Xultophy cost in 2026
Xultophy costs about $1,301 to $1,676 per box of 5 pens without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for One box of 5 prefilled pens, 3 mL each (15 mL total).
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. No generic or biosimilar. Brand only (Soliqua is the competing combo pen).
What is included
The prices on this page are what a pharmacy charges for One box of 5 prefilled pens, 3 mL each (15 mL total), before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Xultophy
| How you pay | What it costs |
|---|---|
| Cash price without insurance | $1,301 to $1,676 per box of 5 pens (GoodRx) |
| With the maker's savings card | No maker savings card was found. Ask the pharmacy for the cash price and compare discount cards. |
| Medicare | Xultophy is not on the 2026 or 2027 Medicare negotiation lists, and not on the 2028 list of 15 drugs, so no negotiated price exists. |
| Free drug program | Novo Nordisk Patient Assistance Program: for uninsured US citizens or legal residents with household income at or below 400 percent of the federal poverty level. Phone 866-310-7549. |
| Generic or biosimilar | No generic or biosimilar. Brand only (Soliqua is the competing combo pen). |
Average prices in US dollars. Source: Drugs.com.
Ways to pay less
- No maker savings card was found. Ask the pharmacy for the cash price and compare discount cards.
- Novo Nordisk Patient Assistance Program: for uninsured US citizens or legal residents with household income at or below 400 percent of the federal poverty level. Phone 866-310-7549.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 5 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Drugs.com: Xultophy Prices, Coupons, Copay Cards & Patient Assistance
- GoodRx: Xultophy dosage and price (last reviewed Dec 17, 2024)
- SingleCare: Xultophy prices (page dated 10/10/2026)
- Hello Pharmacist: Xultophy NDC 0169-2911-15
- CMS: Selected Drugs and Negotiated Prices
Common questions
How much does this cost in 2026?
Xultophy costs about $1,301 to $1,676 per box of 5 pens without insurance in 2026, at retail cash prices. Most people pay about $1,488 per box of 5 pens. The low end is $1,301 and the high end is $1,676.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for One box of 5 prefilled pens, 3 mL each (15 mL total); Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
No maker savings card was found. Ask the pharmacy for the cash price and compare discount cards. Novo Nordisk Patient Assistance Program: for uninsured US citizens or legal residents with household income at or below 400 percent of the federal poverty level. Phone 866-310-7549. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 5 named price guides: Drugs.com, GoodRx, SingleCare, Hello Pharmacist, CMS. Each one is linked on this page with the date we read it.
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