The list price is the price a drug maker publishes for a medication — also called WAC (wholesale acquisition cost). It is the number behind headlines about a drug “costing $1,300 a month.”
Almost nobody pays it. Insurers negotiate it down, manufacturers run their own self-pay programs well below it, and discount cards land somewhere in between. Read the list price as a ceiling, not a price.
That gap is the reason the GLP-1 cost calculator shows several prices for the same drug instead of one. The same medication can cost very different amounts depending on where the prescription is filled — see cash price.