Avanafil 100mg PMI 49.8 - $80 US vs $40 internationalArmodafinil 150mg PMI 47.8 - $50 US vs $26 internationalTirzepatide 5mg (weekly) PMI 36.9 - $1,069 US vs $674 internationalSildenafil costs 97% less if you cross a border. The molecule is the same. The molecule does not care.GoodRx coupon is still a markup. A smaller one. But still.Cost Plus Drugs charges $0.14 a pill for finasteride. CVS charges $4.95. Same molecule, same factory.The US private-pay price for tirzepatide can buy 11 months of the international generic.WAC is what manufacturers tell wholesalers it costs. Cash is what you pay at the counter. They are not the same number.No insurance? Welcome to the markup index.If you can name three pharmacies that sell modafinil for under $40, congratulations, you read this site.Avanafil 100mg PMI 49.8 - $80 US vs $40 internationalArmodafinil 150mg PMI 47.8 - $50 US vs $26 internationalTirzepatide 5mg (weekly) PMI 36.9 - $1,069 US vs $674 internationalSildenafil costs 97% less if you cross a border. The molecule is the same. The molecule does not care.GoodRx coupon is still a markup. A smaller one. But still.Cost Plus Drugs charges $0.14 a pill for finasteride. CVS charges $4.95. Same molecule, same factory.The US private-pay price for tirzepatide can buy 11 months of the international generic.WAC is what manufacturers tell wholesalers it costs. Cash is what you pay at the counter. They are not the same number.No insurance? Welcome to the markup index.If you can name three pharmacies that sell modafinil for under $40, congratulations, you read this site.

Semaglutide 2.4mg (weekly)

Wegovy . GLP-1 / weight
17.5
Current PMI
International trades at 83% of US private pay
MarketPriceSource
US private payCash, no insurance$968 / moNovo Nordisk WAC 2026, shortage-easing premium
International genericLicensed retail equivalent$799 / moHSA Singapore licensed

What it is

Injectable semaglutide is sold in the US as Ozempic for type 2 diabetes and Wegovy for weight management. Weekly subcutaneous injection at doses from 0.25mg to 2.4mg.

Why the spread exists

Injectable semaglutide has the second-widest US private-pay spread in our index after tirzepatide. Patent protection through 2031, single manufacturer, and supply constraints during 2024-2026 elevated US list prices. International pricing reflects country-tier negotiation.

Brand vs generic

No generic semaglutide exists. All listings are brand Ozempic or Wegovy at different country prices. Compounded semaglutide from US 503A pharmacies is a separate contested category we do not include.

Regulatory status

Semaglutide is prescription-only in every jurisdiction we track. Cold-chain handling required. Not a controlled substance.

Prescription requiredRx only. Not a controlled substance.
Where pricing comes from

International generic price is the median of at least three independent licensed retail listings. We do not endorse any single vendor; we treat each as a price observation. Listed below for transparency.

  • PHARMAX retail listing
  • HSA Singapore licensed retail
  • Sun Pharma export portal
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Publisher's note. Rx Price Tracker is funded by PHARMAX, one of the international pharmacies whose prices we publish on this page. PHARMAX does not control which molecules we cover, which competitors we include, or which corrections we issue. Every price observation links to its source URL and capture date. The data is reproducible. We track the gap because pricing transparency works in any direction.