How much does Foundayo cost with and without insurance?

Foundayo (orforglipron) is the latest oral GLP-1 approved for weight loss. If you’ve been thinking about the Wegovy pill (semaglutide) but turned off by its fasting requirements, this weight loss pill from Eli Lilly may be more up your alley. But how does Foundayo’s cost compare? 

Read on as we break down how much Foundayo costs with and without insurance and how Foundayo prices stack up against those of other GLP-1s.

Without insurance, Foundayo costs $149–$299* per month, depending on the dose, on Ro. 

Here’s a breakdown of the self-pay or cash prices for Foundayo:

*To get the $299 price for the 14.5 mg and 17.2 mg doses of Foundayo, you must refill your prescription within 45 days of your previous fill. If you miss this window, the price of the specific doses increases to $349 per month. 

These prices apply when you pay cash for Foundayo and fill your prescription through select telehealth providers such as Ro or LillyDirect, Eli Lilly’s direct pharmacy channel. 

Get started

With insurance, Foundayo can cost $25–$349 per month. The exact price you’ll pay for Foundayo depends on your insurance plan, any savings or offers, and your eligibility for Eli Lilly’s Foundayo Savings Card:

• If you have a commercial insurance plan that includes coverage for Foundayo, you can pay as little as $25 per month. The Foundayo Savings Card offers a maximum savings of $100 off a one-month prescription, $200 off a two-month prescription, and $300 off a three-month prescription. The card can be used for up to 10 fills per year. 

• If your plan does not include coverage for Foundayo, the Foundayo Savings Card caps your cost at $149 for the starting dose, $199 for the 2.5 mg dosage, and $299–$349 for the higher doses. 

The Foundayo Savings Card can only be used by people with commercial insurance plans or who pay cash. If you have health insurance through a government-funded plan, such as Medicare or Medicaid, you are not eligible.

Not sure if your insurance plan covers Foundayo? Ro’s GLP-1 insurance Coverage Checker can help you find out the answer. Other strategies include contacting your plan directly (the number is on the back of your insurance card) or referring to your plan’s drug formulary (which typically can be found online). 

Is Foundayo covered by Medicaid?

Medicaid coverage for Foundayo — and other prescription drugs for that matter — varies by state. To check if your state Medicaid program covers Foundayo, review your plan’s drug formulary. This is a list of all the drugs covered by your plan. 

Is Foundayo covered by Medicare?

It’s unclear if Foundayo is covered by Medicare. It may cost $50 per month starting July 2026, according to Lilly.

However, current law prohibits Medicare from covering weight loss medications. If an additional indication is approved for Foundayo that’s not weight loss-related — such as type 2 diabetes — it’s possible that Medicare could expand coverage for Foundayo.

Foundayo and the Wegovy pill both start at $149 per month when paying cash. 

The two oral GLP-1s have similar pricing, with lower doses costing less than higher ones. However, the highest doses of Foundayo can cost up to $50 more than those of the Wegovy pill — that is, if you don’t take advantage of the manufacturer’s offer. 

Here are the cash-pay prices for both medications if prescribed on Ro: 

• Foundayo: $149–$299 per month (with manufacturer offer), depending on the dose 

• Wegovy pill: $149–$299 per month, depending on the dose 

The prices above are available only to self-paying customers who are uninsured or have a commercial insurance plan that doesn’t cover Wegovy or Foundayo. 

Similar to the Foundayo Savings Card, the Wegovy manufacturer savings offer lowers the cost of a monthly Rx to as low as $25 per month — regardless of dosage strength — for people with commercial insurance that covers Wegovy.

Here’s a quick look at the prices for Foundayo vs. the Wegovy pill, with and without insurance:

*To get the $299 price for the 14.5 mg and 17.2 mg doses of Foundayo, you must refill your prescription within 45 days of your previous fill. If you miss this window, the price of the specific doses increases to $349 per month.   

Foundayo can cost less than other GLP-1s, depending on the dose and insurance coverage (if any). This is especially true if you pay cash for your prescription or have a commercial insurance plan that covers Foundayo. 

Here’s a quick comparison of the cost of Foundayo to the costs of other GLP-1s: 

*To get the $299 price for the 14.5 mg and 17.2 mg doses of Foundayo, you must refill your prescription within 45 days of your previous fill. If you miss this window, the price of the specific doses increases to $349 per month. 

Currently, there are three injectable GLP-1s approved for weight loss:

• Wegovy, which has a list price of $1,349.02 per month and a cash price of $149–$349, depending on the dose and form (i.e. pen vs. pill). If you have a commercial insurance plan that covers Wegovy, you can pay as low as $25 per month with the official savings offer.

• Zepbound, which has a list price of $1,086.37. Its vials and KwikPens have a cash price of $299–$499 per month, depending on the dose. If you have a commercial insurance plan that covers Zepbound, you can pay as low as 25$ per month with the official savings offer.

• Saxenda, which has a list price of  $1,349.02 per month for the brand-name version. Generic Saxenda (liraglutide) can cost around $300 per month when paying cash. Since there isn’t an official savings offer for the drug, the price with insurance will vary based on your plan. 

Other GLP-1s may be prescribed off-label for weight loss, even if they’re only officially approved for type 2 diabetes and related conditions. These include:

• Ozempic, which has a list price of $1,027.51. If you have a commercial insurance plan that covers Ozempic, you can pay as low as $25 per month with the official savings offer.

• Mounjaro, which has a list price of $1,112.16 or more per month. If you have a commercial insurance plan that covers Mounjaro, you can pay as low as $25 per month with the official savings offer. 

See if you qualify

Foundayo is an oral GLP-1 for weight loss that can be both more affordable than other options and less nerve-wracking for those who don’t like needles. And unlike other GLP-1 pills available, it doesn’t come with any fasting requirements. Here’s what to keep in mind when considering Foundayo for your weight loss goals: 

• For self-paying customers, Foundayo starts at $149 per month on Ro (if prescribed). Higher doses cost more than lower ones and go up to $349 per month or just $299 per month if you take advantage of the manufacturer offer. 

• With insurance, Foundayo can cost as low as $25 per month with the manufacturer savings offer. Insurance coverage for Foundayo can vary by plan, and Medicare does not cover it at this time.

• Foundayo has similar pricing to the Wegovy pill, with both starting at just $149 per month when paying cash. But the Wegovy pill has a lower price for its two highest doses — that is, if you don’t follow the manufacturer offer instructions for Foundayo.