3-way comparison
Ozempic vs Rybelsus vs Wegovy
Side-by-side breakdown — efficacy, cost, regulatory status, and who each option fits best.
Side-by-side comparison
| Attribute | Ozempic | Rybelsus | Wegovy |
|---|---|---|---|
| Generic name | semaglutide | semaglutide | semaglutide |
| Drug class | — | — | — |
| Regulatory status | FDA approved | FDA approved | FDA approved |
| Manufacturer | Novo Nordisk | Novo Nordisk | Novo Nordisk |
| Avg retail price | $969/mo | $968/mo | $1349/mo |
| Without insurance | $968–$1100/mo | $850–$1100/mo | $1349–$1500/mo |
| Savings card max | $25/mo | $10/mo | $0/mo |
| Shortage status | not_listed | resolved | not_listed |
FAQ
What is the difference between Ozempic, Rybelsus, and Wegovy?
Ozempic (semaglutide), Rybelsus (semaglutide), and Wegovy (semaglutide) are GLP-1 medications used for weight management or type 2 diabetes. Key differences: Ozempic is FDA-approved, Rybelsus is FDA-approved, Wegovy is FDA-approved.
Which is most effective for weight loss: Ozempic, Rybelsus, or Wegovy?
Effectiveness varies by individual. In clinical trials, tirzepatide-based drugs (Mounjaro, Zepbound) produced ~22% average body-weight loss vs ~15% for semaglutide-based (Ozempic, Wegovy). Discuss with your prescriber.
Which is cheapest?
Cheapest first, at a maintenance dose and paying cash: Ozempic $349/mo (0.25, 0.5 and 1 mg pen) direct from the manufacturer · Wegovy ~$349/mo for maintenance doses direct from the manufacturer · Rybelsus ~$968/mo at list price, with no manufacturer self-pay route we can verify. These are self-pay prices from the manufacturer, not list prices — the list price is what an uninsured walk-in is billed who asks for nothing, and it is the one figure almost nobody pays. Compounded semaglutide runs $99–$300/mo and compounded tirzepatide $179–$450/mo through telehealth, but neither is FDA-approved.
See per-drug deep dives: Ozempic review · Rybelsus review · Wegovy review
2-way head-to-heads
Drill down into any pair from the three above for deeper side-by-side analysis.
Already on one? Switching guides
Dose conversion + transition timeline for each directional switch.