Saxenda® costs in 2025: With and without insurance coverage

What you’ll learn: 

• Saxenda is a GLP-1 medication that is FDA-approved for weight management and is injected once per day.
• Without insurance, Saxenda^® costs around $1,350 for a month’s supply, but some insurance plans and savings programs can reduce the price to as low as $25 per month.
• Pharmacy choice and location might change your out-of-pocket cost of Saxenda^®.

You’ve probably heard of Ozempic^®, the semaglutide-based GLP-1 medication that is often used off-label for weight loss, but Saxenda^® may be less familiar. Saxenda^®’s active ingredient, liraglutide, is also a GLP-1 receptor agonist, meaning it mimics the body’s natural GLP-1 hormone to help regulate blood sugar, slow digestion, and reduce appetite—actions that can support weight loss.

Unlike Ozempic, which is FDA-approved for type 2 diabetes, Saxenda^® is approved for weight management. How much can you expect to lose? In a year-long study, 85% of adults who used Saxenda^® lost weight, with over half losing at least 5% of their body weight and 30% losing 10% or more. 

While Saxenda^® and Ozempic^® are both GLP-1 medications that can help with weight loss, they have important differences. One is that Saxenda^® is a daily injection, while Ozempic^® is taken once a week. Another is that Saxenda can be even more expensive than Ozempic. The list price for a 30-day supply is around $1,349 without insurance, but coverage and savings programs may significantly reduce your out-of-pocket expenses.

Let’s break down what you can expect to pay for Saxenda^® in 2025, explore ways to lower costs, and look at alternative options if Saxenda^® isn’t the right fit for your life or budget.

What factors affect the cost of Saxenda^®?  

The cost of Saxenda^® can vary based on several factors, and understanding these can help you find ways to save. Prices may differ depending on your dosage, insurance coverage, and available discounts.

• Manufacturer pricing: Novo Nordisk sets the list price for Saxenda^® based on manufacturing expenses and market demand. However, ongoing drug shortages, supply chain disruptions, and the rising demand for GLP-1 medications can increase prices and limit availability over time.
• Insurance coverage: Your final cost depends on whether your insurance covers Saxenda^®. Some plans cover part or all of the cost, while others offer no coverage, leaving you responsible for the full retail price.
• Dosage: Saxenda^® is a daily injection, and higher doses require more medication, so costs will go up as the dosage increases. 

Does insurance cover Saxenda^®?   

Sometimes, but coverage varies depending on the plan. Some insurance providers cover Saxenda^® fully or partially, while others may not include it at all. Even if your plan does cover it, you’ll likely need to meet specific requirements before getting approval.

If approved, your out-of-pocket costs will depend on your plan’s copay, deductible, and tier. Some people pay as little as $25 per month, while others may have higher costs. If your insurance doesn’t cover Saxenda^®, there are still ways to lower the price, including manufacturer savings programs, prescription assistance programs, coupons, and shopping around at different pharmacies.

Can you get Saxenda^® for free with insurance?

Getting Saxenda^® completely free with insurance is rare, but some programs can significantly lower costs. The Saxenda^® Savings Card may reduce costs to $25 per month for eligible people with private insurance. Patient assistance programs may also provide free or low-cost Saxenda^® for those without insurance or facing high out-of-pocket expenses, depending on income eligibility. 

To maximize savings, review your insurance benefits, check for available patient assistance programs on the manufacturer’s (Novo Nordisk) website, and discuss options with your doctor. While fully free coverage is unlikely, these resources can help make Saxenda^® more affordable.

When is Saxenda^® covered by insurance?

While Saxenda^® is rarely covered by insurance for weight loss, it’s always worth checking. To determine if your insurance covers it, you can use Novo Nordisk’s coverage checker. By filling out a form, you can receive personalized details about your coverage. Let’s look at what some common insurance plans cover:

• Private insurance: Saxenda^® is rarely covered under insurance plans. When it is, insurers usually require proof that diet, exercise, or other weight loss treatments have been tried first. Prior authorization is usually required before coverage is approved.
• Medicare (Part D & Advantage plans): Medicare doesn’t cover Saxenda^® for weight loss. Some Medicare Advantage (Part C) or Medigap plans may offer limited coverage. People with Medicare should check their specific plan details to determine if Saxenda^® is included.
• Medicaid (varies by state): Medicaid coverage for Saxenda^® varies widely across states. Some state programs provide coverage under strict guidelines, while others don’t cover Saxenda^® at all. Eligibility depends on state-specific policies, and people should contact their state Medicaid office for more details.
• Veterans Affairs (VA) and TRICARE: The VA covers weight management, including medications like Saxenda^®, for veterans who qualify. TRICARE may also provide coverage for Saxenda^® in certain cases, but a coverage review and prior authorization are typically required. To check if Saxenda^® is covered under your specific plan, you can search the TRICARE coverage list for the most up-to-date details.

Disclaimer: Prices may change and are accurate as of the time of publication.

Tips to reduce Saxenda^® costs with and without insurance

Whether you have insurance or are paying out-of-pocket, there are several strategies you can use to lower your Saxenda^® costs.

• Utilize the Saxenda^® Savings card: Novo Nordisk offers a Savings Card for eligible people with commercial insurance. This card can reduce your cost to as little as $25 per 30-day supply, with a maximum savings of $200 per prescription. To learn more, visit the Saxenda^® Savings Card page.
• Explore the patient assistance program: If you’re uninsured or facing high out-of-pocket costs, Novo Nordisk’s Patient Assistance Program may provide Saxenda^® at no cost. Eligibility criteria include being a U.S. resident, having a total household income at or below 400% of the federal poverty level, and lacking private or government prescription coverage. 
• Compare pharmacy prices: Prices for Saxenda^® can vary between pharmacies. Before purchasing, compare costs at different retail chains, independent pharmacies, and online providers. Some pharmacies may offer price matching or accept discount coupons, which can further reduce expenses. Check out GoodRx and SingleCare for the latest discounts.
• Evaluate alternative medications: Generic liraglutide (which is approved for diabetes) could be an alternative for some people if prescribed off-label. Other GLP-1 medications or weight loss drugs also might be more affordable. 

How to get a Saxenda^® prescription for weight loss

To get a prescription for Saxenda, you have to meet certain requirements and get a prescription from a licensed provider. Here’s a look:

1. Consider your eligibility: To be prescribed Saxenda^®, you must have a BMI of 30 or higher or a BMI of 27 or higher with a weight-related condition, like high blood pressure.
2. Consult a provider: Schedule an appointment with your primary care physician, endocrinologist, or weight loss specialist. Discuss your health history, weight loss goals, and any previous attempts at weight management. Or, see if you qualify for Noom Med. If you do, our clinicians will help determine which, if any, weight loss medication is right for you. 
3. Discuss insurance and cost options: Bring up any concerns about cost. Your healthcare provider can help assist with the necessary paperwork if your insurance requires prior authorization.

Before your appointment, prepare a list of your weight loss efforts, medical history, and any questions about Saxenda^® costs. This information helps your doctor make an informed decision about your treatment plan.

Who can’t take Saxenda?

Saxenda isn’t the right choice for everyone, and in some cases, it could be unsafe. You should not take Saxenda if you:

• Are pregnant, planning to become pregnant, or breastfeeding
• Have a personal or family history of medullary thyroid cancer (MTC)
• Have multiple endocrine neoplasia syndrome type 2 (MEN 2)
• Have had a severe allergic reaction to liraglutide or its ingredients
• Have a history of pancreatitis
• Have severe gastrointestinal issues, such as gastroparesis (delayed stomach emptying)
• Have a history of suicidal thoughts or behaviors

For more detailed safety information, visit the Saxenda^® safety page.

Where to get your Saxenda^® prescription filled

Once you have a prescription for Saxenda^®, selecting the right pharmacy can help you find the best price, whether you have insurance or are paying out of pocket. Prices for Saxenda^® vary by pharmacy, so shopping around can lead to savings. Here are the current estimated prices from GoodRx:

1. Warehouse clubs and supermarkets:

Membership-based stores and large retailers often offer competitive prices. Here’s a look at the current prices:

• Costco: $1,493
• Walmart: $1,447
• Target: $1,385

2. Retail pharmacies and prescription discount programs:

Many national and local pharmacies provide discount programs or accept manufacturer savings cards that may lower costs. Here’s what you’ll pay at a few national chains:

• CVS: $1,385
• Walgreens: $1,388
• Rite Aid: $1,347

Disclaimer: Prices are subject to change. Always check the most current pricing information before filling your prescription.

Will I have trouble finding Saxenda^® due to shortages?

Yes, you may experience difficulty finding Saxenda^® and other liraglutide medications due to ongoing shortages. While the FDA recently announced that the shortages of semaglutide-based medications like Ozempic^® and Wegovy^® have been resolved, Saxenda^® continues to face supply challenges due to increased demand. 

Generic versions of liraglutide injections are listed as available. So, if you rely on liraglutide for weight management or diabetes, it’s a good idea to check with your healthcare provider about generic options or other alternative treatments until the supply of Saxenda^® improves.

Saxenda^®: Alternatives to consider

If you’re looking for an alternative medication for weight loss, there are several choices available. Some may even be covered by insurance, making them easier on your budget. Let’s take a closer look at what’s out there.

Other liraglutide medications

Two other medications contain liraglutide, the same active ingredient as Saxenda^®. Here’s a look at what they are approved for and what they cost.

• Victoza^® – Victoza^® is FDA-approved to treat type-2 diabetes and can be prescribed off-label for weight loss. It works the same way as Saxenda^®, but costs vary between $800 and $1,400 per month.
• Generic liraglutide – TEVA Pharmaceuticals makes a generic version of liraglutide that is approved to treat type-2 diabetes. It costs about $470 for a two-pen pack and $704 for a three-pen pack.

Semaglutide medications

If you’re considering a once-weekly option instead of a daily injection, semaglutide-based medications could be a good alternative.

• Ozempic^® – Originally FDA-approved for type 2 diabetes, Ozempic^® is often prescribed off-label for weight loss. It contains semaglutide, the same active ingredient as Saxenda^®, but is taken once a week instead of daily. The list price is about $998 per month.
• Wegovy^® – Wegovy is FDA-approved for weight loss under the same guidelines as Saxenda^®. The difference? Like Ozempic^®, Wegovy^® is injected once a week. Without insurance, it costs about $1,350 per month.
• Rybelsus^® – Rybelsus^® is an oral form of semaglutide that is approved for diabetes but sometimes used off-label for weight loss. The list price is about $998 per month, making it similar in cost to Saxenda^®. 

Compounded semaglutide

You can also consider compounded semaglutide* via Noom GLP-1^Rx. This alternative contains the same active ingredient as Ozempic^® but at a potentially more affordable cost. First, see if you qualify for Noom Med. If your clinician determines that it is right for you, they will prescribe it, and it will be shipped to your door for $149 per month to start. Read more about compounded semaglutide and what you get with a Noom Med subscription.

Tirzepatide medications

Tirzepatide is a medication that mimics two hormones instead of just one (GLP-1 and GIP). The average percentage of body weight lost with tirzepatide is about 21% in 16 weeks, so it is likely to be more effective than Saxenda. There are two medications that are both taken as weekly injections.

• Zepbound^® – Zepbound^® is FDA-approved weight loss and follows the same BMI eligibility requirements as Saxenda^®. It has a list price of $1,086 per month.
• Mounjaro^® – Mounjaro^® is FDA-approved to manage type-2 diabetes but can also be prescribed off-label for weight loss. Its list price is around $1,080 per month.

Dulaglutide 

If you like the idea of a weekly injection instead of a daily one, Trulicity^® could be another alternative. This medication works similarly to Saxenda^®, but it is taken once per week instead of daily. It’s FDA-approved for diabetes but can be prescribed off-label for weight loss. The list price is $987 per month.

Other weight loss medications to consider: 

While GLP-1 medications are a very popular choice for weight loss, other weight loss medications can also be effective or more affordable for some people. Here’s a look at some of the alternatives (always double-check the prices at your pharmacy for the most accurate numbers) :

• Metformin – Metformin is FDA-approved for diabetes, but it can be prescribed off-label for weight loss. It can help people lose moderate amounts of weight. If you qualify for Noom Med, your clinician can decide if a prescription for metformin is right for you. It will cost $59 for the first month and $89 for recurring 3-month supplies if prescribed. You’ll also get access to medical counseling, a coach, and Noom’s trackers and tools.
• Orlistat – This medication helps block fat absorption and is taken three times daily with meals. The cost can vary widely, ranging from $50 to $800 per month without insurance.
• Phentermine – Phentermine is an appetite suppressant designed for short-term use. It is taken once daily to help reduce hunger. Prices typically range from $27 to $100 per month without insurance.
• Diethylpropion – Diethylpropion is taken one to three times daily and is used for short-term appetite suppression. Its price ranges from $40 to $85 per month without insurance.
• Naltrexone and bupropion (Contrave)– This combination drug is FDA-approved for weight management and helps reduce appetite and cravings. For people using the CurAccess™ Patient Support Program, Contrave is $99 per month with free shipping. If your insurance covers Contrave, it may cost less. Prices can range from $600 to $800 per month without these benefits. 

Saxenda^®: Side effects and safety warnings

Saxenda^® can be an effective tool for weight management, but it comes with potential side effects. While most are mild and improve over time as your body gets used to the medication, some may require medical attention. 

If you’re prescribed Saxenda^® through Noom Med, your clinician will provide guidance on managing side effects. If you get your prescription for Saxenda through another provider, Noom’s GLP-1 Companion offers additional support if you’re a Noom member, including nutrition guidance, protein tracking, and fitness tools to help you stay on track, minimize discomfort, and optimize your weight loss journey.

Saxenda^®: Most common side effects

Mild side effects are most common when starting Saxenda^® or adjusting your dose. These typically improve as your body adapts:

• Nausea
• Diarrhea
• Constipation
• Vomiting
• Injection site reactions
• Headache

Saxenda^®: Serious side effects and warnings

Though uncommon, some severe issues and side effects are associated with Saxenda^®. Always follow your healthcare provider’s guidance and monitor for the following symptoms. Get immediate medical help if you suspect or experience any of the following:

• Pancreatitis: Symptoms include severe abdominal pain that radiates to your back, with or without vomiting. 
• Vision changes: If you notice any sudden changes in your vision while taking Saxenda, get immediate medical attention.
• Low blood sugar (hypoglycemia): Symptoms include dizziness, shakiness, blurred vision, fast heartbeat, and feeling jittery. Low blood sugar is most likely in people who are also taking medications for diabetes.
• Kidney problems: Diarrhea, nausea, and vomiting can cause dehydration and worsen kidney issues. Go to the ER if you experience decreased urination, swelling in the ankles or legs, fatigue, or shortness of breath.
• Gallbladder problems: Symptoms include upper abdominal pain, fever, jaundice, or clay-colored stools. 
• Allergic reaction: Symptoms include swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, or a rapid heartbeat. If you think you’re having an allergic reaction to Saxenda, get immediate medical attention. 
• Thyroid tumors or cancer: Be alert for a lump or swelling in the neck, difficulty swallowing, or shortness of breath. (This connection has only been established in animal studies.) 

For a full breakdown of potential risks, check out our detailed article on Saxenda^®. If you have concerns, be sure to discuss them with your healthcare provider.

Smart ways to navigate the costs of Saxenda^®

If you’re considering Saxenda^® for weight loss, understanding its costs, insurance coverage, and alternatives can help you make an informed decision. While Saxenda^® can be an effective tool, it’s not the only option—other GLP-1 medications, alternative weight-loss drugs, and lifestyle interventions may be worth exploring based on your needs and budget. Manufacturer savings programs, patient assistance programs, and pharmacy price comparisons can also help make Saxenda^® more affordable.

Before starting Saxenda^® or any weight-loss medication, it’s important to work closely with your healthcare provider to determine if it’s the right fit for you. They can guide you through eligibility requirements, insurance approvals, and potential side effects. 

If Saxenda^® isn’t covered by your insurance, there are alternatives that might be more affordable. Taking charge of your health is a big step, and the right plan makes all the difference. Keep researching, compare your options, and find the best path that aligns with both your goals and budget.