison County Health Nurse, 115 West 12Th Avenue, Mitchell, 605-995-8050.
Dewey County
About 44 in 100 adults here live with obesity, 13 in 100 adults under 65 have no health insurance and 26 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Horizon Health - Eagle Butte, 24337 Us Highway 212, Eagle Butte, 605-964-8000
- Horizon Health - Isabel, 118 N Main St, Isabel, 605-466-2120
- Horizon Health - Tiospaye Topa, 15618 1St Ave, Ridgeview, 605-733-2290
County public health: Dewey County Health Department, 702 C Street, Timber Lake, 605-865-3587.
Bennett County
About 42 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).
- Horizon Health - Martin Dental, 103 E Bennett Ave, Martin, 605-685-1046
- Horizon Health - Martin Medical, 109 Pugh St, Martin, 605-685-6868
County public health: Bennett County Health Nurse, 202 Main Street, Martin, 605-685-1089.
Union County
About 31 in 100 adults here live with obesity, 8 in 100 adults under 65 have no health insurance and 6 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Horizon Health - Alcester, 104 W 2Nd St, Alcester, 605-934-2122
- Horizon Health - Alcester Dental, 111 Iowa St, Alcester, 605-934-2251
- Horizon Health - Elk Point, 204 E Main St, Elk Point, 605-356-3317
County public health: Union County Community Health Nurse, 209 East Main Street, Elk Point, 605-356-2644.
Lyman County
About 40 in 100 adults here live with obesity, 11 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).
- Access Health - Kennebec, 120 S Main St, Kennebec, 605-869-2872
- Access Health - Presho, 116 N Main Ave, Presho, 605-895-2589
County public health: Lyman County Public Health Nurse, 300 South Main Street, Kennebec, 605-869-2217.
Brule County
About 38 in 100 adults here live with obesity, 9 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).
- Access Health - Chamberlain, 101 S Front St, Chamberlain, 605-234-6584
County public health: Brule County Public Health Services Alliance Site, 110 West Beebe Avenue, Chamberlain, 605-734-0180.
Buffalo County
About 49 in 100 adults here live with obesity, 15 in 100 adults under 65 have no health insurance and 33 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Horizon Health - Fort Thompson, State Highway 249, Fort Thompson, 605-245-2700
County public health: South Dakota Department of Health Buffalo County Office, 1323 Bureau Of Indian Affairs Route 4, Fort Thompson, 605-245-1539.
Mellette County
About 46 in 100 adults here live with obesity, 15 in 100 adults under 65 have no health insurance and 26 in 100 residents live below the poverty line (CDC PLACES and Census, 2025 and 2023 releases).
- Horizon Health - White River, 309 E 4Th St, White River, 605-259-3121
Kingsbury County
About 36 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).
- Horizon Health - de Smet Medical and Dental, 401 Prairie Ave Sw, De Smet, 605-854-3455
- Horizon Health - Lake Preston, 709 4Th St Se, Lake Preston, 605-847-4484
Perkins County
About 36 in 100 adults here live with obesity, 8 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).
- Horizon Health - Bison, 105 W Main St, Bison, 605-244-5206
County public health: Perkins County Public Health Nurse, 11 4Th Street East, Lemmon, 605-374-5962.
Aurora County
About 36 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).
- Horizon Health - Plankinton Medical and Dental, 106 S Main St, Plankinton, 605-942-7711
County public health: Aurora County Public Health Nurse, 401 North Main Street, Plankinton, 605-942-7163.
Sanborn County
About 36 in 100 adults here live with obesity, 9 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).
- Horizon Health - Woonsocket, Po Box 368, Woonsocket, 605-796-4433
County public health: Sanborn County Health Nurse, 604 West 6Th Street, Woonsocket, 605-796-4510.
Mobile clinics that drive to towns and neighborhoods in South Dakota. Call for this week's stops:
- Falls Community Health Mobile Outreach Bus, based in Sioux Falls: 605-367-8793
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.
South Dakota Medicaid and GLP-1s
South Dakota Medicaid covers GLP-1s for type 2 diabetes and Wegovy for heart protection, with prior approval. It does not cover them for weight loss alone. The full rules are on South Dakota Medicaid GLP-1 coverage.
Food help in South Dakota
- SNAP: call 877-999-5612, or apply online. Program details.
- 2-1-1: dial 211 for food, rides, rent help and clinics near your zip code.
Food bank:
- Feeding South Dakota, Sioux Falls, 605-335-0364
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 Dakota that meet in person include:
- Madison Regional Health System, 323 Sw 10th St., Madison: 605-256-6551
- Great Plains Tribal Leaders Health Board, 2611 Elderberry Blvd, Rapid City: 605-721-1922
- Monument Health Diabetes Prevention Program, Rapid City, 855 Omaha St, Rapid City: 605-755-3300
- South Dakota Urban Indian Health, Inc SDUIH, 1714 Abbey Rd., Pierre: 605-224-8841
- Age 65 or older: Senior Health Information and Insurance Education (SHIINE) gives free one-to-one Medicare help. Call 888-854-5321.
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.
South Dakota free-help FAQ
How much does a health center visit cost in South 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 South 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.