Can You Get a 90-Day Supply of Ozempic? A Complete Guide

October 13, 2025 •

3 min read

With millions prescribed GLP-1 medications like Ozempic, many patients wonder about longer-term prescriptions [1.6.4]. The answer to 'Can you get a 90 day supply of Ozempic?' is generally yes, but it depends on your insurance, doctor, and pharmacy [1.2.4].

Quick Summary

Obtaining a 90-day (84-day) supply of Ozempic is often possible and may reduce costs, but requires coordination. Success depends on your insurance plan's rules, a specific prescription from your doctor, and pharmacy availability.

Key Points

Insurance is Key: Most insurance plans encourage 90-day fills for maintenance drugs like Ozempic, often through mail-order pharmacies, but you must confirm your plan's specific rules [1.2.2, 1.2.5].
Stable Dose Required: A 90-day supply is intended for patients on a stable maintenance dose (e.g., 0.5 mg, 1 mg, or 2 mg), not during the initial dose-escalation period [1.4.3, 1.4.7].
Specific Prescription Needed: You cannot use a 30-day prescription to get a 90-day fill; your doctor must write a new prescription specifically for a 90-day quantity [1.2.2, 1.2.7].
Pen Count is Dose-Dependent: A 90-day (12-week) supply of a maintenance dose of Ozempic consists of three pens, as each pen contains four weekly doses [1.4.3, 1.4.6].
Potential Cost Savings: A 90-day supply often results in a lower total copay over three months compared to three separate 30-day fills, especially through mail-order pharmacies [1.2.3, 1.2.6].
Shortages Have Eased: The official nationwide shortage of Ozempic ended in early 2025, but localized, intermittent supply issues may still affect pharmacy stock [1.6.2, 1.6.4].

Understanding Ozempic and Prescription Fills

Ozempic (semaglutide) is an injectable prescription medication FDA-approved to improve blood sugar control in adults with type 2 diabetes and to reduce the risk of major cardiovascular events in those with both type 2 diabetes and known heart disease [1.5.1, 1.5.5]. While weight loss is a common side effect, Ozempic is not FDA-approved for weight management, and insurance plans often do not cover it for that off-label use [1.3.1, 1.5.5]. Standard prescriptions are often for a 28 or 30-day supply, but many patients on a stable maintenance dose seek the convenience and potential cost savings of a 90-day supply [1.2.2].

Can You Get a 90-Day Supply of Ozempic? The Key Factors

Yes, it is possible to get a 90-day supply of Ozempic [1.2.4]. However, it is not automatic. Several factors must align for you to receive a three-month prescription.

The Role of Your Insurance Plan

Your insurance coverage is the most critical factor. Many insurance and Medicare plans encourage or even require 90-day fills for maintenance medications, often through a preferred mail-order pharmacy [1.2.2]. This can often lead to a lower total copay compared to three separate 30-day fills [1.2.6].

However, your plan must specifically provide coverage for a three-month fill [1.2.2]. Most plans will require a prior authorization from your doctor to prove the medication is medically necessary for an FDA-approved condition like type 2 diabetes [1.3.2, 1.3.6]. Contact your insurance provider directly to understand their rules for quantity limits and mail-order pharmacy options [1.2.1, 1.2.5].

Your Doctor's Prescription

A prescription for a 30-day supply cannot be used to get a 90-day fill [1.2.2]. You must ask your doctor to write a new prescription specifically for a 90-day (or 84-day) supply [1.2.7]. Doctors will typically only do this for patients who are on a stable, maintenance dose of Ozempic (e.g., 0.5 mg, 1 mg, or 2 mg per week), not for those just starting the medication and titrating up from the initial 0.25 mg dose [1.4.3, 1.4.4].

How Many Pens Are in a 90-Day Supply?

The number of pens you receive depends entirely on your prescribed weekly dose. Each Ozempic pen contains four weekly doses at its specified maintenance strength [1.4.3]. A three-month (84-day) supply is equivalent to 12 weeks of medication.

For a 0.5 mg, 1 mg, or 2 mg weekly dose: You would need three pens to cover a 12-week period (3 pens x 4 doses/pen = 12 doses) [1.4.3, 1.4.6].
For initial titration: The starting pen contains both 0.25 mg and 0.5 mg doses to cover the first six weeks, so it is not typically part of a 90-day maintenance prescription [1.4.2].

Comparison: 30-Day vs. 90-Day Ozempic Supply


Feature	30-Day Supply	90-Day Supply
Convenience	More frequent pharmacy visits or deliveries.	Fewer trips to the pharmacy, reducing hassle [1.2.2].
Cost & Copay	Potentially higher total copay over three months.	Often a lower total copay for a 3-month period [1.2.3, 1.2.6].
Prescription	Standard prescription.	Requires a specific 90-day prescription from your doctor [1.2.2].
Adherence	Increased risk of missing doses between refills.	Can improve medication adherence by ensuring a steady supply.
Dose Status	Suitable for initial dose titration.	Best for patients on a stable, maintenance dose [1.4.3].
Pharmacy Type	Widely available at retail pharmacies.	Often pushed towards mail-order pharmacies by insurance plans [1.2.2].

Pharmacy, Cost, and Supply Chain Considerations

As of February 2025, the widespread FDA-reported shortage of Ozempic has been resolved [1.6.2, 1.6.5]. However, the FDA has noted that intermittent, localized supply disruptions can still occur as the supply chain stabilizes [1.6.4]. Even with a 90-day prescription, some retail pharmacies might only be able to provide a 30-day fill if their stock is low [1.6.8]. Using your insurance plan's designated mail-order pharmacy may increase the likelihood of receiving a full 90-day supply [1.2.2].

Without insurance, the list price for a one-month supply of Ozempic is around $997 [1.5.1, 1.5.3]. A 90-day supply would therefore cost nearly $3,000. With commercial insurance and a manufacturer savings card, the cost can be as low as $25 for a one, two, or three-month supply, with maximum savings of $450 for a 3-month prescription [1.2.5, 1.5.1].

Conclusion: How to Get Your 90-Day Supply

Getting a 90-day supply of Ozempic is an achievable goal for many patients on a stable dose, offering both convenience and cost savings. The process requires proactive communication. First, confirm with your insurance provider that they cover 90-day fills and ask about their preferred mail-order pharmacy. Next, discuss it with your healthcare provider and request a new prescription written for a 90-day supply to be sent to your chosen pharmacy [1.2.7]. While widespread shortages have ended, it's always wise to be aware of potential local supply issues and plan accordingly.

For more information directly from the manufacturer, you can visit the official Ozempic® website.

Frequently Asked Questions

With commercial insurance that covers Ozempic and an eligible savings card, a 3-month supply can cost as little as $25. Without insurance, the list price would be close to $3,000 (around $997 per month) [1.5.1, 1.5.3].

Not automatically. You need to verify that your plan allows for 90-day fills for Ozempic. Many plans require prior authorization to confirm it's being used for a covered condition like type 2 diabetes [1.3.2, 1.3.6].

While the official shortage is over, local supply can vary [1.6.4]. Contact your doctor or ask the pharmacy if they can provide a partial fill (e.g., 30 days). Also, check with your insurance's preferred mail-order pharmacy, which may have a more stable supply [1.2.2].

Many insurance plans prefer or require the use of a mail-order pharmacy for 90-day supplies of maintenance medications and may offer lower copays as an incentive [1.2.2, 1.2.4].

Generally, no. A 90-day supply is for patients on a stable maintenance dose. New users start on a lower, introductory dose that increases over several weeks, which is not compatible with a 90-day prescription for a single dose strength [1.4.3, 1.4.7].

Each Ozempic pen intended for a maintenance dose (0.5 mg, 1 mg, or 2 mg) contains four weekly doses and is designed to last for one month (28 days) [1.4.3].

Many Medicare Part D plans do cover Ozempic for its FDA-approved uses, such as treating type 2 diabetes [1.3.5]. These plans may also allow or encourage 90-day fills, often through mail order, but you must check the specifics of your individual plan [1.2.2].