Orforglipron (Foundayo) Price in 2026: Cost by Dose, Savings Card, and Medicare

The orforglipron price depends on how you pay. As of September 29, 2026, Foundayo (orforglipron) costs $149 to $349 a month if you pay cash through Lilly, depending on the dose, and as little as $25 with commercial insurance that covers it [1]. Eligible people with Medicare Part D pay $50 a month through the Medicare GLP-1 Bridge [8]. The list price is $649 for 30 tablets [2].

The 2.5 mg and 5.5 mg prices are lower through December 31, 2026, and both Lilly savings cards end that day [1].

In this guide you will learn:

• Foundayo's self-pay price for every dose, and the 45-day refill rule
• What 12 months of Foundayo can cost
• How the $25 savings card works and who cannot use it
• Who qualifies for the $50 Medicare GLP-1 Bridge copay
• How the price compares with the Wegovy pill and Zepbound

For how the pill compares clinically with Zepbound, read Foundayo vs Zepbound.

Table of Contents

• How much does orforglipron (Foundayo) cost?
• Foundayo self-pay price by dose
• What Foundayo costs over a year
• Foundayo savings card with commercial insurance
• Is Foundayo covered by insurance?
• Does Medicare cover Foundayo? The $50 Bridge copay and who qualifies
• Why Foundayo's list price is $649 but few people pay it
• Foundayo vs Wegovy pill cost, plus Zepbound self-pay prices
• Planning meals on a Foundayo budget
• Foundayo price changes to watch before 2027
• Frequently asked questions
• Key takeaways

How Much Does Orforglipron (Foundayo) Cost?

The orforglipron price ranges from $25 to $649 a month, and your route of payment decides where you land. Foundayo is the brand name of orforglipron, a once-daily GLP-1 tablet from Eli Lilly that the FDA approved on April 1, 2026 [12][13]. Every strength comes in a bottle of 30 tablets, so one bottle is one month [12].

Sources: Lilly coverage and savings terms (CMAT-27550 08/2026), Lilly pricing page (CMAT-08352 06/2026), CMS Medicare GLP-1 Bridge page [1][2][8].

Lilly adds that taxes and fees may apply to self-pay orders [1]. The sections below explain each route, starting with cash prices.

Foundayo Self-Pay Price by Dose

The self-pay orforglipron price through Lilly runs from $149 for the 0.8 mg starting dose to $349 for the two top doses. Two temporary cuts and one refill rule lower some of those prices through December 31, 2026 [1][3].

Source: Lilly Self-Pay Savings Card and Self-Pay Journey Program terms, and the LillyDirect Foundayo page (CMAT-19155 09/2026) [1][3]. Lilly defines a month as 30 days.

LillyDirect, Lilly's own pharmacy service, applies these savings automatically. If you fill at another pharmacy, Lilly says you may need a Lilly savings program, depending on your insurance type [3].

How the 45-Day Refill Rule Works

The 45-day rule applies only to the 14.5 mg and 17.2 mg doses of Foundayo. Your first purchase of either dose gets the $299 offer automatically [1].

To keep the $299 price, you must complete each refill purchase within 45 days of the date your previous fill was delivered or received. A refill after that window costs the regular $349. New and existing patients qualify [1].

If you refilled within 45 days but Lilly could not verify that at the point of sale, Lilly's terms allow a post-transaction reimbursement claim. Claims must reach Lilly through its patient portal or by mail, postmarked no later than March 31, 2027 [1].

Can You Use the Self-Pay Price If You Have Insurance, Medicare, or Medicaid?

You may be eligible, as long as you pay cash and do not bill your plan. Lilly's pricing page says self-pay options apply when "commercial or government insurance does not cover Foundayo" or when you have no insurance [2].

The Self-Pay Savings Card terms set these rules [1]:

• Cash only. You agree not to seek reimbursement from any insurer or government program.
• No deductible credit. You agree not to apply card purchases toward any deductible or out-of-pocket requirement.
• No government exclusion. Unlike the commercial card, these terms do not exclude people with Medicare or Medicaid.
• Ten fills a year. The card covers up to 10 fills per calendar year.

HSA and FSA eligibility "may vary by plan," so check with your benefits administrator [1][3].

What Foundayo Costs Over a Year

At Lilly's regular self-pay prices, the first 12 fills of Foundayo cost $3,338 in both of our examples, or about $278 a month. At the $649 list price, the same 12 fills would cost $7,788. These totals come from a womensglp1guide.com calculation.

Method: dose steps from the Foundayo label (each step lasts at least 30 days) multiplied by Lilly's regular prices checked on September 29, 2026, without the temporary 2026 cuts and with 14.5 mg and 17.2 mg at the $299 on-time refill price. Taxes and fees are not included [1][12].

Both paths land on the same total because 9 mg, 14.5 mg, and 17.2 mg cost $299 with on-time refills, the same as 5.5 mg at its regular price. Read these caveats before you use the numbers:

• Your dose is your prescriber's decision. The label says the dose "may be increased" based on response and tolerability, so these paths are examples, not a plan [12].
• 2027 prices are not announced. A 12-month course that starts now runs into 2027, when current terms end.
• The card has a yearly limit. The Self-Pay Savings Card allows up to 10 fills per calendar year [1].
• Late refills cost more. Each 14.5 mg or 17.2 mg refill bought more than 45 days after the last delivery costs $349 instead of $299 [1].

Missed doses can also change your costs. The Medication Guide says: "If you miss taking FOUNDAYO for 7 or more days in a row, call your healthcare provider to talk about how to restart your treatment" [12]. A restart can mean lower-dose fills again.

Foundayo Savings Card With Commercial Insurance

The Foundayo Savings Card lets people with commercial insurance that covers Foundayo pay as little as $25 for a 1-, 2-, or 3-month fill. The card has savings caps, a yearly limit, and an end date of December 31, 2026 [1].

The terms set these limits [1]:

• Per-fill caps. Savings reach up to $100 for a 1-month fill, $200 for a 2-month fill, or $300 for a 3-month fill.
• Yearly cap. Savings stop at $1,000 per calendar year.
• Fill limit. You can use the card for up to 10 fills per calendar year.
• No combining. The savings "cannot be combined or utilized with any other program, discount, discount card, cash discount card, coupon, incentive, or similar offer involving Foundayo."

Here is how the monthly cap plays out, in our own arithmetic from Lilly's terms. A 30-day copay between $25 and $125 comes down to $25. A $175 copay comes down to $75, because the card covers only $100 of it. At $100 saved each month, you reach the $1,000 yearly cap after 10 monthly fills.

Some people cannot use this card. The terms exclude anyone enrolled in Medicare, Medicaid, TRICARE, the VA, or another state or federal program. They also exclude plans in "alternate funding" programs [1]. If you start government coverage, you lose eligibility.

If Your Plan Does Not Cover Foundayo

If your commercial plan does not cover Foundayo, the same card gives you Lilly's self-pay prices. Those prices are $149 for 0.8 mg and 2.5 mg, $199 for 5.5 mg, and $299 for 9 mg, 14.5 mg, and 17.2 mg [1]. The temporary prices and the 45-day rule from the dose table still apply.

Is Foundayo Covered by Insurance?

Foundayo coverage depends on your plan, and many plans leave out weight-loss medicines. Lilly states that "approximately half of Americans with employer-sponsored insurance lack coverage for obesity management medications" [7].

If your plan does cover Foundayo, it may still require prior authorization. LillyDirect says that if you have commercial insurance and choose to use it, it checks your coverage and helps with prior authorization if needed [3]. For how plans handle Zepbound, see what insurance covers Zepbound.

These general questions help you get a clear answer from your plan:

1. Is Foundayo on the plan's formulary (its list of covered drugs)?
2. Which tier is it on, and what is the copay or coinsurance?
3. Does the plan need prior authorization, and what are the criteria?
4. Does the plan exclude all medicines for weight management?

Medicaid

Foundayo coverage under Medicaid depends on your state program. Lilly points people to medicaid.gov to check eligibility and copayments in their state [2][17].

Lilly's November 2025 agreement with the U.S. government says states "will also have the ability to expand access to Zepbound and orforglipron through Medicaid" [5]. We found no primary list of states that cover Foundayo as of September 29, 2026.

Does Medicare Cover Foundayo? The $50 Bridge Copay and Who Qualifies

Yes, for eligible people: Medicare Part D enrollees can get Foundayo for a $50 copay through the Medicare GLP-1 Bridge. CMS runs this short-term program from July 1, 2026 to December 31, 2027 [8].

CMS extended the Bridge through December 31, 2027 because its BALANCE Model will not launch in 2027 [8]. The $50 covers a one-month supply of 28 or 30 days, depending on the drug [11]. The Bridge covers Foundayo tablets, Wegovy injection or tablets, and the Zepbound KwikPen only [11].

You must be 18 or older. CMS defines uncontrolled high blood pressure as above 140 mm Hg systolic or above 90 mm Hg diastolic despite treatment with two blood pressure medicines [9][11].

Who Is Excluded From the Bridge

You cannot use the Bridge if you already get a GLP-1 drug through your Part D plan. You also cannot use it if you have type 2 diabetes, moderate to severe sleep apnea, or fatty liver disease. In those cases, Medicare.gov says your Part D plan might cover your GLP-1 medicine [11].

Some plan types are not eligible either, such as private fee-for-service plans and PACE, unless you also have a standalone drug plan [9]. Standard Part D coverage outside the Bridge depends on your plan.

How the Bridge Works, Step by Step

1. Prescription. Your prescriber adds an obesity diagnosis code and the note "SEND TO BRIDGE FOR WEIGHT MANAGEMENT." Without it, the pharmacy might send the claim to your Part D plan [9].
2. Prior authorization. The pharmacy sends the request to your prescriber, typically within 24 to 72 hours. Your prescriber certifies that you use Foundayo with "structured nutrition and physical activity, unless physical activity is not clinically appropriate" [9][10].
3. Decision. The approval or denial is mailed to you and sent to your prescriber within 72 hours of submission [9].
4. Fills. You pay $50 per 28- or 30-day fill. Refills need no new prior authorization unless you switch to a different GLP-1 drug [9].

Your approval stays valid, including for refills and dose changes, through December 31, 2027, unless you change GLP-1 drugs [11]. The Bridge only covers 28- or 30-day fills [9].

The $50 sits outside your Part D benefit. It does not count toward your deductible or yearly out-of-pocket limit, and Extra Help cannot lower it [8][11]. For questions, call 1-800-MEDICARE (1-800-633-4227); TTY users can call 1-877-486-2048 [8].

Why Foundayo's List Price Is $649 but Few People Pay It

Foundayo's $649 list price is the price Lilly charges wholesalers, not necessarily what patients pay at the pharmacy. Every patient price that Lilly and CMS publish is lower: $149 to $349 self-pay, as little as $25 with covered commercial insurance, and $50 through the Medicare Bridge [1][2][8].

Lilly defines list price, or wholesale acquisition cost (WAC), as "the price at which Lilly sells its products to wholesalers." It adds that patient prices "may be different" and depend on insurance, pharmacy charges, and discounts [2].

The federal TrumpRx site shows the same $649 "Original Price" and a $149 price for the 0.8 mg dose. It sends buyers to LillyDirect [4]. Medicare.gov notes that "You can't buy drugs directly from TrumpRx" [11].

Prices have shifted since the first announcement. In November 2025, before approval, Lilly said orforglipron would start at $149 "with additional doses up to $399" [5]. The regular top price in Lilly's terms read on September 29, 2026 is $349 [1].

Buying Foundayo Safely

Foundayo is the only FDA-approved orforglipron product: Drugs@FDA lists one application, NDA 220934 [13]. We found no generic orforglipron in Drugs@FDA as of September 29, 2026.

The FDA advises patients to "obtain a prescription from their doctor and fill the prescription at a state-licensed pharmacy." It points to its BeSafeRx campaign for buying medicines online safely [14]. For the other options, see our list of every FDA-approved GLP-1 medicine.

Foundayo vs Wegovy Pill Cost, Plus Zepbound Self-Pay Prices

The orforglipron price and the Wegovy pill price are about the same at self-pay rates checked on September 29, 2026: both start at $149 for 30 tablets and both reach $299 at their top doses, Foundayo's with on-time refills. Zepbound, an injection, starts at $299 for its lowest dose [1][15][16].

Sources: Lilly Foundayo terms, NovoCare Wegovy page, Lilly Zepbound savings page (CMAT-26402 08/2026) [1][15][16].

The two pill prices cover 30 tablets. The Zepbound price covers 28 days, which is 1 KwikPen or 4 vials [15]. The lowest dose of each medicine is a starting dose, and Lilly notes that Zepbound 2.5 mg is not approved as a maintenance dose [15]. Zepbound's savings card rules are in our Zepbound coupon and savings card guide.

Price is not the only difference. Our Foundayo vs Zepbound comparison covers results and side effects. Our guide on how to take the Wegovy pill explains its daily routine, and Zepbound vs Wegovy compares the two injections. For the Wegovy pill against its own weekly shot, see Wegovy pill vs injection.

Planning Meals on a Foundayo Budget

Foundayo is approved for use with diet and activity changes, so meal planning belongs in your Foundayo budget. The label approves Foundayo "in combination with a reduced-calorie diet and increased physical activity" [12]. The Medicare Bridge form asks prescribers to confirm "structured nutrition and physical activity" [10].

A low-cost, protein-first grocery list keeps meals simple when your appetite is smaller. These are general food ideas, not a diet prescription:

• Eggs. Quick to cook for breakfast, lunch, or a snack.
• Canned fish. Tuna or salmon for salads and wraps.
• Beans and lentils. Canned or dried, for soups and bowls.
• Greek yogurt. A soft, high-protein snack.
• Frozen vegetables. Less waste when your portions shrink.

How much protein you need depends on your body and your care plan. Our guide on how much protein to eat on a GLP-1 explains current guidance, and our GLP-1 meal plan shows a full week of meals.

If you want high-protein recipes and a weekly meal plan to go with these staples, see our guide with GLP-1 recipes and meal ideas.

Foundayo Price Changes to Watch Before 2027

Three dates will change the orforglipron price and Lilly's Foundayo programs, and the first one arrives on December 31, 2026. Lilly had not published 2027 terms as of September 29, 2026 [1].

• December 31, 2026. The temporary $149 price for 2.5 mg and $199 price for 5.5 mg end. The Foundayo Savings Card and the Self-Pay Savings Card both expire [1].
• March 31, 2027. Last postmark date for self-pay reimbursement claims [1].
• December 31, 2027. The Medicare GLP-1 Bridge ends, and Bridge approvals run until then [8][11].

We will update this page when Lilly or CMS publishes new terms.

Frequently Asked Questions

How much is Foundayo per month without insurance?

As of September 29, 2026, Lilly's self-pay price is $149 to $349 for 30 tablets, depending on the dose. Through December 31, 2026, the 2.5 mg dose costs $149 and the 5.5 mg dose costs $199, and the 14.5 mg and 17.2 mg doses cost $299 when each refill comes within 45 days of the last delivery.

How do I get Foundayo for $25 a month?

You need commercial drug insurance that covers Foundayo, a prescription for an approved use, and Lilly's Foundayo Savings Card. Savings are capped at $100 per 1-month fill and $1,000 per calendar year, and people in government programs such as Medicare or Medicaid cannot use this card.

Does Medicare cover Foundayo?

Eligible people with Medicare Part D can get Foundayo for a $50 copay per 28- or 30-day fill through the Medicare GLP-1 Bridge, which runs from July 1, 2026 to December 31, 2027. You need to meet BMI and health criteria, and your prescriber must complete a prior authorization.

Is Foundayo covered by insurance?

It depends on your plan. Lilly says about half of Americans with employer-sponsored insurance lack coverage for obesity medicines, so check your plan's formulary and prior authorization rules.

Can I use a discount card with the Foundayo savings card?

No. The terms of both Lilly cards say their savings cannot be combined with any other program, discount, discount card, coupon, or similar offer involving Foundayo.

Is a 3-month supply of Foundayo cheaper?

With commercial coverage, the Foundayo Savings Card lets you pay as little as $25 for a 1-, 2-, or 3-month fill, with savings caps of $100, $200, and $300. Lilly lists its self-pay prices per 30-day month, and we found no multi-month self-pay discount in the terms read on September 29, 2026.

When does the Foundayo savings card expire?

Both Lilly cards, the commercial Foundayo Savings Card and the Self-Pay Savings Card, expire on December 31, 2026. Lilly had not published 2027 terms as of September 29, 2026.

Is Foundayo cheaper than the Wegovy pill?

At self-pay prices checked on September 29, 2026, the two pills cost about the same: both start at $149 for 30 tablets and both reach $299 at their top doses. Foundayo's top doses cost $349 if a refill comes more than 45 days after the last delivery.

Is there a generic orforglipron?

We found no generic orforglipron in Drugs@FDA as of September 29, 2026. Foundayo (NDA 220934) is the only orforglipron product the FDA lists.

When did orforglipron become available in the US?

The FDA approved Foundayo on April 1, 2026, and Lilly said LillyDirect shipping would begin April 6. On April 9, 2026, Lilly announced that availability was expanding to U.S. retail pharmacies [6][7].

Key Takeaways

• Self-pay: Foundayo costs $149 to $349 for 30 tablets through Lilly, with lower 2.5 mg and 5.5 mg prices through December 31, 2026.
• Commercial insurance: with coverage, the Foundayo Savings Card brings the cost to as little as $25, up to $1,000 in savings a year.
• Medicare: eligible Part D enrollees pay $50 per fill through the Medicare GLP-1 Bridge until December 31, 2027.
• List price: $649 is the wholesale price; every patient price Lilly and CMS publish is lower.
• Timing: the orforglipron price picture changes on December 31, 2026, when both Lilly cards expire. All figures were checked on September 29, 2026.

References

1. Foundayo (orforglipron) Coverage and Savings: Self-Pay and Savings Card, with full terms, page code CMAT-27550 08/2026, read September 29, 2026: Eli Lilly
2. Foundayo cost information: with or without insurance, page code CMAT-08352 06/2026 (WAC accessed April 3, 2026): Eli Lilly
3. LillyDirect: Foundayo (orforglipron), page code CMAT-19155 09/2026, read September 29, 2026: Eli Lilly
4. Foundayo on TrumpRx, read September 29, 2026: TrumpRx.gov
5. Lilly and U.S. government agree to expand access to obesity medicines to millions of Americans, November 6, 2025: Eli Lilly
6. FDA approves Lilly's Foundayo (orforglipron), April 1, 2026: Eli Lilly news release
7. Foundayo (orforglipron), Lilly's new oral GLP-1 pill for weight loss, now available in the U.S., April 9, 2026: Eli Lilly news release
8. Medicare GLP-1 Bridge, page last modified 07/13/2026: Centers for Medicare and Medicaid Services
9. Medicare GLP-1 Bridge: information for prescribers, CMS Product No. 12235, June 2026: Centers for Medicare and Medicaid Services
10. Medicare GLP-1 Bridge prior authorization request form: Centers for Medicare and Medicaid Services
11. Weight loss drugs, read September 29, 2026: Medicare.gov
12. Foundayo (orforglipron) tablets Prescribing Information and Medication Guide, revised 7/2026: DailyMed, National Library of Medicine
13. Drugs@FDA data for orforglipron, openFDA, data of September 29, 2026: U.S. Food and Drug Administration
14. FDA's concerns with unapproved GLP-1 drugs used for weight loss, content current as of 09/01/2026: U.S. Food and Drug Administration
15. Savings and insurance options: Zepbound, page code CMAT-26402 08/2026, read September 29, 2026: Eli Lilly
16. Wegovy cost, coverage, and savings resources, read September 29, 2026: NovoCare
17. Medicaid state overviews: Medicaid.gov

This article is for education only and is not medical, insurance, or financial advice. It summarizes the makers' published prices and terms, CMS and Medicare.gov pages, and the FDA label, all checked on September 29, 2026, and it gives no personalized dosing advice. Prices and programs change, so confirm current terms with Lilly, your plan, or Medicare, and talk to your prescriber about your treatment. Read our full medical disclaimer.