Orforglipron (Foundayo) Price and Cost: Self-Pay, Insurance, and Savings
By DoseGauge Editorial · Updated 2026-06-13 · 8 min read
What orforglipron (Foundayo) costs out of pocket depends primarily on whether you have commercial insurance coverage. As of mid-2026, the self-pay cash price starts at $149 per month for the lowest dose (0.8 mg) through LillyDirect and participating pharmacies, per pricing published on the official Foundayo coverage and savings page. Patients with eligible commercial insurance can use the Lilly savings card to pay as little as $25 per month. Uninsured patients may also qualify for a separate Lilly self-pay savings card that can reduce the out-of-pocket cost below the standard cash list price. Prices change over time and vary by dose and pharmacy. Confirm current pricing directly with LillyDirect or your pharmacy before assuming any figure in this article still applies. This page is informational only and is not financial or medical advice.
What it costs: self-pay vs insured
As of mid-2026, Lilly publishes the following prices for Foundayo through its self-pay journey program and commercial-insurance savings card. All figures are sourced from the official Foundayo coverage and savings page.
| Situation | Monthly cost (as of mid-2026) | Source |
|---|---|---|
| Self-pay, starting dose (0.8 mg) | $149 | Foundayo coverage and savings page |
| Self-pay, 2.5 mg | $199 | Foundayo coverage and savings page |
| Self-pay, maintenance doses (5.5 mg and above) | $299 | Foundayo coverage and savings page |
| Commercial insurance + Lilly savings card | As low as $25 per month | Foundayo coverage and savings page |
A few important limitations apply to these figures. The commercial-insurance savings card is available only to patients enrolled in a commercial drug insurance plan. It cannot be used by patients enrolled in Medicare, Medicaid, VA benefits, or any other state or federal government-funded healthcare program. The card covers up to 10 prescription fills per calendar year, with a maximum savings of $1,000 per year (up to $100 per one-month fill, $200 for a two-month fill, and $300 for a three-month fill). The savings card expires December 31, 2026. All of this is per the official Foundayo coverage and savings page, as of mid-2026.
Self-pay savings card for uninsured patients. As of mid-2026, Lilly also offers a separate self-pay savings card for patients without any insurance coverage. Per the official Foundayo coverage and savings page, this card can reduce the out-of-pocket cost below the standard cash list price at each dose tier: at 0.8 mg the card offers up to $520 in monthly savings (bringing the patient cost to $149), at 2.5 mg up to $470 (patient cost $199), and at 5.5 mg and above up to $370 (patient cost $299). The card covers a maximum of 10 prescription fills per calendar year, and it expires December 31, 2026. Patients using this card agree not to seek reimbursement from any insurance plan, health savings account, or other third-party payer, and costs cannot be applied toward an insurance deductible or out-of-pocket maximum. The card cannot be combined with other discount programs. It is not insurance. These terms are per the official Foundayo coverage and savings page as of mid-2026. Verify current terms before relying on them.
Coverage through commercial insurance plans is still evolving. Foundayo launched in 2026 and many insurers are still making formulary decisions. If your plan does not yet cover it, the self-pay pricing or the savings card options described above may apply, but the terms depend on your specific plan and insurer. Ask your plan directly.
If you do not have commercial insurance, the self-pay cash price or the self-pay savings card may apply depending on your eligibility. The starting self-pay price of $149 per month is specific to the lowest (0.8 mg) starting dose; the price rises with dose as shown in the table above. Prices may change at any time. The figures here are dated mid-2026 and sourced from Lilly's official page; do not rely on them as current without confirming at the source.
How it is supplied and purchased
Foundayo is an oral tablet taken once daily. It is supplied as a bottle of 30 tablets in six strengths: 0.8 mg, 2.5 mg, 5.5 mg, 9 mg, 14.5 mg, and 17.2 mg per tablet. The approved titration schedule steps through those strengths monthly under prescriber guidance; see the orforglipron dosing schedule for the full step-up sequence.
It requires a prescription. You can fill that prescription in two ways. First, through LillyDirect, which ships Foundayo by mail directly to you and applies the self-pay or savings-card pricing at checkout. Second, at any retail pharmacy that stocks or can order it. Both channels should carry the same Lilly-published pricing, but retail pharmacy cash prices can vary slightly by location; confirm with your pharmacy.
Telehealth platforms that can issue a Foundayo prescription will also route you to one of those two fulfillment channels. The prescription is the gating step, not the pharmacy choice.
Why prices change and how to verify
Several factors can shift what you actually pay for Foundayo over time.
Self-pay price vs net price. The prices Lilly publishes are the self-pay list prices through its own channels. A pharmacy benefit manager or insurance plan negotiates a different net price. What you pay at the pharmacy counter is your cost-share (copay or coinsurance), which your plan's formulary and benefit design determine.
Savings-card eligibility limits. The Lilly savings card has a calendar-year cap ($1,000 as of mid-2026, per the coverage and savings page) and a fill limit (10 fills per calendar year). Once either limit is reached, the card no longer applies for that year. Eligibility also excludes government-insurance beneficiaries.
Formulary status. Because Foundayo launched in 2026, commercial plans are still placing it on formularies. Coverage decisions can change quarterly. A plan that covers it at a preferred tier today may change that status at the next formulary update, and a plan that excludes it now may add it. Check your plan's formulary directly and ask your pharmacy to run a benefits check with your insurance before filling.
Dose changes. Your cost may change as your dose titrates up. The self-pay price for maintenance doses (5.5 mg and above) is higher than for the starting dose, as shown in the table above.
To find the current price that applies to you: visit LillyDirect (lilly.com/lillydirect) or the official Foundayo coverage and savings page, or ask your pharmacy to run a price check with your insurance card. Prices in this article are sourced and dated but may no longer be current by the time you read this. For what the trials showed about weight loss, see orforglipron weight loss.
This page is informational only and does not constitute financial or medical advice.
Use the orforglipron dosing schedule calculator to map out your titration steps and the corresponding dose at each stage of your prescribed schedule.
FAQ
How much does orforglipron cost without insurance?
As of mid-2026, the self-pay cash price for Foundayo starts at $149 per month for the starting dose (0.8 mg daily), per the official Foundayo coverage and savings page published by Eli Lilly. The price is higher for maintenance doses: $199 per month at 2.5 mg, and $299 per month at 5.5 mg and above. Self-pay pricing is available through LillyDirect and participating pharmacies. In addition, Lilly offers a separate self-pay savings card for uninsured patients that can reduce the out-of-pocket cost below the standard cash list price at each dose tier. As of mid-2026, that card allows up to 10 fills per calendar year and expires December 31, 2026. Patients using it agree not to seek reimbursement from any third-party payer. Confirm current pricing and savings-card terms directly with Lilly or your pharmacy, as these figures are dated mid-2026 and may have changed.
Is Foundayo covered by insurance?
Coverage varies by plan. Foundayo launched in 2026, and commercial insurers are still making formulary decisions. Some commercial plans have added it; many are still reviewing. Government insurance programs (Medicare, Medicaid, VA) coverage is subject to those programs' own rules and is separate from the commercial savings-card program. Ask your insurer directly whether Foundayo is on your plan's formulary and at what cost-share tier.
Is there a savings card or coupon for orforglipron?
Yes. As of mid-2026, Lilly offers a savings card that reduces the monthly cost to as little as $25 for patients with eligible commercial insurance coverage. The card has a maximum savings of $1,000 per calendar year, covers up to 10 fills per year, and expires December 31, 2026. It is not available to patients on Medicare, Medicaid, VA benefits, or other government-funded programs. Terms are per the official Foundayo coverage and savings page. Terms may change; confirm current terms at the source before relying on them.
Where can I buy orforglipron?
Foundayo requires a prescription from a licensed prescriber. Once you have a prescription, you can fill it through LillyDirect (home delivery) or at a retail pharmacy. Telehealth services that can prescribe Foundayo will route your prescription to one of these fulfillment channels. There is no over-the-counter option.
Informational and educational only. Not medical advice. DoseGauge computes from the values you enter and does not recommend a dose. Talk to a licensed clinician before using any peptide or GLP-1 medication.