How much can a cash offer change after the start?
A medicine pen is a ready-filled device for giving a shot. As of September 2026, new US patients aged 18 or older paying without insurance were offered their first two monthly semaglutide (Ozempic) pen supplies at $199 each.
The opening price is only for the two lowest starting strengths of this injection. Strength means how much medicine a shot contains. The offer ends December 31, 2026. Ask the pharmacist to match the strength on your prescription to the offer before quoting your price.
After the first two supplies, the advertised monthly price is $349 or $499, depending on the strength prescribed.
These prices are for medicine under an offer. Ask separately about the visit, tests and care afterward.
Does paying cash build toward my insurance limit?
As of September 2026, paying through a drug maker’s cash-price programme means paying without using your insurance.
Your deductible is the amount you pay for certain care before your insurance plan begins to cover it. Money paid through the drug maker’s cash programme does not count toward that amount or your plan’s yearly limit on what you pay.
Is a savings card another name for a cash price?
No. The terms can serve different groups.
A copay is your part of an insured medicine bill. Commercial insurance means private health coverage.
As of September 2026, branded weight-drug copay cards require commercial insurance and exclude Medicare, Medicaid and military programme members.
People on Medicare cannot use those copay cards. They can still pay the cash price under the semaglutide drug maker’s self-pay terms, meaning they pay without using insurance. Ask the pharmacist to check the cash-offer terms for your exact medicine.
Ask whether your quote uses a copay card or a cash offer. Do not treat the lowest card headline as an offer open to everyone.
What backs up the answer?
Government / an offer example
The opening price for the semaglutide injection pen covers only the first two qualifying monthly supplies. Ask for the later refill price as well.
As of September 2026.
Read the cash offer conditions