Foundayo Cost & Price (2026): By Dose, Savings Card

Foundayo price by dose

Lilly prices Foundayo by dose, and the label raises the dose in steps: 0.8 mg for at least 30 days, then 2.5 mg for at least 30 days, then 5.5 mg. After that a prescriber may move up to 9, 14.5 or 17.2 mg, a month or more apart, depending on response and tolerability (Foundayo prescribing information).

LillyDirect self-pay, one month (30 tablets), from LillyDirect and Lilly's savings terms. Checked Oct 13, 2026.

Dose	Price now	Regular price	Condition
0.8 mg	$149	$149	Starting dose (at least 30 days)
2.5 mg	$149	$199	Reduced price through Dec 31, 2026 (at least 30 days)
5.5 mg	$199	$299	Reduced price through Dec 31, 2026
9 mg	$299	$299
14.5 mg	$299	$349	$299 if refilled within 45 days
17.2 mg	$299	$349	Maximum dose; $299 if refilled within 45 days

So the starting price is not the price you will pay for long. By month three you are on at least 5.5 mg, which costs $199 now and $299 at the regular price.

Where to get Foundayo, and what it costs all-in

What this covers: LillyDirect, which sells Foundayo directly, and the telehealth programs we could confirm list Foundayo on their own site, 6 options in all. It is not every provider on the market. Every option here is the same FDA-approved drug at Lilly's price; what differs is the membership or program fee on top. How it is sorted: by the lowest all-in monthly price at the 0.8 mg starting dose, on any plan length, counting every fee the seller requires (membership or program + medication)..

*First-year estimate is our arithmetic, not a quote: one 30-day fill at 0.8, 2.5 and 5.5 mg, then 9 months at 9 mg, at today's LillyDirect prices ($3,188 for the medication), plus the membership on the plan in the monthly column. LillyDirect's row excludes the prescriber, which you arrange yourself. Ro's figure was last confirmed on our Ro review on Oct 10, 2026. Hims & Hers said in April 2026 that its clinicians can send Foundayo prescriptions to LillyDirect, but we could not confirm a current Foundayo price on their pages, so they are not in the table. A retail pharmacy can also fill Foundayo; its cash price may differ, so ask before you fill. The seller's checkout is the final word on price.

Foundayo first-year cost

Using LillyDirect's prices and the label's minimum step-up schedule (our arithmetic, 12 monthly fills):

• Stepping up to 9 mg (or 14.5 or 17.2 mg, refilled within 45 days): $3,188 at today's prices; $3,338 at Lilly's regular prices.
• Staying at 5.5 mg: $2,288 at today's prices; $3,338 at regular prices.

The reduced 2.5 and 5.5 mg prices end Dec 31, 2026, so a year that starts now will mostly be billed at regular prices. Your prescriber decides the dose; these are budgets, not recommendations.

Foundayo with insurance: savings card and coverage

• Covered by your commercial plan: Lilly's Foundayo Savings Card can bring a 1-, 2- or 3-month fill to as little as $25, with savings capped at $100 per month and $1,000 per calendar year, up to 10 fills a year. It ends Dec 31, 2026.
• Commercial plan that does not cover it: the same card gives the self-pay prices above ($149 to $299 a month).
• Coverage: plan by plan, usually with prior authorization. CVS Caremark removed its new-to-market block on Foundayo effective June 1, 2026 (Managed Healthcare Executive, May 28, 2026); whether your plan includes it is your employer's or insurer's call. See how to get a GLP-1 covered by insurance.
• FSA and HSA: Lilly lists Foundayo self-pay as FSA/HSA eligible, varying by plan; prescribed medication can be a medical expense under IRS Publication 502. More in Can You Use HSA/FSA for a GLP-1?

Does Medicare or Medicaid cover Foundayo?

Medicare: eligible Part D members can get Foundayo for weight management for $50 a month through the Medicare GLP-1 Bridge, July 1, 2026 to Dec 31, 2027. It needs a prior authorization and BMI-based clinical criteria (35 or higher, or lower with certain weight-related conditions; see LillyDirect's Bridge page). Medicaid: coverage of weight-loss drugs is a state decision, so check your state plan. Lilly's savings card excludes Medicare, Medicaid and other government programs.

Foundayo vs Wegovy pill vs Zepbound: self-pay cost

At the starting dose, the two GLP-1 pills cost the same and the injection costs about twice as much. Foundayo is a different molecule from semaglutide and tirzepatide, not a pill version of either.

For the trial results side by side, see Foundayo vs Zepbound and tirzepatide vs semaglutide. Zepbound's prices by dose and every way to buy it are in our tirzepatide price table; the Wegovy pill's fasting rules are compared in oral vs injectable semaglutide. Wegovy and Ozempic prices at every dose, next to compounded semaglutide, are in our semaglutide price list.

Is there a generic or compounded Foundayo?

No generic exists: Foundayo, FDA-approved on April 1, 2026, is available only as the brand from Eli Lilly. A product sold online as "orforglipron" outside a prescription filled by a licensed pharmacy is not Foundayo. If you would consider a weekly injection instead, telehealth providers sell compounded semaglutide and tirzepatide; these are not FDA-approved and are not the same as Wegovy or Zepbound (FDA's compounding overview). Our cheapest GLP-1 cost comparison lists those prices next to the brand-name options.

Frequently asked questions

How much does Foundayo cost without insurance?

Through LillyDirect self-pay, Foundayo costs $149 a month at the 0.8 mg starting dose and $299 a month at 9 mg and above, as of Oct 13, 2026. A prescription is required, and telehealth programs add their own membership fee.

Does Foundayo cost more at higher doses?

Yes: $149 at 0.8 and 2.5 mg, $199 at 5.5 mg and $299 at 9, 14.5 and 17.2 mg. The 2.5 and 5.5 mg prices are reduced only through Dec 31, 2026, after which Lilly lists them at $199 and $299.

Is there a Foundayo savings card or coupon?

Yes: with commercial insurance that covers Foundayo, Lilly's savings card can bring a fill to as little as $25, with savings capped at $100 a month and $1,000 a year. The card excludes Medicare, Medicaid and other government plans and ends Dec 31, 2026.

Does insurance cover Foundayo?

Some commercial plans do, often with prior authorization; coverage depends on your employer or insurer, not just the pharmacy benefit manager. CVS Caremark lifted its new-to-market block on Foundayo on June 1, 2026.

Does Medicare cover Foundayo?

Eligible Medicare Part D members can get Foundayo for $50 a month through the Medicare GLP-1 Bridge, which runs from July 1, 2026 to Dec 31, 2027 and requires prior authorization. Lilly's $25 savings card does not apply to Medicare.

How much does Foundayo cost per year?

About $3,188 in the first year at today's LillyDirect prices if the dose steps up to 9 mg, or $2,288 if it stays at 5.5 mg; at Lilly's regular prices both come to $3,338. Telehealth membership fees are extra.

Is Foundayo cheaper than the Wegovy pill?

Both start at $149 a month and reach $299 at higher doses, so self-pay costs are close. Foundayo is $149 at its second step (2.5 mg) through Dec 31, 2026, while the Wegovy pill is $199 at 4 mg.

Is Foundayo cheaper than Zepbound?

Paying cash, yes: Foundayo runs $149 to $299 a month versus $299 to $449 for Zepbound through LillyDirect. They are different drugs with different trial results.

Is there a generic Foundayo?

No. Foundayo (orforglipron) is available only as the FDA-approved brand from Eli Lilly.

Can you use HSA or FSA money for Foundayo?

Lilly lists Foundayo self-pay as FSA/HSA eligible, though eligibility can vary by plan. Check with your plan administrator.

Sources and references

1. LillyDirect: Foundayo self-pay prices by dose (checked Oct 13, 2026)
2. Eli Lilly: Foundayo coverage and savings, incl. full savings card and purchase-offer terms (checked Oct 13, 2026)
3. Foundayo (orforglipron) prescribing information, Eli Lilly (checked Oct 13, 2026)
4. Eli Lilly: FDA approves Foundayo (orforglipron), April 1, 2026
5. LillyDirect: Medicare GLP-1 Bridge program and CMS: Medicare GLP-1 Bridge (checked Oct 13, 2026)
6. Managed Healthcare Executive: CVS Caremark to put Zepbound back on formulary and add Foundayo (May 28, 2026)
7. LillyDirect: Zepbound self-pay prices and Novo Nordisk: Wegovy self-pay prices (checked Oct 13, 2026)
8. Telehealth prices: each seller's own page, linked in the table, checked Oct 13, 2026 (Ro: Oct 10, 2026).
9. IRS Publication 502: Medical and Dental Expenses

Foundayo™ is a trademark of Eli Lilly; Zepbound® is a registered trademark of Eli Lilly; Wegovy® is a registered trademark of Novo Nordisk. Nouri is not affiliated with Eli Lilly or Novo Nordisk. Nouri is a publisher; it does not prescribe or sell any medication. Not medical, financial or tax advice: a licensed prescriber decides whether Foundayo and which dose fit you. Compounded semaglutide and tirzepatide are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality.

Disclosure: Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. No option in the price table pays Nouri. Full disclosure.