Key takeaways
Without insurance, Rybelsus costs $1,175.36 for 30, 14 mg tablets on average.
Many insurance plans cover Rybelsus, but it may not be a preferred drug and prior authorization may be required.
There are several Rybelsus savings options available, including SingleCare coupons, manufacturer programs, Medicare Extra Help, and cheaper alternatives.
Rybelsus (semaglutide) is a glucagon-like peptide-1 receptor agonist (GLP-1 agonist) approved by the U.S. Food and Drug Administration (FDA) to treat Type 2 diabetes. It’s also prescribed off-label for weight loss. If you’ve been prescribed Rybelsus or are considering it, it’s important to know the costs associated with this medication. Keep reading to learn more about costs, insurance coverage, and the best way to save on Rybelsus based on your insurance and income.
Coupons for popular diabetes drugs
How much does Rybelsus cost?
The average cost of Rybelsus without insurance is $1,175.36 for a 30-day supply of 14 mg tablets. There currently aren’t any generic versions of this antidiabetic medication.
RELATED: How much is Rybelsus without insurance?
Rybelsus insurance coverage
Fortunately, you may be able to receive insurance coverage for these medications through your commercial or private insurance, Medicare, or Medicaid.
According to Novo Nordisk, the drug’s manufacturer, roughly 98% of commercial insurance recipients and 95% of Medicare Part D recipients receive coverage for Rybelsus when prescribed to treat Type 2 diabetes. Many insurance companies list Rybelsus as a preferred drug on their formulary, which is a list of prescription drugs covered by your health insurance company or prescription drug plan.
Here’s an example of estimated copayments for commercial insurance, Medicare, and Medicaid recipients:
How much does Rybelsus cost with insurance? |
|||
|---|---|---|---|
| Health insurance plan | Patient copay | Tier | Formulary |
| Aetna Standard Plan | Varies by plan | Preferred brand | 2026 Aetna Standard plan drug list |
| Blue Cross and Blue Shield Federal Employee Program | 35%-40% coinsurance | Tier 2 – Preferred brand-name drugs | 2026 abbreviated formulary |
| AARP Medicare Rx Preferred from UnitedHealthcare | $47 for a 30-day supply | Tier 3 – Preferred brand | AARP Medicare Rx Preferred from UCH (PHP) summary of benefits 2025 |
| UnitedHealthcare Group Medicare Advantage | $40 for a 30-day supply | Tier 3 – Preferred brand | UnitedHealthcare Group Medicare Advantage (PPO) summary of benefits 2025 |
| State of New York Medicaid* | $0-$10 | Non-preferred drug, prior authorization may be required | Medicaid pharmacy list of reimbursable drugs |
* We chose New York as our sample because the 15th Congressional District in the Bronx, NY has one of the highest Medicaid enrollment rates in the U.S.
With these estimated prices, please note that your Rybelsus coverage and copayment vary depending on where you live and your plan.
Many insurance plans will only cover Rybelsus if you have prior authorization. A prior authorization, or preauthorization, is an approval from your health insurance plan that may be required before you receive a medical service or prescription medication. If prior authorization stands in the way of getting a Rybelsus prescription, you can work with your healthcare provider to get approval.
In addition to prior authorization, an insurance company may require step therapy before paying for Rybelsus. “Step therapy is when treatment failure of other medications is documented to get the medication in question approved,” says Annie DePasquale, MD, a board-certified family medicine physician and the founder and CEO of Collaborating Docs in Arlington, Virginia.
It’s also important to note that if you’re trying to get Rybelsus prescribed for off-label weight loss or weight management, most insurers won’t pay for the medication. It may be best to consider other approved weight-loss medications, such as Wegovy or Zepbound, to increase your chances of approval.
Can I get Rybelsus for free?
One way you may be able to get Rybelsus for free is through a patient savings program. “I always recommend that patients look into savings programs offered by the pharmaceutical company specifically, as many have some options depending on clinical eligibility and financial hardship,” says Dr. DePasquale.
However, the NovoNordisk Patient Assistance Program has criteria around income and insurance status, so not everyone will be eligible for this savings offer.
How to get Rybeslus cheaper
If you’re uninsured or find that your insurance doesn’t provide coverage for Rybelsus, there are other routes you can pursue to get savings on this antidiabetic drug.
1. Free Rybelsus coupons
Who can use it: Anyone with a valid prescription
SingleCare offers free coupons for Rybelsus and thousands of other prescription drugs. You could save hundreds of dollars just by taking a Rybelsus coupon to the pharmacy.
Unlike many other prescription savings options, you can use SingleCare whether you’re insured or or not. In fact, using this coupon may even be lower than your copay with insurance.
Even if you’ve previously used the manufacturer coupon, you can switch to a SingleCare coupon if you meet the maximum savings limit of the manufacturer coupon.
Save up to 80% on Rybelsus with SingleCare
Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
2. Compare prices at local pharmacies
Drug prices vary by pharmacy. To make sure you get the best price, compare Rybelsus costs at pharmacies near you before each refill. At the time of publishing, you could save more than $150 on Rybelsus simply by switching your pharmacy. Use SingleCare to enter your prescription details and ZIP code to compare Rybelsus prices near you.
3. Manufacturer’s savings card
Who can use it: People enrolled in private/commercial insurance
Novo Nordisk may offer a Rybelsus manufacturer coupon that eligible patients can use to lower prices. You may be eligible to use this coupon if you have private or commercial insurance. If you’re enrolled in Medicare, Medigap, DOD, VA, TRICARE, Medicaid, or any other state or federal insurance programs, you cannot apply for this Rybelsus savings card. Savings are capped at a certain dollar amount per refill.
4. Bulk-order medication
Another option to get Rybelsus cheaper is to get it in bulk. Before moving forward, you’ll want to check in with your insurance company to see if this is approved. If they allow you to buy medication in bulk, your healthcare provider may be able to write a Rybelsus prescription for a 90-day supply.
5. Non-profit organizations
Who can use it: People who meet certain income requirements
Several nonprofit organizations may help you cover the costs of Rybelsus and other prescription medications. Some organizations, like HealthWell Foundation, PAN Foundation, and the NovoCare Patient Assistance Program, provide financial assistance in the form of patient assistance programs, coupons, rebates, savings cards, free trial offers, and free samples. However, these organizations often require you to meet certain income requirements before providing financial assistance.
6. Rybelsus savings for Medicare patients
Who can use it: Medicare Part D recipients who meet certain income criteria
You may be eligible for the Extra Help program if you’re a Medicare Part D recipient. This program helps people with limited income to lower their Medicare copays, premiums, deductibles, and other medical costs.
You can apply for the Extra Help program if you have full Medicaid coverage, are receiving help from your state to pay for your Part B premiums, and/or are getting Supplemental Security Income (SSI) payments. If you’re accepted, you can expect to pay a lower price for brand-name drugs like Rybelsus.
7. Rybelsus free trial
You may be able to get free samples of Rybelsus from your healthcare provider. Although this isn’t a long-term solution, it allows you to get the medication for a limited time. Plus, if you’re new to the medication, you can do a trial period to see if it’s worth getting a long-term prescription. At your next medical appointment, you can ask your healthcare provider if they offer any free Rybelsus samples.
Is there a cheaper alternative to Rybelsus?
Fortunately, Rybelsus is not the only antidiabetic medication on the market. If you don’t have insurance or your insurance provider doesn’t cover Rybelsus, you and your healthcare provider can discuss alternative, potentially cheaper options that provide the same benefits.
Rybelsus is a GLP-1 agonist. “Rybelsus and other GLP-1 agonist medications work by improving blood sugar control via stimulating insulin release, suppressing glucagon, and slowing gastric emptying,” says Dr. DePasquale. Other GLP-1s used for Type 2 diabetes like Rybelsus include Ozempic, Trulicity, Victoza, and Mounjaro. Victoza is the cheapest GLP-1 alternative to Rybelsus since it’s now available as a generic.
Below are the top Rybelsus alternatives, including their uses, dosages, and associated costs, with metformin being the cheapest option.
Compare Rybelsus alternatives |
|||
|---|---|---|---|
| Drug name | Uses | Dosage | Cost without insurance |
| Ozempic (semaglutide) | Type 2 diabetes, risk reduction of heart-related events in people with Type 2 diabetes and heart disease, risk reduction of kidney failure in people with Type 2 diabetes and chronic kidney disease | 0.25-2 mg injected under the skin once a week | $1,391 for 1, 3 ml of 2 mg/3 ml pen |
| Trulicity (dulaglutide) | Type 2 diabetes, risk reduction of heart-related events in people with Type 2 diabetes and heart disease | 0.75-4.5 mg injected under the skin once a week | $1,396 for 4, 0.5 ml of 1.5 mg/0.5 ml pen |
| Generic Victoza (liraglutide) | Type 2 diabetes, risk reduction of heart-related events in people with Type 2 diabetes and heart disease | 0.6-1.8 mg injected under the skin once a week | $1,171 for 3, 3 ml of 18 mg/3 ml pen |
| Generic Farxiga (dapagliflozin) | Type 2 diabetes, risk reduction of kidney failure in people with chronic kidney disease, risk reduction of heart-related events in people with heart failure | 5-10 mg once a day | $838 for 30, 10 mg tablets |
| Mounjaro (tirzepatide) | Type 2 diabetes | 2.5-15 mg injected under the skin once a week | $1,532 for 4, 0.5 ml of 5 mg/0.5 ml pen |
| Metformin | Type 2 diabetes | 500 mg twice daily or 850 mg once daily | $131 for 60, 500 mg tablets |
| Januvia (sitagliptin) | Type 2 diabetes | 100 mg once a day | $698 for 30, 100 mg tablets |
| Generic Actos (pioglitazone) | Type 2 diabetes | 15-45 mg once a day | $849 for 90, 30 mg tablets |
Please consult your healthcare provider to determine the best alternative to Rybelsus.
The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Jun. 11, 2026. Prices vary by pharmacy. Visit our coupon page for updated drug prices at pharmacies near you.
- Prescription drug coverage for FEHB, BlueCross BlueShield (2026)
- Aetna pharmacy drug guide, Aetna (2026)
- Summary of benefits, UnitedHealthcare (2025)
- UnitedHealthcare Group Medicare Advantage (PPO) summary of benefits, UnitedHealthcare (2025)
- Congressional district interactive map: Medicaid enrollment by eligibility group, KFF (2025)
- Costs & coverage, Novo Medlink (n.d.)
- Prior authorization, HealthCare.gov (n.d.)
- Novo Nordisk Patient Assistance Program (PAP), NovoCare Diabetes (n.d.)
- Novo Nordisk Patient Assistance Program Application, Novo Nordisk (n.d.)
- Rybelsus savings offer, NovoCare Diabetes (n.d.)
- Request product samples, novoMEDLINK
- Annie DePasquale, MD of Collaborating Docs
- Medically accurate: SingleCare’s Medical Review Board analyzes all of our content to confirm it’s in line with current medical advice.
- Evidence-based: Our content is sourced from reputable U.S.-based healthcare professionals and peer-reviewed research.
- Trustworthy: All of SingleCare’s content goes through a multi-phase review process by our writers, editors, and Medical Board in order to provide clear and credible information.