Ozempic pill cost: the tablet priced strength by strength
Ozempic tablets cost $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg when you pay cash.
The Ozempic pill is oral semaglutide taken once a day, sold by Novo Nordisk under the same prescribing information as Rybelsus, and it is the cheapest way to pay cash for a semaglutide product prescribed for type 2 diabetes. Through NovoCare Pharmacy or the TrumpRx coupon a bottle of 30 tablets costs $149 at 1.5 mg, $199 at 4 mg and $299 at 9 mg, while the list price is $1,028 for every strength and pharmacies pay about $995 for a bottle according to the NADAC survey. Unlike the injectable pen, the price climbs with the strength. Medicare Part D covers the tablets for diabetes; from January 2027 they share semaglutide’s negotiated price of $274 for 30 days, so a year at the standard benefit comes to about $1,347.
The whole of 2026, by way of paying
- Paying cash (self-pay)$2,388
- Medicare Part D, covered use$2,100
- Medicaid, at a $4.00 copay$48
You would pay, Ozempic pill 4 mg
$199 / month
$2,388 in 2026
Self-pay price published by NovoCare Pharmacy / TrumpRx, the same through both.
Same dose, other ways to pay (per month)
- List price (wholesale acquisition cost)$1,028
- Self-pay: NovoCare Pharmacy or TrumpRx$199
- What pharmacies pay (NADAC)$995
- Medicare Part D, your share (month avg., 2026)$175
TrumpRx and makers read on October 16, 2026 · NADAC file of October 14, 2026. Estimate only, not medical advice. How it is calculated
Prices read by Radif Partners · Editorial policy · Method and data
Three bottles, three prices
Novo Nordisk prices the tablets per bottle of 30, and the three strengths sit on three steps. That matters because the label starts most patients low and raises the dose after at least 30 days: a cash payer climbing from 1.5 mg to 9 mg sees the monthly bill double. The list price does not move with the strength, which is why the discount on the starter bottle looks spectacular and the one on 9 mg less so.
| Tablet | Self-pay, 30 tablets | List price | Pharmacy cost (NADAC) | Discount on list |
|---|---|---|---|---|
| 1.5 mg | $149 | $1,028 | $994 | 85 % |
| 4 mg | $199 | $1,028 | $995 | 81 % |
| 9 mg | $299 | $1,028 | $995 | 71 % |
Not the same milligrams as Rybelsus or the pen
The prescribing information is explicit that Ozempic tablets and Rybelsus tablets are not substitutable on a milligram-to-milligram basis, and that moving from Ozempic injections to tablets follows its own conversion. In price terms the gap is large: Rybelsus has no published self-pay price, and pharmacies pay about $996 for a month of it. The Rybelsus page explains what that means at the counter. Any switch is a prescribing decision, not a pricing one.
Medicare and insurance
The tablets carry the diabetes indications, so Part D plans can cover them, subject to the $615 deductible and the $2,100 cap in 2026. They are not part of the Medicare GLP-1 Bridge, which is reserved for weight-management drugs. With employer coverage, the Novo Nordisk savings card applies to the pill as it does to the pen: as little as $25 a month, with savings capped at $100.