Phentermine (generic) vs Wegovy (semaglutide injection)
Neither comes out ahead on the axes compared here. Wegovy scores higher on the published halfrx formula, 6.9 against 3.1; the formula takes in more than this table does.
Computed from the stored fields, so it moves when a price does. Nothing here is written by hand or by a model.
Wegovy (semaglutide injection) or Phentermine (generic): which one has a price?
Only Wegovy (semaglutide injection) has an all-in figure here: $199–$399 a month, read from its own page on 2026-09-22. No price is published here for Phentermine (generic), so price cannot decide between them. Every axis below is computed from stored fields rather than written by hand, so the comparison moves when a price does. Neither carries an FTC action, a state action, a BBB F grade or an FDA warning letter. One is branded and the other generic, and they are different drugs, so the gap is the molecule as well as the price. The published formula scores them 3.1 and 6.9 out of 10, arithmetic over the same stored fields rather than an editor's preference. Cost here is scored on what a patient pays once titrated, never on the entry price, because an introductory rate covers the months before anybody has reached the dose they stay on.
Head to head
| What decides it | Phentermine price unverified | Wegovy $199–$399/mo |
|---|---|---|
| Entry priceNot comparable — Phentermine (generic) publishes no verified all-in price. | not comparable | not comparable |
| Regulatory and complaint riskNeither carries a lawsuit, an FDA warning letter or a supply-risk flag. | tied | tied |
What the trials, the titration and a year actually say
| Axis | Phentermine | Wegovy |
|---|---|---|
| The trial that figure comes from | The label does not carry a modern trial figure; it states in its own words that the usefulness of this class 'should be measured against possible risk factors', and it is not recommended for long-term use. | STEP 1, Study 2 on the label (NCT03548935), 68 weeks: 14.9% mean weight loss at 2.4 mg against 2.4% on placebo, intention-to-treat. |
| Maintenance dose | 37.5 mg once daily, in the morning | 2.4 mg once weekly, or 1.7 mg |
| Earliest week you reach it | — | week 17 |
| Year one at the published price of every step | No titration prices recorded | $4,237 |
The year-one figures walk each titration step at its published price and count the thirteen fills a 28-day month bills. The full arithmetic is published.
What separates these two, price aside
- These are different molecules — phentermine against semaglutide — so this is a comparison of two treatments, not of two prices for one.
Phentermine (generic)
Pros
- +Pharmacies acquire it at $0.068 a tablet, about $2 for a 30-day supply, under the federal NADAC survey. That is what a pharmacy pays, not what it charges you.[2]
- +Covered by more Medicaid programs than any GLP-1 — seven states cover an older weight-loss agent while covering no GLP-1 at all.[3]
- +One tablet each morning, no injection, no titration schedule beyond a possible half dose.[1]
Cons
- −Approved for a few weeks only. Every monthly subscription selling it as ongoing therapy is using it off the label's own duration.[1]
- −Schedule IV controlled substance, chemically related to the amphetamines, with the dependence warnings that follow from that.[1]
- −Stopping after prolonged high dosing brings extreme fatigue and depression, per the label — which is a hard exit from a subscription that sold it as maintenance.[1]
- −No cardiovascular outcome data of the kind the GLP-1s now carry, and contraindicated where blood pressure is uncontrolled.[1]
Wegovy (semaglutide injection)
Pros
- +One flat $349 across every standard dose from 0.25 to 2.4 mg — no dose-escalation penalty and no refill deadline attached, unlike Lilly's conditional pricing on Zepbound.[1]
- +New patients pay $199 for the first two fills through 31 December 2026 — the first two of the four titration months.[2]
- +Approved for cardiovascular risk reduction, not only weight — the strongest insurance-coverage argument in the category.[1]
- +The longest real-world safety record of any modern weight-loss GLP-1.[1]
- +Commercially insured, the savings card can bring it to $25 a month, capped at $100 of savings per month.[2]
Cons
- −$1,349 monthly list price without insurance or the self-pay program.[1]
- −Weaker than tirzepatide where the two were tested head to head: in SURMOUNT-5, weight fell 13.7% on semaglutide against 20.2% on tirzepatide over 72 weeks.[6]
- −A month is one box of four weekly pens, so a year takes 13 boxes, not 12: $4,537 at $349 rather than the $4,188 that 'per month' implies.[1]
- −The new high dose, Wegovy HD 7.2 mg, sits outside the flat price at $399.[1]
- −Weekly injection, refrigerated storage, GI side effects during titration, and weight regain after stopping is the documented norm.[3]
Sources
- [1] Wegovy cost and savings, NovoCare
- [2] Wegovy Savings Offer terms, NovoCare
- [3] GoodRx launches weight loss subscription with $199 Ozempic and Wegovy pricing
- [4] FDA prescribing information for WEGOVY
- [5] TrumpRx, the federal direct-purchase price site — $199 for the first two months for new self-pay patients, read 6 September 2026
- [6] SURMOUNT-5: tirzepatide versus semaglutide in obesity (Aronne et al., N Engl J Med 2025)
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 Phentermine
- Phentermine price and terms →
- What is Phentermine? →
- Phentermine cost without insurance →
- Alternatives to Phentermine →
- Phentermine side effects →
- Does Phentermine cause constipation? →
- Does Phentermine cause diarrhea? →
- Does Phentermine make you dizzy? →
- Does Phentermine cause headaches? →
- Does Phentermine keep you awake? →
- Does Phentermine cause dry mouth? →
- Phentermine dose schedule →
- How to take Phentermine →
- 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 →
- phentermine: every product and price →
- Qsymia: the drug →
Everything on Wegovy
- Wegovy price and terms →
- What is Wegovy? →
- Wegovy cost without insurance →
- Alternatives to Wegovy →
- Wegovy coupons and savings cards →
- Wegovy first-fill price →
- Wegovy savings card →
- Wegovy side effects →
- Does Wegovy make you feel sick? →
- Does Wegovy make you tired? →
- Does Wegovy cause constipation? →
- Does Wegovy cause diarrhea? →
- Does Wegovy make you throw up? →
- Does Wegovy cause hair loss? →
- Does Wegovy cause stomach pain? →
- Does Wegovy cause indigestion? →
- Does Wegovy cause acid reflux? →
- Does Wegovy make you burp? →
- Does Wegovy cause bloating? →
- Does Wegovy make you dizzy? →
- Does Wegovy cause headaches? →
- Does Wegovy cause low blood sugar? →
- Wegovy dose schedule →
- Can you stay on a lower dose of Wegovy? →
- How to inject Wegovy →
- How long Wegovy takes to work →
- What happens if you stop Wegovy →
- 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 →
Phentermine against Wegovy, answered
- What happens if you stop Phentermine or Wegovy?
- Wegovy's label includes a trial that stopped the drug on purpose; Phentermine's does not, which is a difference in what is known rather than in what happens. On Wegovy's label, the people randomly assigned to stop gained 6.9% of body weight over the following 11 months while those who carried on lost 7.9% more. That figure belongs to Wegovy's trial, so this page does not apply it to Phentermine.
- Is Phentermine or Wegovy better for weight loss?
- Only Wegovy has a trial figure recorded here: 14.9% average weight loss, from its own label trial. Phentermine has none on this site, so the two cannot be compared on effect and this page does not pick one on it.
- Which is cheaper, Phentermine or Wegovy?
- Phentermine publishes no all-in monthly price that could be verified, so this page carries no comparison rather than an estimate — and an unpublished price is itself worth weighing.
- Can you switch between Phentermine and Wegovy?
- 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.