Restarting a GLP-1 after a break: what it costs now
Prices on this chart moved several times this year, so the number you remember is out of date. What a restart costs across 20 cash-pay programs, and the two things a returning customer gets charged for.
Three things to check before you restart, in this order. What your dose will be, which is your prescriber's call and nobody else's. What your old program charges now, because prices on this chart moved several times this year. And whether the cheap first month you are being offered reverses later. Across 20 cash-pay programs checked October 5, 2026, a month of treatment runs from $149 to $448.
The dose is the prescriber's call
Where you restart depends on how long the gap was and on your own clinical picture, and only the person prescribing can set it. That answer then sets the price, because several programs tier what they charge by the dose. What happens when you stop a GLP-1 shows how long the climb back takes at each maker, and what it costs.
What your old program charges now
Programs on this chart change price. We read every published price every Monday and log what moved, so the fastest way to find out what your old program charges now is the change log rather than a phone call. The current spread across 20 cash-pay programs is $149 to $448 a month, checked October 5, 2026.
First-month price and twelve-month total rank programs differently
Returning customers are the exact audience an introductory rate is priced for, and the offer is usually real. What it hides is the ranking underneath: the programs at the top of a first-month list are not the programs at the top of a twelve-month one. The table shows which programs move, and by how many places.
The 6 programs whose introductory rate is not their maintenance rate, ranked by how far they fall. Rank is out of the 21 programs with a verified price, checked Oct 5, 2026.
| Program | First month | At maintenance | Rank on the first month | Rank at maintenance | First year |
|---|---|---|---|---|---|
| Hims & Hers | $188 | $448 | 5 of 21 | 19 of 21 | $5,116 |
| Ro Body | $188 | $448 | 7 of 21 | 21 of 21 | $5,116 |
| WeightWatchers Clinic | $25 | $373 | 1 of 21 | 15 of 21 | $4,128 |
| LifeMD | $188 | $448 | 6 of 21 | 20 of 21 | $5,116 |
| Medvi | $179 | $299 | 4 of 21 | 9 of 21 | $3,468 |
| Noom Med | $129 | $249 | 2 of 21 | 4 of 21 | $2,868 |
Hims & Hers ranks 5 of 21 on the first month at $188 and 19 of 21 once the introductory rate ends, at $26,880 over five years. Over the same five years, 15 programs that never discount a first month cost less.
Check whether your plan changed too
A gap of a few months is long enough for a formulary to move, for an employer to renew a plan without the weight-management benefit, or for a prior authorization to expire. Read what your insurer publishes now on the coverage checker, and if you had an approval before, expect to file a fresh one.
Questions people ask when they come back
Will my old prior authorization still be valid?
Usually not. Plans approve a GLP-1 for a set period, commonly six or twelve months, and a lapsed approval means a new request rather than a renewal. The renewal criteria and the initial criteria are different tests, and the initial one is the one you will be measured against again.
Do I have to pay the introductory price again or the maintenance price?
It depends on the program, and it is worth asking in writing before you sign up. Some price a returning customer as new and some do not. The figure to compare is the twelve-month total either way.
Is the cheapest program on the chart the cheapest for me?
Only if it dispenses what you are restarting on. A program's headline price buys a specific product, and a compounded product is a pharmacy-made version that is not FDA-approved and is not Wegovy, Ozempic, Zepbound or Mounjaro. Every row names what its price buys.
How current are these prices?
Every published price on the chart is read every Monday and stamped with the date it was read. The figures on this page are checked October 5, 2026.
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