Wegovy pill

How is the Wegovy pill dosed?

The Wegovy pill is taken once daily on an empty stomach in the morning, with up to 4 ounces of water, and must be swallowed whole — never split, crushed, chewed, or dissolved [1]. Patients wait at least 30 minutes before eating food, drinking other beverages, or taking other oral medications [1]. Dosing starts at 1.5 mg daily for 30 days, then rises to 4 mg, then 9 mg, before reaching the 25 mg maintenance dose from day 91 onward [1].

What is the Wegovy pill indicated for?

Like the Wegovy injection, the pill is indicated, with a reduced-calorie diet and increased physical activity, to reduce excess body weight in adults with obesity or overweight plus a weight-related condition [1]. It's also indicated to reduce the risk of major cardiovascular events in adults with established cardiovascular disease and obesity or overweight [1]. Unlike the injection, the pill's indications are limited to adults; the pediatric weight-reduction indication applies only to the Wegovy injection [1].

What does the Wegovy pill cost?

Novo Nordisk lists $1,349.02 per package for the Wegovy pill, pen, and HD pen — the list price before insurance discounts or rebates [3]. Self-pay pricing is advertised at $149 per month for the 1.5 mg dose, $199 for 4 mg, and $299 for the 9 mg and 25 mg doses [4]. Eligible Medicare Part D enrollees can get any dose strength of the pen or pill for $50 per month through the Bridge program described above [2].