Semaglutide 2.4 mg: what it costs

2.4 mg sits at a specific point in the titration protocol, and what it is for differs from the rung below it.

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.

What 2.4 mg is for

2.4 mg is the semaglutide dose behind the figure everyone quotes: roughly 14.9% average body-weight loss over 68 weeks in STEP-1. It is the maintenance target for weight management, and for many people the end of the ladder. Worth holding onto, though: that 14.9% is an average from a controlled trial with structured support, and about 60% of weight lost is regained within a year of stopping — so the more useful question at this rung is what the long-term plan looks like, not how fast you got here.

The evidence. In STEP-1, adults on 2.4 mg lost an average of about 14.9% of body weight over 68 weeks.

This is the target for many people, but not a requirement. Settling lower and tolerating it beats reaching 2.4 mg and stopping.

Where 2.4 mg sits on the ladder

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.

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The remaining 10 providers either price by dose or do not publish a flat-rate commitment.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.