Foundayo (orforglipron) vs Ozempic (semaglutide, diabetes label)
Foundayo is the better choice of the two, winning on entry price (halfrx score 6.3 against 5.1).
Computed from the stored fields, so it moves when a price does. Nothing here is written by hand or by a model.
Which is cheaper, Foundayo (orforglipron) or Ozempic (semaglutide, diabetes label)?
Foundayo (orforglipron) is $149–$349 a month all-in, read from its own page on 2026-09-12; Ozempic (semaglutide, diabetes label) is $199–$499, read from its own page on 2026-09-22. At the maintenance dose the gap is $50 a month, which is $949 across a year, counting 12 fills for Foundayo (orforglipron) and 13 for Ozempic (semaglutide, diabetes label). Trial weight loss was 11.1% against 6.4%, from separate trials with different populations, so the gap is not a measured difference between the two. Every axis below is computed from stored fields rather than written by hand, so the comparison moves when a price does. They were last checked on 2026-09-12 and 2026-09-22. Neither carries an FTC action, a state action, a BBB F grade or an FDA warning letter. The published formula scores them 6.3 and 5.1 out of 10, arithmetic over the same stored fields rather than an editor's preference.
Head to head
| What decides it | Foundayo $149–$349/mo | Ozempic $199–$499/mo |
|---|---|---|
| Entry priceFoundayo (orforglipron) is $50/mo cheaper to start — $149 against $199. | ✓ better here | — |
| Regulatory and complaint riskNeither carries a lawsuit, an FDA warning letter or a supply-risk flag. | tied | tied |
| Average weight loss in trialsFoundayo (orforglipron) reports 11.1% and Ozempic (semaglutide, diabetes label) 6.4%, each from its own trial. They were not compared against each other, and the populations, durations and endpoints differ, so the higher number is not a better result — it is a different study. | not comparable | not comparable |
What the trials, the titration and a year actually say
| Axis | Foundayo | Ozempic |
|---|---|---|
| Mean weight loss in the cited trial | 11.1% | 6.4% |
| The trial that figure comes from | ATTAIN-1, Trial 1 on the label, 72 weeks: 11.1% mean weight loss at 17.2 mg against 2.1% on placebo, intention-to-treat. | No percentage of body weight appears anywhere on the Ozempic label, which has no weight-management section: its three trial sections cover glycemic control, cardiovascular outcomes and kidney outcomes, and all report weight in kilograms. This figure is worked out from the label's own kilograms — 6.4 kg lost from a 100.1 kg mean baseline at week 40 on 2 mg — and is an arithmetic step the label does not take. |
| Maintenance dose | 5.5 mg, 9 mg, 14.5 mg or 17.2 mg daily | 0.5 mg to 2 mg once weekly |
| Earliest week you reach it | week 9 | week 5 |
| Year one at the published price of every step | $3,188 | $4,237 |
Trial percentages are quoted from the label or the named trial beside them. They are not a head-to-head result: different populations, different durations, different endpoints. That is why the comparison above scores this axis as not comparable rather than awarding it to the higher number. The year-one figures walk each titration step at its published price and count the fills each manufacturer bills a year: 12 for Foundayo, 13 for Ozempic. The full arithmetic is published.
Read the price gap carefully: these two are not the same purchase
- These are different molecules — orforglipron against semaglutide — so this is a comparison of two treatments, not of two prices for one.
- Against every medication on this site with a verified maintenance price, Foundayo (orforglipron) is the 3rd cheapest of 9 and Ozempic (semaglutide, diabetes label) the 5th — the cheapest of them all is $75.
Foundayo (orforglipron)
Pros
- +A daily pill with no injection, no needles and no refrigeration — unlike semaglutide pills it is a small molecule, so there are no food-and-water timing rules to follow.[3]
- +$149 a month at the entry dose through LillyDirect — the lowest self-pay price for a branded GLP-1 on this site, matched only by the Wegovy pill's first month.[4]
- +11.1% mean weight loss over 72 weeks in ATTAIN-1, intention-to-treat — below the Wegovy tablet's 13.6%, and well above the older oral options.[2]
- +Being a small molecule, it is manufactured chemically rather than biologically — supply scales in a way peptide injectables cannot.[3]
- +Commercially insured with coverage, Lilly's card can bring it to as little as $25 a month.[1]
Cons
- −Approved 1 April 2026, so real-world safety data outside trials is still thin compared with semaglutide's years of use.[2]
- −$649 list price if you have no coverage and do not use the LillyDirect self-pay channel.[4]
- −Weight loss trails tirzepatide injection, which reaches roughly 20%+ in its pivotal trials.[2]
- −Maintenance doses hold their $299 price only while you refill within 45 days; lapse and they are $349.[1]
Ozempic (semaglutide, diabetes label)
Pros
Cons
- −Using it for weight loss without diabetes is off-label. Insurers deny it on that basis and prescribers vary in willingness.[2]
- −Its top dose is 2 mg, against 2.4 mg for standard Wegovy and 7.2 mg for Wegovy HD; the Ozempic label reports no weight-loss percentage to set beside Wegovy's.[5]
- −Prescribing it off-label for weight competes with diabetes patients for supply — a recurring shortage driver.[2]
Sources
- [1] Ozempic self-pay pricing, NovoCare Pharmacy, read 12 September 2026
- [2] GoodRx and Novo Nordisk $199 cash price announcement
- [3] FDA prescribing information for OZEMPIC (semaglutide) injection
- [4] TrumpRx, the federal direct-purchase price site — $199 for the first fills for new self-pay patients, read 6 September 2026
- [5] FDA prescribing information for WEGOVY
Comparisons are computed from the fields on each card, not written by hand or by a model, so they change when the data does. Information only, not medical advice. halfrx may earn a commission from some links, which never changes what a comparison says.
Everything on Foundayo
- Foundayo price and terms →
- What is Foundayo? →
- Foundayo cost without insurance →
- Alternatives to Foundayo →
- Foundayo coupons and savings cards →
- Foundayo Self Pay Journey Program →
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- Does Foundayo cause hair loss? →
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- Foundayo dose schedule →
- Can you stay on a lower dose of Foundayo? →
- How to take Foundayo →
- How long Foundayo takes to work →
- Which labels record what happens when you stop →
- Hair loss: which of the labels name it →
- Alcohol: what the labels say, and what they do not →
- orforglipron at LillyDirect: the price →
- orforglipron: every product and price →
- LillyDirect: the seller →
Everything on Ozempic
- Ozempic price and terms →
- What is Ozempic? →
- Ozempic cost without insurance →
- Alternatives to Ozempic →
- Ozempic coupons and savings cards →
- Ozempic and Wegovy cash price via GoodRx →
- Ozempic first-fill price →
- Ozempic Savings Card →
- Ozempic side effects →
- Does Ozempic make you feel sick? →
- Does Ozempic cause constipation? →
- Does Ozempic cause diarrhea? →
- Does Ozempic make you throw up? →
- Does Ozempic cause stomach pain? →
- Ozempic dose schedule →
- Can you stay on a lower dose of Ozempic? →
- How to inject Ozempic →
- How long Ozempic takes to work →
- Which labels record what happens when you stop →
- Hair loss: which of the labels name it →
- Alcohol: what the labels say, and what they do not →
- semaglutide at Calibrate: the price →
- semaglutide at LifeMD: the price →
- semaglutide at NovoCare Pharmacy: the price →
- semaglutide: every product and price →
- Ivim Health: the seller →
- Mochi Health: the seller →
- CVS MinuteClinic: the seller →
- Henry Meds: the seller →
- Noom Med: the seller →
- Shed: the seller →
- Walgreens Weight Management: the seller →
- PlushCare: the seller →
Foundayo against Ozempic, answered
- Is Foundayo or Ozempic better for weight loss?
- Foundayo reports 11.1% average weight loss and Ozempic 6.4%, each from its own trial. The two were not compared against each other, so the higher figure is not a result of a head-to-head and this page does not present it as one. What is comparable is what each costs, below.
- Which is cheaper, Foundayo or Ozempic?
- Foundayo, at $299 a month against $349 — a difference of $50 a month, or $949 over a year counting 12 fills a year for Foundayo and 13 for Ozempic. Both figures are the maintenance price rather than an introductory rate. Above the maintenance dose, the optional higher dose costs more: Ozempic at 2 mg is $499 a month.
- Can you switch between Foundayo and Ozempic?
- They are different molecules, so this is a change of medication rather than of brand, and the one you move to is started on its own dosing schedule.