Only in the US. Other countries are like 90% less expensive. However, Medicare might try to get better deal since the next round of deal making can include it since the drug is 7 years old.

https://slate.com/technology/2023/07/ozempic-costs-a-lot-it-...

What about compounding pharmacies like Hims.com? It's $400/mo month to month but $200/mo if you pay a year upfront.