Foundayo Pricing Breakdown: Every Dose, Every Discount, Every Pathway in 2026
Foundayo (orforglipron) launched April 6, 2026, as the first oral GLP-1 with no food, water, or timing restrictions. Here's what it actually costs at every price point.
Foundayo Self-Pay Pricing via LillyDirect
| Dose | Monthly Price | Notes |
|---|---|---|
| 0.8 mg (starter) | $149/mo | Titration dose |
| 2.5 mg | $199/mo | Titration dose |
| 5.5 mg | $299/mo | Maintenance dose |
| 9 mg | $299/mo | Maintenance dose |
| 14.5 mg | $299/mo | Must refill within 45 days or reverts to $349 |
| 17.2 mg | $299/mo | Must refill within 45 days or reverts to $349 |
With Insurance
Commercial insurance + Foundayo Savings Card = as low as $25/month for all doses. The savings card is available at foundayo.lilly.com and expires December 31, 2026. Government insurance (Medicare, Medicaid, Tricare) is not eligible for the savings card.
Medicare
$50/month starting July 1, 2026 through the Medicare GLP-1 Bridge program. Requires Part D enrollment, BMI of 27+ with comorbidity or 35+ alone.
Total Cost of Ownership: 12 Months
| Pathway | Months 1-2 | Months 3-12 | 12-Month Total |
|---|---|---|---|
| Self-pay (LillyDirect) | $149–$199 | $299/mo | $3,338–$3,438 |
| Insurance + savings card | $25 | $25 | $300 |
| Medicare Bridge | $50 | $50 | $600 (starts July) |
Foundayo vs. Compounded: The Cost Calculus
Compounded semaglutide starts at $99/month and delivers higher weight loss (~15% vs. Foundayo's 7.5–11.2%). But Foundayo is FDA-approved, requires no refrigeration, no injections, and has no regulatory risk. The trade-off is cost and efficacy for convenience and certainty.
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