The four cost paths for
Most users pay one of four prices: retail without insurance(the manufacturer's list price), commercial insurance with prior authorization (your copay tier), manufacturer savings card (commercial-insured eligible only), or partner network cash-pay (telehealth provider monthly subscription). Each path has different eligibility and dramatically different out-of-pocket cost.
1. Retail without insurance
's manufacturer list price runs approximately $870/monthat most US retail pharmacies (CVS, Walgreens, Walmart, Rite Aid). This is the price before any insurance or discount card applies. Most patients never pay this price — but it's the baseline reference.
2. Commercial insurance (with prior authorization)
Commercial insurance plans (Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, etc.) typically require prior authorization for . Approval criteria vary by plan but commonly require: a diagnosis matching the FDA-approved indication, documented BMI history, and evidence of prior failed weight-loss interventions. Once approved, copay tiers run roughly $25–$75/month (tier 2-3) to $100–$300/month (tier 4 specialty). Medicare Part D coverage for GLP-1s is limited — see our without insurance guide.
3. Manufacturer savings card
AstraZenecamay offer a copay card or savings program for eligible commercial-insurance patients. Check the manufacturer's direct website for current offers — these change frequently.
4. Partner network cash-pay
Telehealth partner networks (Henry Meds, Mochi Health, Ro, LifeMD, Eden, and similar) offer all-inclusive monthly subscriptions that bundle the consultation, prescription, and medication. Partner prices typically range $199–$899/month for the GLP-1 family. Compounded versions of (where available) are often cheaper but not FDA-approved — see our medical disclaimer.