TrumpRx is a website that lists discounted drug prices from manufacturers that agreed to most-favored-nation pricing[1]. It launched on February 5, 2026, with drugs from five makers, including Eli Lilly and Novo Nordisk[4]. For a GLP-1 buyer, the useful question is not the headline discount but which price you actually reach, and by which route.
What TrumpRx does and does not do
TrumpRx displays discounted price offers but does not sell or dispense drugs[1]. It is free to use, and it needs no account or registration[1]. You still need a valid prescription from a clinician, sent to the pharmacy where the discounted price is available[1].
TrumpRx does not collect, handle or transfer prescriptions[1]. It also makes no difference whether the prescription came from a telehealth visit or a local provider[1]. The site is a signpost to the maker’s offer, and the maker’s terms decide what you pay. How a telehealth prescription reaches a pharmacy is covered in how online peptide therapy works.
The GLP-1 drugs it lists, and how each is claimed
There are two routes[1]. For some drugs, TrumpRx shows a coupon that works at retail pharmacies nationwide. For others, the price is available only through the maker’s own direct-to-consumer site or a few mail-order pharmacies[1].
| Product | Maker | How the price is claimed |
|---|---|---|
| Wegovy pen | Novo Nordisk | A coupon shown on TrumpRx, used at a pharmacy |
| Wegovy pill | Novo Nordisk | A coupon shown on TrumpRx, used at a pharmacy |
| Ozempic pen | Novo Nordisk | A coupon shown on TrumpRx, used at a pharmacy |
| Ozempic pill | Novo Nordisk | A coupon shown on TrumpRx, used at a pharmacy |
| Zepbound vial | Eli Lilly | The maker's own site, LillyDirect |
| Zepbound KwikPen | Eli Lilly | The maker's own site, LillyDirect |
| Mounjaro pen | Eli Lilly | The maker's own site, LillyDirect |
| Foundayo tablet | Eli Lilly | The maker's own site, LillyDirect |
In that read, 4 GLP-1 listings used a pharmacy coupon and 4 sent you to the maker. The Zepbound vial page says Lilly manages every order through LillyDirect, which confirms eligibility and arranges delivery[2]. The Wegovy pen page prints Novo Nordisk’s own self-pay offer and a coupon to present at the pharmacy[3].
The prices behind the listings
Because each listing is the maker’s offer, the maker’s page carries the full dose ladder. That matters: the single figure beside a drug on a listing page is usually its lowest rung, and the lowest rung is a starting dose.
| Product | Starting month | Month at a maintenance dose | Unit |
|---|---|---|---|
| Zepbound vial | $299 (2.5 mg, not a maintenance dose) | $399 at 5 mg; $449 at 15 mg with an on-time refill | 28 days |
| Wegovy pen | $199 for the first 2 fills (new patients) | $349 at 0.25 to 2.4 mg; $399 at 7.2 mg | Box of 4 pens, 28 days |
| Wegovy pill | $149 (1.5 mg) | $299 at 25 mg | Bottle, 30 days |
The Zepbound label starts everyone at 2.5 mg a week and says 2.5 mg is not approved as a maintenance dose[7]. On LillyDirect, the 15 mg price holds only with a refill within 45 days[5]. Wegovy’s introductory price covers only the first 2 fills for new patients, at the two lowest doses[6].
Every figure is the medication alone. A telehealth visit, if you need one to get the prescription, is billed separately. The full seller-by-seller picture is on Zepbound price and Wegovy cost, and the two brands are set side by side in Zepbound vs Wegovy cost.
Insurance, deductibles and government plans
TrumpRx prices are available only to people paying cash[1]. TrumpRx itself tells insured patients to check the TrumpRx price against what their plan charges, since the plan price may be lower[1]. The Zepbound page says the same: check your copay first, since it may be even lower[2].
Paying cash has a cost of its own. The Wegovy offer on TrumpRx requires you not to seek reimbursement, and not to count the purchase toward your deductible or out-of-pocket limit[3]. That applies whether your coverage is commercial, Medicare, Medicaid, TRICARE or the VA[3]. A cash month bought this way does nothing to bring your plan closer to paying.
Where TrumpRx sits against compounded prices
Every drug listed on TrumpRx is FDA approved[1]. Compounded semaglutide and tirzepatide are not approved products, so they are not on it. Their monthly prices, from every seller that publishes one, are on the semaglutide price board and the tirzepatide price board.
To compare a brand self-pay month with a compounded month fairly, add the membership, consult and shipping fees each route carries. The all-in monthly calculator does that sum, and the price check tool tests a quote you have been given.
The one question to ask before you pay: at the dose you will reach in three months, is the self-pay price lower than what your plan would charge?