Getting access
Getting the medication,
and paying for it.
Most people come to this site for one of two reasons. Either nobody will prescribe it, or the price is out of reach. This section is about both, and it starts with the question that decides which path is yours.
Start here
Do you have insurance?
The answer changes everything that follows, because the programs that help insured people are closed to everyone else, and the prices quoted to cash payers are not available to you if your plan is involved.
Yes, I have insurance through work or the marketplace
Find out whether your plan covers it, what it will ask for first, and what to do about a denial.
I have Medicare or Medicaid
There is a Medicare program running right now that caps the cost at fifty dollars a month, the manufacturer cards you may have read about are closed to you, and Medicaid is a different answer in every state.
No insurance, or my plan will not cover it
What the manufacturers charge people paying for themselves, and why the price you start at is not the price you stay at.
I cannot afford any of these prices
Charitable assistance and the directories that list every program by medication, run by other organizations.
Everything in this section
The whole picture.
If you have insurance
Prior authorization, fail-first rules, the preferred product, and how to appeal a denial within the deadline.
Medicare and Medicaid
The Medicare GLP-1 Bridge, what it costs and who qualifies, and the map of what your state's Medicaid covers.
If you are paying cash
Self-pay prices by dose, the refill conditions attached to them, and how the cost rises as your dose does.
Manufacturer programs
The savings cards from Lilly and Novo Nordisk, what they actually take off, and who is excluded.
Compounded GLP-1s
What compounded means, why these are not FDA approved, and where to compare telehealth pricing if you are considering one.
Prescription assistance
The PAN Foundation and NeedyMeds, which help in different situations and use different criteria.
Appeal letter builder
A free tool that writes a first draft of an appeal letter in your browser. Nothing you type leaves your device.
Advocating for yourself
How to hold the conversation with a prescriber or a plan, and what to ask for in writing.
Prices change. Every figure on this page was read off the manufacturer's or the government's own page on 4 September 2026, and each one links to that page. Programs are set and changed by the companies and agencies that run them, not by us, so check the source before you rely on a number.