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Cheapest GLP-1 by state, 2026

Checked August 31, 2026

The cheapest cash-pay GLP-1 costs $178 a month, and it costs the same in every state where it is offered, according to GLP Chart's weekly check. The 38 state guides below cover local Medicaid coverage and which programs are licensed where you live. All 50 states' Medicaid status is at Medicaid by state.

State guides

AL cost guide
Cheapest GLP-1 in Alabama
No Medicaid weight-loss coverage; cash-pay is the primary route.
AK cost guide
Cheapest GLP-1 in Alaska
No Medicaid weight-loss coverage; cash-pay is the primary route.
AZ cost guide
Cheapest GLP-1 in Arizona
No Medicaid weight-loss coverage; cash-pay is the primary route.
CA cost guide
Cheapest GLP-1 in California
No Medicaid weight-loss coverage; cash-pay is the primary route.
CT cost guide
Cheapest GLP-1 in Connecticut
No Medicaid weight-loss coverage; cash-pay is the primary route.
DE cost guide
Cheapest GLP-1 in Delaware
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+, documented comorbidity); cash-pay available statewide.
FL cost guide
Cheapest GLP-1 in Florida
No Medicaid weight-loss coverage; cash-pay is the primary route.
ID cost guide
Cheapest GLP-1 in Idaho
No Medicaid weight-loss coverage; cash-pay is the primary route.
IL cost guide
Cheapest GLP-1 in Illinois
No Medicaid weight-loss coverage; cash-pay is the primary route.
IN cost guide
Cheapest GLP-1 in Indiana
No Medicaid weight-loss coverage; cash-pay is the primary route.
IA cost guide
Cheapest GLP-1 in Iowa
No Medicaid weight-loss coverage; cash-pay is the primary route.
KY cost guide
Cheapest GLP-1 in Kentucky
No Medicaid weight-loss coverage; cash-pay is the primary route.
LA cost guide
Cheapest GLP-1 in Louisiana
No Medicaid weight-loss coverage; cash-pay is the primary route.
MA cost guide
Cheapest GLP-1 in Massachusetts
No Medicaid weight-loss coverage; cash-pay is the primary route.
MI cost guide
Cheapest GLP-1 in Michigan
Medicaid covers GLP-1 for obesity under limited criteria (BMI 40+); cash-pay available statewide.
MN cost guide
Cheapest GLP-1 in Minnesota
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+ on its own, or BMI 27+ with a qualifying weight-related condition); cash-pay available statewide.
MS cost guide
Cheapest GLP-1 in Mississippi
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
MO cost guide
Cheapest GLP-1 in Missouri
No Medicaid weight-loss coverage; cash-pay is the primary route.
MT cost guide
Cheapest GLP-1 in Montana
No Medicaid weight-loss coverage; cash-pay is the primary route.
NV cost guide
Cheapest GLP-1 in Nevada
No Medicaid weight-loss coverage; cash-pay is the primary route.
NH cost guide
Cheapest GLP-1 in New Hampshire
No Medicaid weight-loss coverage; cash-pay is the primary route.
NJ cost guide
Cheapest GLP-1 in New Jersey
No Medicaid weight-loss coverage; cash-pay is the primary route.
NM cost guide
Cheapest GLP-1 in New Mexico
No Medicaid weight-loss coverage; cash-pay is the primary route.
NY cost guide
Cheapest GLP-1 in New York
No Medicaid weight-loss coverage; cash-pay is the primary route.
NC cost guide
Cheapest GLP-1 in North Carolina
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30+); cash-pay available statewide.
OH cost guide
Cheapest GLP-1 in Ohio
No Medicaid weight-loss coverage; cash-pay is the primary route.
OK cost guide
Cheapest GLP-1 in Oklahoma
No Medicaid weight-loss coverage; cash-pay is the primary route.
OR cost guide
Cheapest GLP-1 in Oregon
No Medicaid weight-loss coverage; cash-pay is the primary route.
PA cost guide
Cheapest GLP-1 in Pennsylvania
No Medicaid weight-loss coverage; cash-pay is the primary route.
RI cost guide
Cheapest GLP-1 in Rhode Island
Medicaid covers GLP-1 for obesity under limited criteria(); cash-pay available statewide.
SC cost guide
Cheapest GLP-1 in South Carolina
No Medicaid weight-loss coverage; cash-pay is the primary route.
SD cost guide
Cheapest GLP-1 in South Dakota
No Medicaid weight-loss coverage; cash-pay is the primary route.
TX cost guide
Cheapest GLP-1 in Texas
No Medicaid weight-loss coverage; cash-pay is the primary route.
UT cost guide
Cheapest GLP-1 in Utah
No Medicaid weight-loss coverage; cash-pay is the primary route.
VA cost guide
Cheapest GLP-1 in Virginia
Medicaid covers GLP-1 for obesity under limited criteria (BMI over 40 on its own, or BMI over 37 with a qualifying weight-related condition); cash-pay available statewide.
WA cost guide
Cheapest GLP-1 in Washington
No Medicaid weight-loss coverage; cash-pay is the primary route.
WV cost guide
Cheapest GLP-1 in West Virginia
No Medicaid weight-loss coverage; cash-pay is the primary route.
WI cost guide
Cheapest GLP-1 in Wisconsin
Medicaid covers GLP-1 for obesity under limited criteria (BMI 30 or higher on its own, or 27 to 29.9 with two or more weight-related risk factors); cash-pay available statewide.

About these guides

Cash telehealth prices are set nationally. A Texas resident pays the same cash price as a patient in New York. What changes by state is Medicaid coverage, program availability (a handful of programs are licensed in select states only), and the state Medicaid cost path. Each guide covers all three. The lowest all-in cash-pay price tracked is $149 a month at Strut Health (compounded semaglutide), and Mochi Health runs $178 a month flat at every dose tier. For branded medication, Amazon Pharmacy dispenses the oral Wegovy pill from $149 a month at the starter dose, the cheapest branded cash path tracked. Costco pairs a discounted Sesame membership with the Wegovy pill at $299 a month. For the full-year cost, see the cheapest GLP-1 over 12 months, and this week's offers in the best GLP-1 deals right now.

Read the dose column before you read the price. Several of these numbers are starter-dose prices and rise once you titrate up, which is why Mochi's flat $178 at every dose can beat a lower headline. Our guide to GLP-1 maintenance dose protocols by drug gives the maintenance dose on each FDA label.

Want the full ranked list by price? See the program chart. The complete Medicaid breakdown across all 50 states is on Medicaid GLP-1 coverage by state, and manufacturer savings cards and cash programs are in the GLP-1 coupons and savings guide. If the cash price is still out of reach, patient assistance programs can cover the drug at no cost for people who qualify.

Common questions

What is the cheapest GLP-1 you can get?

The cheapest cash route tracked is compounded semaglutide at about $149 a month at Strut Health, billed month to month. Mochi Health runs $178 a month flat at every dose tier. For branded medication, Amazon Pharmacy dispenses the oral Wegovy pill from $149 a month at the starter dose.

Does the cheapest GLP-1 price change by state?

No. Cash telehealth prices are set nationally, so a Texas resident pays the same cash price as a patient in New York. What changes by state is Medicaid coverage, program availability (a few programs are licensed in select states only), and the state Medicaid cost path.

Does Medicaid cover GLP-1 for weight loss?

It depends on the state. Some state Medicaid programs cover weight-loss GLP-1 with prior authorization, some cover it only under limited criteria such as a BMI threshold or a documented comorbidity, and some do not cover it at all. Coverage for all 50 states is listed on the Medicaid by state guide.