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Ozempic Cost in North Carolina (2026): Cash Price, Insurance, and Compounded Options At a glance Brand Ozempic cash price in NC / $998 per month (manufacturer list price) Compounded semaglutide via 503A pharmacy / approximately $199 per month NC Medicaid coverage / type 2 diabetes only, not covered for weight loss Commercial insurance / most plans cover with prior authorization for T2D Novo Nordisk savings card / reduces copay to as low as $25 per month for eligible patients Dosing / once-weekly subcutaneous injection, 0.25 mg to 2.0 mg Telehealth prescribing in NC / legal and widely available FDA-approved indications / type 2 diabetes (Ozempic), chronic weight management (Wegovy) Average weight loss at 1 mg dose / 5.9% body weight at 40 weeks per SUSTAIN-7 Compounding legal status in NC / permitted via state-licensed 503A pharmacies What Ozempic Costs Without Insurance in North Carolina The retail cash price for brand-name Ozempic at North Carolina pharmacies is $998 per month in 2026, matching Novo Nordisk's national list price

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Parasitic infections and anatomical narrowing of bile ducts are major causes of brown pigment stones (Shaffer 2018)

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Participants in studies for both tirzepatide and retatrutide have reported side effects, including nausea and abdominal pain

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