Wegovy is a registered trademark of Novo Nordisk A/S. It is a prescription medicine. What you owe with insurance is set by your plan, and no website can tell you that number.
Important safety information: Wegovy has a boxed warning about the risk of thyroid C-cell tumors. In rodent studies, semaglutide caused thyroid C-cell tumors, and it is not known whether it causes these tumors, including medullary thyroid carcinoma, in people. It is contraindicated in people with a personal or family history of medullary thyroid carcinoma and in people with Multiple Endocrine Neoplasia syndrome type 2. Serious risks described in the label include inflammation of the pancreas, gallbladder problems, low blood sugar, acute kidney injury, worsening of diabetic eye disease in people with type 2 diabetes, increased heart rate, serious allergic reactions, changes in mood or behavior including thoughts of suicide, and problems with food or liquid entering the lungs during anesthesia. Read the complete official Wegovy Prescribing Information and Medication Guide for approved uses, the boxed warning, contraindications, warnings, and adverse reactions.
This page is general information, not medical advice. Talk to a licensed clinician about your situation.
Your plan, not the drug, sets your share
Two people can fill the same prescription at the same pharmacy and owe very different amounts. The difference is the plan. Each plan has its own covered drug list, its own rules, and its own cost sharing, and those terms can change from one plan year to the next.
So the useful question is not what the medicine costs. It is what your plan's terms do to that cost. Below are the specific items to ask about, in the order they usually matter.
Formulary status and tier
A formulary is the plan's list of covered drugs. If a medicine is on the list, it sits on a tier, and the tier drives whether you pay a flat copay or a percentage called coinsurance. Higher tiers usually mean a larger share.
Some employer plans carve out weight management drugs as an excluded category regardless of tier. Others cover them only under defined conditions. Ask your plan directly whether this medicine appears on the formulary, on which tier, and whether any category exclusion applies to your specific benefit.
Prior authorization and clinical criteria
Many plans require prior authorization. That means the prescriber submits clinical information and the plan reviews it against its own written criteria before the claim will process.
Criteria vary by plan. They commonly address documented measurements, related health conditions, prior treatments attempted, and follow up requirements. Ask the plan for its criteria document so the prescriber knows what to include the first time.
A submitted prior authorization is a request for review. It is not an approval, and Body Good cannot decide it. If a plan denies a request, the denial notice and your plan documents explain the review or appeal steps available to you.
Deductible, coinsurance, and the plan year
If your plan has a pharmacy deductible you have not met, your early fills can cost much more than your later ones. People are often surprised in January for exactly this reason.
Coinsurance behaves differently from a copay. A percentage of a large number is a large number, so ask which one applies. Also ask what your out of pocket maximum is and what counts toward it, because the total for the year matters more than any single fill.
Quantity limits, step therapy, and pharmacy network
Quantity limits cap how much can be dispensed in a period. Step therapy may require trying another treatment first. Both can delay a fill even when a drug is on the formulary.
Network matters too. Many plans price a preferred or mail order pharmacy lower than others, and an out of network pharmacy may not process at all. Confirm the network before you transfer a prescription.
Medicare and other government coverage
Medicare drug coverage follows its own rules, and those rules differ from commercial insurance. Medicare's own explanation of Part D plan rules is the right place to start, along with your specific plan's documents and its formulary.
One practical point: manufacturer copay savings offers commonly exclude people enrolled in federal health care programs such as Medicare and Medicaid. The terms on the manufacturer's own page control that. Do not plan a budget around a savings card without reading its eligibility terms first.
Savings programs on the commercial side
The manufacturer publishes its own coverage and savings information for what to pay for Wegovy. Eligibility and terms are set by the manufacturer and can change.
Discount cards are a separate thing. They are not insurance, and using one usually means the claim does not run through your plan, so the amount may not count toward your deductible. Ask the pharmacist to compare both ways before you decide.
The clinical fee is separate from the medicine
Body Good's prices are service fees for the program described at intake. They are not the price of medication and they are not a quote for any individual. The cost of medication is separate, is not included in any service fee, and is billed by the dispensing pharmacy. Eligibility is determined by a clinician.
Clinically appropriate laboratory work can also carry its own charge. When you compare programs, ask what the fee covers, how often it recurs, and whether follow up visits or paperwork add another fee.
Body Good can assist with benefits checks and prior authorization paperwork when appropriate. That is coverage support. Approval and payment are determined by the plan, not by Body Good.
A short call script
Call the number on your plan card and ask, in this order: is this medicine on the formulary, on what tier, is prior authorization required, what are the clinical criteria, is there step therapy, is there a quantity limit, what is my remaining deductible, is my cost a copay or coinsurance, and which pharmacies are preferred.
Write down the answers, the date, and the name of the person you spoke with. Then ask the pharmacy to quote the exact prescription. Those two calls tell you more than any published estimate.
Where intake happens
This website is an informational and pricing overview. It takes no payment, collects no protected health information, and runs no intake form. Intake and checkout happen on the separate Body Good site, and completing intake does not guarantee eligibility or a prescription. Start a Body Good clinical evaluation.
Frequently asked questions
Why can nobody tell me my cost in advance?
Because the amount depends on your plan's formulary, tier, rules, and your remaining deductible. Your plan and your pharmacy are the only accurate sources for your number.
Does Body Good handle the prior authorization for me?
Body Good can assist with the paperwork when appropriate, and that is coverage support only. The plan reviews the request against its own criteria and makes the decision. Approval is never assured.
Is the medicine included in the service fee?
No. The service fee covers the clinical program described at intake. Medication cost is separate and is charged by the pharmacy. Other clinically appropriate services may cost extra.
Zepbound and Mounjaro are registered trademarks of Eli Lilly and Company. Ozempic and Wegovy are registered trademarks of Novo Nordisk A/S. Body Good is not affiliated with, endorsed by, sponsored by, or authorized by Eli Lilly and Company or Novo Nordisk A/S. All trademarks are the property of their respective owners.