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Comparison · Updated October 16, 2026

Wegovy vs Zepbound

Wegovy vs Zepbound: side-by-side comparison covering FDA status, mechanism, dosing, pricing, head-to-head trial data.

Side-by-sideTrial-citedUpdated October 16, 2026
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Editorial team
Dr. Sam Saberian · Lead Medical Researcher
Medical review by Alen A. Schwartz, MD · Edited by Julliana Edwards · Last updated October 16, 2026

Comparison: Wegovy vs Zepbound

Both items are reviewed at GLP1 One Rx against the v3.0 transparency rubric and published clinical evidence.

Key differentiators

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Questions readers ask

How do Wegovy and Zepbound compare on weight loss?

They have not been compared head to head in obesity here. STEP 1 showed −14.9% with Wegovy’s semaglutide 2.4 mg at 68 weeks, and SURMOUNT-1 showed −20.9% with tirzepatide 15 mg at 72 weeks, using different estimands.

What does Zepbound cost through LillyDirect?

Zepbound vials or KwikPen cost $299 a month for 2.5 mg, $399 for 5 mg and $449 for 7.5 to 15 mg when refilled within 45 days, via LillyDirect (read October 14, 2026).

What does Wegovy cost through NovoCare?

The Wegovy pen is $349 a month, with new patients paying $199 for the first two fills through December 31, 2026; the Wegovy pill is $149, $199 or $299 a month by dose (read October 14, 2026).

Are Wegovy and Zepbound covered by the Medicare GLP-1 Bridge?

Yes, Wegovy and Zepbound KwikPen are included. From July 1, 2026 to December 31, 2027, eligible Part D members pay a $50 copay, with prior authorization and BMI-based criteria. Open enrollment is October 15 to December 7, 2026.

Primary sources

  1. FDA: Concerns with unapproved GLP-1 drugs used for weight loss (current as of October 1, 2026)
  2. FDA: Policies for compounders as GLP-1 supply stabilizes (updated April 1, 2026)
  3. FDA: Compounding and the FDA — questions and answers
  4. FDA: Registered outsourcing facilities (503B)
  5. Wilding JPH et al. Once-weekly semaglutide in adults with overweight or obesity (STEP 1). N Engl J Med 2021
  6. Wegovy (semaglutide) prescribing information, Novo Nordisk