Semaglutide 2.4 mg: what it costs
Step 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.
Updated 2026-09-18
Reaching 2.4 mg is a step, not a milestone. Knowing what to expect from it is most of what makes the climb manageable.
2.4 mg is step 5 of 5 on the semaglutide ladder, reached around weeks 17+. The maintenance dose for weight management, and the one behind the figure most people have read.
It is also the point where pricing starts to matter. On a programme that charges by dose, your bill climbs exactly as the treatment begins working. On a flat-rate programme, 2.4 mg costs what the starting dose cost — and over a full titration that difference is worth more than almost any advertised discount.
Before you step up
Give the last increase time to settle before taking the next. If it has not, holding for another month is a normal clinical decision — and on a flat-rate programme it costs you nothing, which is exactly how that decision should be made.
Where 2.4 mg sits on the ladder
| Step | Dose | Roughly when |
|---|---|---|
| 1 | 0.25 mg | weeks 1-4 |
| 2 | 0.5 mg | weeks 5-8 |
| 3 | 1 mg | weeks 9-12 |
| 4 | 1.7 mg | weeks 13-16 |
| 5 | 2.4 mg ← this page | weeks 17+ |
What 2.4 mg costs
6 of the providers we track hold a single price at every dose, so 2.4 mg costs the same as the starting dose. They are listed first below because at this rung that is the whole ballgame.
| Provider | Price at 2.4 mg | Per year | Score |
|---|---|---|---|
| Coreage Rx | $139 | $1,668 | 4.5 |
| Trimi | $99 | $1,188 | 4.6 |
| Mochi Health | $178 | $2,136 | 3.6 |
| PlexusDx | $189 | $2,268 | 4.4 |
| Eden | $198 | $2,376 | 3.1 |
| Remedy Meds | $299 | $3,588 | 3.5 |
Cheapest flat-rate option at 2.4 mg: Trimi at $99 a month, which is what it charges at every other rung too.
The remaining 10 providers either price by dose or do not publish a flat-rate commitment. Their quoted figures start at $85 a month, but that is the starting-dose price — ask specifically what 2.4 mg will cost before you assume it holds.
Worth knowing. The question to ask before you start. "What will I be charged when I reach 2.4 mg?" If the answer is not the same number you were quoted at the start, you are on a tiered programme and should budget for the higher figure rather than the advertised one.
Do you need to go higher than 2.4 mg?
2.4 mg is the top of the ladder, so the question here is the opposite one: whether you need to stay this high. Some people step back down to a lower maintenance dose once they have reached their goal. That is a conversation for your prescriber.
What happens when I reach 2.4 mg?
For most people it becomes the ongoing maintenance dose rather than a finish line. Clinicians increasingly treat GLP-1 therapy the way they treat blood-pressure medication — something you stay on — which makes the monthly price a multi-year decision rather than a three-month one.
Worth knowing before you start: the approved oral options avoid injections entirely and start around $149, and if you are on Medicare the $50 programme begins in July 2026.
A closer look at the research
Explore what digestive symptom findings reveal about continuing treatment, and which questions require different evidence.
- Semaglutide continuation studies: who reaches the comparison?
An explanation of entry conditions, comparator history and the evidence needed to apply a continuation result to a different treatment question.
Read next
- Flat pricing at every dose
Programmes where the price does not rise as your dose does — which matters more over a year than most advertised discounts.
- Semaglutide 0.25 mg: what it costs
Step 1 of the semaglutide ladder, around weeks 1-4. 6 providers charge the same here as at the starting dose — the rest may not.
- Semaglutide 0.5 mg: what it costs
Step 2 of the semaglutide ladder, around weeks 5-8. 6 providers charge the same here as at the starting dose — the rest may not.
- Medicare, GLP-1s and the $50 month
CMS is running a time-limited programme giving eligible Part D members certain GLP-1s for $50 a month. If you are on Medicare, read this before paying cash for anything.
Coreage Rx pays us a commission on sign-ups through our links. It does not affect our scores or rankings. How we rate · Disclosure