The Complete Wegovy Cost & Savings Guide
joey
Medical Writer
Education only. Not medical advice.
Personalize with your clinician.
TL;DR
There are three clean paths to start:
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Insurance + prior auth if your plan covers the meds.
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Manufacturer self-pay for eligible users when coverage isn’t available.
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Telehealth fast track that routes your prescription to an in-stock, in-state pharmacy.
Pick the path that fits your benefits and timeline, then Check eligibility and Book a same-day video visit.
What “access” means in plain English
You need a prescriber visit, a prescription routed to a pharmacy that actually has stock, and a payment path that matches your situation. Insurance isn’t required to start, but it changes how you pay. Your goal is a friction-free first fill and a repeatable monthly process.
Path 1 — Insurance + prior authorization
Use this if your plan covers weight-loss meds.
What moves approvals
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A complete packet: diagnosis, BMI, obesity-related conditions, prior attempts, recent labs.
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A brief letter of medical necessity from your prescriber.
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Fast responses to insurer requests.
What to expect
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Decisions can take days to weeks.
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Coverage rules differ by employer and state.
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If approved, you may use a manufacturer savings card if you’re eligible and not on a government plan.
Why choose this path
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Best option when your plan supports it and you can wait for approval.
Path 2 — Manufacturer self-pay (no insurance required)
Use this if your plan excludes obesity meds or you’re uninsured.
What it is
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A direct cash program fulfilled by the manufacturer’s designated pharmacy.
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Flat monthly billing and straightforward refills.
What to know
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It sits outside insurance and doesn’t count toward deductibles.
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Eligibility rules apply.
Why choose this path
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Predictable, simple, and fast when coverage isn’t available.
Path 3 — Telehealth fast track
Use this when you want speed and less back-and-forth.
What happens
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Same-day video visit
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Prescription routed to an in-state pharmacy with stock
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Weekday overnight cold-chain shipping with signature or pickup
Why it’s fast
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Live inventory matching avoids dead ends.
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Clean eRx + cutoff-time awareness shortens first delivery.
Step-by-step: choose your route in minutes
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Check eligibility on the provider’s site to confirm your state.
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Book a same-day video visit if offered.
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Bring a short packet: diagnosis/BMI, med list, prior attempts, recent labs if you have them.
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Tell the clinician your preferred path: insurance + PA, manufacturer self-pay, or telehealth fast track.
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Approve an in-state backup pharmacy in case the first choice is out of stock.
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Choose weekday overnight shipping and arrange signature or staffed pickup.
What to prepare before the visit
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Government ID
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Insurance card (if using insurance)
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Medication/supplement list and allergies
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Past weight-loss attempts (brief notes)
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Any recent labs (A1c, lipids if available)
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Shipping address and a weekday you can sign
After the first fill: keep it smooth
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Set auto-refill reminders a week before you run out.
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Keep your backup pharmacy on file.
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For travel, request hold-for-pickup or a pickup counter near your destination.
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If you miss a dose window or get sick, message the clinic for a short pause or step-back plan.
ScriptScores™: Access levers that actually help (0–10)
Higher = better.
Lever | Predictability | Speed to first dose | Ease month-to-month | Composite |
---|---|---|---|---|
Manufacturer self-pay (eligible users) | 9 | 8 | 8 | 8.3 |
Insurance + complete prior auth | 7 | 5 | 8 | 7.1 |
Telehealth with live inventory + overnight | 8 | 8 | 7 | 7.8 |
Backup in-state pharmacy pre-approved | 7 | 7 | 7 | 7.3 |
Auto-refill + signature/pickup | 8 | 7 | 8 | 7.8 |
Scoring method: ScriptScores™ weigh predictability, speed, and operational ease.
FAQs (no pricing)
Do I need insurance to start?
No. You can use manufacturer self-pay or telehealth cash paths if coverage isn’t available.
Can I switch paths later?
Yes. Many people start on self-pay for a quick first month, then transition to insurance once prior auth is approved.
What slows things down?
Missing paperwork, pharmacies without stock, and weekend shipping cutoffs. Fix these by preparing your packet, approving a backup pharmacy, and choosing weekday overnight.
Will I need labs?
Sometimes. Your clinician may order labs now or after you start, depending on history and program rules.
What about travel?
Plan ahead. Use weekday overnight, carry-on coolers, and pickup counters. Keep one spare pen when your program allows it.
Friendly CTAs for the page
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Check eligibility
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Book a same-day video visit
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Start intake
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See state coverage
Disclaimers
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Not medical advice. Education only.
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Availability and program rules change. Confirm details at checkout.
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ScriptScores™ compare access options; they are not treatment directives.
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