What is compounded semaglutide?
Compounded semaglutide is a pharmacy-prepared version of the active ingredient in Wegovy and Ozempic, made by licensed compounding pharmacies rather than Novo Nordisk, and it is not an FDA-approved product. It boomed during the 2023–2024 shortage under a legal exception that ended in February 2025; today it is lawful only as a patient-specific 503A prescription with documented clinical need. Verified telehealth prices run $133–$299 a month all-in in our index, against Wegovy's $349 direct-from-manufacturer cash price.
Updated 2026-08-10 · figures captured 2026-08-09 · how we verify
The market this answer lives in, at the 2026-08-09 capture: verified compounded semaglutide runs $133–$348 a month all-in across 20 programs, with the floor at Oak Longevity (dose-flat, no membership); the approved-product benchmark is Wegovy (NovoCare↗) at $349 maintenance, with the oral pill from $149; and any real insurance coverage beats every cash figure named anywhere on this page.
How to use figures like these well: treat any advertised price without a maintenance-dose figure as a starter teaser; fold every mandatory membership into the total before comparing; read prepaid rates as commitments, not monthly prices; and check the capture date, because a GLP-1 price without a date is a rumor. Those four habits, applied consistently, are most of what separates this database from the marketing it indexes — the full basis definition is in the methodology, and the sortable field is in the price database.
The wider board this answer sits on: verified compounded floors of $215 (tirzepatide) and $133 (semaglutide), brand direct channels at $449 and $349 with the oral pill from $149, and insurance — where it exists — beating all of it. Prices here have only fallen for three straight years, which quietly argues for short commitments and periodic re-shopping; the price-history analysis makes that case with dates.
Basis for every figure: all-in monthly price (medication + mandatory fees) at the maintenance dose, captured from provider pages on the dates in the database. Not medical advice.