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 oral 14mg

Rybelsus . GLP-1 / weight
23.4
Current PMI
International trades at 77% of US private pay
MarketPriceSource
US private payCash, no insurance$968 / moNovo Nordisk WAC 2026
International genericLicensed retail equivalent$741 / moHSA Singapore licensed

What it is

Oral semaglutide, brand name Rybelsus, is the only FDA-approved oral GLP-1 receptor agonist. Doses are 3mg, 7mg, and 14mg, taken once daily on an empty stomach.

Why the spread exists

Oral semaglutide carries patent protection through 2031 in the US. International listings reflect the same Novo Nordisk product sold at country-set pricing tiers. The cash-pay gap is narrower than for injectable semaglutide because the dosage form is harder to substitute.

Brand vs generic

No generic oral semaglutide exists. All international listings we track are brand Rybelsus at different country prices. Compounded oral semaglutide does not exist in any registered form.

Regulatory status

Rybelsus is a prescription-only medication in all jurisdictions we track. 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
  • UK NHS tariff comparator
Sourcing soon
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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.