[International] Global pricing check-in

Curious what people in different countries are paying for their GLP-1 prescriptions these days. I'm on Saxenda here in the US and honestly the out-of-pocket cost is making me wince, even at a lower dose. Would love to hear how much folks elsewhere are spending monthly and whether insurance or national health systems help cover it where you are.

In Canada mine runs about 250 CAD before any coverage kicks in, which is still rough but sounds better than US list prices. Down 41 lbs and holding, so I grudgingly accept the cost, but reading the customs stories here makes me appreciate that the pharmacy is a 10 minute drive away.

German coverage at 90 euros makes the US system look even worse. I'm in Montana and ended up going the research peptide route myself, down 20 lbs on it, but the customs story above is exactly the headache I dread with each order. Saxenda pricing here is brutal, no wonder you're wincing.

UK here and it's about 200 pounds a month out of pocket through an online pharmacy, no NHS coverage unless you hit very specific criteria. Slower going for me than most posting here, only a pound down so far, so the sticker shock hits differently when the scale isn't exactly justifying it yet. Reading these threads I honestly don't know how US folks manage it long term.

Down 63 lbs and the sticker shock still hurts -- I'm paying around $500 USD a month for tirzepatide here in the US with zero insurance coverage. The manufacturer savings card knocked my cost down meaningfully at first, so definitely worth checking if one applies to Saxenda. Curious whether UK or EU folks get it covered through their national systems.

In Canada I was paying around $350 CAD monthly out of pocket before my private plan started covering part of it, which was a game changer. Worth asking your pharmacist if there's a manufacturer savings card for Saxenda down there, that shaved a chunk off for my US-based sister.In Canada I was paying around $350 CAD monthly out of pocket before my private plan started covering part of it, which was a game changer. Worth asking your pharmacist if there's a manufacturer savings card for Saxenda down there, that shaved a chunk off for my US-based sister.

The customs part worries me more than the price difference honestly. I had a shipment sit in customs for three weeks last year and nearly gave up, though it did eventually clear. Down 28 lbs now so I'm hesitant to switch anything up, but following what routes others have luck with.

Paying roughly the equivalent of 90 euros a month in Germany through statutory insurance, which still stings less than what you all are describing. My GP had to document a BMI threshold first, but after that it went through without a fight. The customs delays mentioned above are exactly why I'm glad I don't have to import anything.

US here too, and compounded tirzepatide has been the only way I could stay on it -- about 45 lbs down and paying a fraction of what the brand name runs. The savings cards helped my first couple months before my plan said no, so that route is worth exhausting. Curious if anyone from the UK or Germany chimes in on national coverage.

US here too and the prices in this thread are painful to read. I was paying similar out of pocket before my insurance finally added coverage after an appeal, and even 29 lbs down I still did the math every month wondering if I could keep it up. The UK poster's point about the scale justifying the cost hits home, early on I had the same doubt before things picked up.

Canada here, paying about 350 CAD a month out of pocket, no coverage through my plan. Down 24 lbs so far so the value feels easier to justify, but I remember the early weeks when I had the same doubt. The appeal stories above are encouraging, might try that route if my insurer ever budges.

The appeal path the third poster mentioned is real -- mine also started covering it after a denial and a few weeks of back-and-forth paperwork, and that changed the math completely. Worth noting for the US folks paying full price that persistence with insurance does sometimes pay off. Meanwhile 60 lbs down and I still wince at what I'd be paying without it.

Mine cleared regular post in under two weeks and the no-update stretch was genuinely stressful, but it showed up fine. I stopped using express after a friend's got pulled for inspection. Down 34 lbs through it all, so a little waiting never cost me anything.

US here too and I'm paying around 900 a month out of pocket, no coverage, so I feel that wince. Only 9 lbs down so far but the appetite change alone already makes it feel less crazy than it did week one. Interesting how much of a lottery this is depending on where you live.

UK here and it's covered through the NHS for me, so reading these numbers makes me grateful I complained about the GP wait instead of the price. Down 36 lbs and the biggest cost has just been the monthly prescription fee. The insurance appeal route sounds exhausting but clearly worth it for the US folks.

Canada here and I pay about 350 CAD monthly out of pocket since my plan won't touch it, which still stings less than the US numbers being posted. I'm 27 lbs down on tirzepatide and honestly the reduced food noise is the only reason I keep justifying the cost. The coverage lottery thing is so real - my sister in the same province gets hers covered while I fight for every refill.

The US numbers here are brutal - compounded semaglutide is the only reason I've stayed on it from Tucson, running maybe a quarter of what you all are posting even with no insurance help. 19 lbs down so far and the food noise quieting is what keeps me renewing too. The Canada story about the same province covering one sister and not the other is exactly the kind of lottery that makes no sense.

Regular post worked better for me too once I switched, even though the tracking silence drove me nuts. Half my 17 lb loss came during one of those no-update waits, so I try to remember slow shipping beats no shipment. Curious which countries people here have had luck with on customs.

Another compounded route from Las Vegas here and the price gap is the whole story - I could never swing brand name out of pocket. Down 33 lbs on it, so at this point the math feels pretty easy even though I'd rather not have to do the math at all. The savings card games for the name brands almost feel like they're designed to be unusable.

UK here and it's a different world - I pay a flat monthly fee through an online pharmacy, no insurance fights at all, which reading this thread makes me grateful for. Down about 13 lbs so far and the quieted food noise is doing the justifying for me too. The coverage lottery thing sounds exhausting, I'd lose my mind fighting refills like that.