Wegovy vs Zepbound
A side-by-side look at two GLP-1 options for chronic weight management — efficacy, cost, dosing, and side-effect profile.
Last updated July 2026 · TrimSoMo Editorial Team
Wegovy (GLP-1 receptor agonist) and Zepbound (GLP-1 / GIP dual agonist) are both used for weight management. Wegovy is fDA-approved for weight management (2021); Zepbound is fDA-approved for weight management (2023). List prices run ~$1,349/mo list vs ~$1,059/mo list. The right choice depends on insurance coverage, how you tolerate side effects, and whether you prefer an injection or an oral option — decide with a licensed provider.
Spec by Spec
| Spec | Wegovy | Zepbound |
|---|---|---|
| Drug class | GLP-1 receptor agonist | GLP-1 / GIP dual agonist |
| How you take it | Weekly injection | Weekly injection |
| Avg weight loss (trials) | ~15% of body weight (STEP-1, 68 weeks) | ~21% of body weight (SURMOUNT-1, 72 weeks) |
| Monthly cash price | ~$1,349/mo list | ~$1,059/mo list |
| FDA status (weight) | FDA-approved for weight management (2021) | FDA-approved for weight management (2023) |
| Common side effects | Nausea, diarrhea, constipation, vomiting | Nausea, diarrhea, fatigue, constipation |
Wegovy cost guide
Full price breakdown and ways to save
Zepbound cost guide
Full price breakdown and ways to save
Full brand guides: Wegovy · Zepbound
Frequently Asked Questions
Is Wegovy or Zepbound more effective for weight loss?
Wegovy: ~15% of body weight (STEP-1, 68 weeks). Zepbound: ~21% of body weight (SURMOUNT-1, 72 weeks). These figures come from separate manufacturer trials, not a direct head-to-head study, so compare them as ranges rather than exact head-to-head results.
Which is cheaper, Wegovy or Zepbound?
List prices are roughly ~$1,349/mo list for Wegovy and ~$1,059/mo list for Zepbound. Your real out-of-pocket cost depends on insurance, manufacturer savings programs, telehealth pricing, and (where appropriate) compounded options.
Can I switch between Wegovy and Zepbound?
Switching GLP-1 medications is common and should be done under a prescriber's guidance, who manages dose titration to limit nausea and other GI side effects.
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More GLP-1 comparisons
Disclaimer: Figures are approximate, drawn from manufacturer trials and published list prices, and are not a direct head-to-head study or medical advice. Consult a licensed provider before starting or switching any GLP-1 medication.