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Even with Aetna coverage, costs vary based on your plan's tier structure: Preferred brand tier : $50 to $100/month copay Specialty tier : $150 to $300/month copay or 20-30% coinsurance Out-of-pocket maximum : Once you hit your plan's annual max (typically $4,000 to $8,000 for individuals), the plan covers 100% Without insurance, Wegovy costs roughly $1,300 to $1,400 per month at retail

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