Skip to the checklist [Care guide](/) Cost checklist Cost # Read the whole bill. Ask for a total you can use for planning. A medicine price and a care fee are different entries; an introductory price may describe only the start. Build the full bill Care Medicine Tests + delivery Total + later price Compare the same items over the same period. ## Terms to start with Self-pay means paying cash rather than having insurance pay the bill. A monthly fill is the quantity supplied for a stated month of treatment. A clinician is a health professional who reviews your concern and talks through care with you. A prescription is an order for a medicine from the health professional prescribing it. ## A closer look at the words Introductory means the start of an offer. Recurring means a charge repeats. A commitment sets out how long or how much you agree to pay. Read the offer ## A real example, with its limits TrumpRx, a government price list, shows a cash offer for semaglutide (Ozempic) injection pens. A pen is a device containing medicine for giving a shot. [The government’s dated offer terms](https://trumprx.gov/p/ozempic) As of September 2026, the offer was for new patients aged 18 or older in the US who pay without insurance. Patients pay $199 per monthly supply for the first two supplies, whether the strength is 0.25 mg or 0.5 mg. Strength is the amount of medicine in a dose; mg means milligrams. [Read the offer’s limits](https://trumprx.gov/p/ozempic) As checked in September 2026, after those two supplies the listed monthly price was $349 at strengths of 1 mg, 0.5 mg and 0.25 mg; the price at 2 mg was $499. [Read the later-fill prices](https://trumprx.gov/p/ozempic) These amounts identify the offer’s prices; your prescriber chooses your treatment. Ask which strength you would receive and get its later price in writing before budgeting. The introductory terms run through December 31, 2026, and spending through this offer cannot be counted toward an insurance deductible. [Read the payment terms](https://trumprx.gov/p/ozempic) For certain costs a plan covers, you pay an amount called a deductible before the plan begins to pay. This example is not a quote for all peptides or a complete care bill. Ask which exact product and quantity a price covers. Get the price after the introductory period. Look more closely ## Make every charge visible Request a written list of the visit fee, ongoing care fee, medicine, tests and delivery. Ask whether supplies are included. If there is a bundle, ask what each part contains. Compare the same items over the same period. Keep any required commitment beside the price rather than treating it as small print. Ask for the full charge before agreeing to care. Ask whether a refill changes the total. Check any prepayment or minimum commitment. Carry this forward ## Ask what happens if the plan stops Find out what is owed if no prescription is issued, if the clinician changes the plan or if you cancel. Ask how to end a recurring charge and whether payment already made is refundable. The example here has an offer deadline, not a permanent price. Request a new written price when the terms change. Keep a copy of the offer and the bill you were quoted. Read the cancellation and refund terms. Ask which charges continue after care ends. Keep in mind ## The chapter recap Compare complete bills, using the same period and product. Keep the later price and commitment beside the first price. [Ask about coverage and payment](/payment-questions/) These pages help you weigh care; this guide runs no clinic and sells no medicine. [Text version](/cost-checklist/index.md)