Ozempic Dose-to-Cost Guide (2026)
Reviewed by Sarah Mitchell, PharmD · Last reviewed: May 13, 2026
Monthly Cost by Dose
| Dose | Pen Format | Retail (No Card) | With Savings Card |
|---|---|---|---|
| 0.25 mg/week | 0.25-0.5 mg pen | ~$935/mo | $25 |
| 0.5 mg/week | 0.25-0.5 mg pen | ~$935/mo | $25 |
| 1 mg/week | 1 mg pen | ~$935/mo | $25 |
| 2 mg/week | 2 mg pen | ~$935/mo | $25 |
Savings card requires commercial insurance. Not available for Medicare/Medicaid. Prices verified May 2026.
Standard Titration Schedule
- 1
Weeks 1-4: 0.25 mg/week
Starting dose. Not a therapeutic dose; reduces GI side effects.
- 2
Week 5+: 0.5 mg/week
First therapeutic dose. Most patients stay here or advance.
- 3
Week 9+ (if needed): 1 mg/week
Your doctor may advance if A1C control is insufficient.
- 4
Week 13+ (if needed): 2 mg/week
Maximum dose. Requires 1 mg pen format.
Frequently Asked Questions
Does Ozempic cost more at higher doses?
Ozempic pens come in fixed formats (0.25-0.5 mg pen and 1-2 mg pen). The monthly retail cost is similar across dose tiers because you go through approximately one pen per month at each stage.
How long does titration take for Ozempic?
Standard titration for type 2 diabetes starts at 0.25 mg/week for the first 4 weeks (a loading dose), then moves to 0.5 mg/week. Your doctor may increase to 1 mg or 2 mg based on your A1C response and tolerability.
What is the maximum dose of Ozempic?
The maximum approved dose of Ozempic is 2 mg per week for type 2 diabetes management.
Can I use the savings card at the 0.25 mg starter dose?
Yes. The Ozempic savings card covers the 0.25-0.5 mg pen that you use during your first month of titration. Your cost is $25 for any approved supply.