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Weight Loss ยป How much does Saxenda cost in Spain and do you need a prescription?

How much does Saxenda cost in Spain and do you need a prescription?

In Spain, Saxenda costs around โ‚ฌ280โ€“โ‚ฌ300 per box in private pharmacies and always requires a prescription. The patient bears the entire cost when it is used for weight loss.

by Wendy Lazcano
December 9, 2025
Reading Time: 3 mins read
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Wendy Lazcano
Editor at Vitals Today
Wendy is an experienced journalist with a background in print (Diario de Cuba, Review Energy), radio (W Radio / PRISA Group) and television (Canal 33). She specialises in politics and regulation and is known for making complex issues easy to understand.
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In Spain, a box of Saxenda usually costs around โ‚ฌ280-300 in private pharmacies, according to recent indicative rates, although the specific price may vary slightly between establishments and communities.

Before using Saxenda for weight loss, it is important to know that it must be prescribed by a doctor and that patients cover the full cost when it is used for this purpose. If you are interested in how it compares with other GLP-1 agonists, this article explains how Wegovy works and its price in Spain.

What is the price of Saxenda in Spanish pharmacies?

The standard Saxenda package includes several pre-filled pens and has a retail price of approximately โ‚ฌ283 per box, placing the approximate monthly cost in the โ‚ฌ250-โ‚ฌ300 range, depending on the daily dose prescribed by the specialist and the duration of each pen. This range coincides with the prices reported by Spanish clinics and pharmacies that offer the obesity treatment.

If you are coming from another country, it is important to understand that this cost is paid in full at the pharmacy counter, unless you have private insurance that partially reimburses it according to your policy conditions.

Is a prescription required for Saxenda?

Saxenda is classified by the Spanish Agency for Medicines as a prescription drug and must always be dispensed with an official prescription. Health authorities have also reminded pharmacies that they cannot dispense GLP-1 analogues, such as Saxenda, without a prescription to prevent misuse.

In practice, this means that you will first need to see a doctor, public or private, who will assess your weight, general health, and any potential contraindications before deciding whether Saxenda is appropriate for you.

Does Social Security cover the cost of Saxenda?

Currently, the National Health System does not cover Saxenda for weight loss in adults, despite requests from some patient and consumer associations. The medication is listed as "not included" in public funding, so users must pay the full price when using it to treat obesity.

Given the complexity and cost of the treatment, it's crucial to discuss with your doctor the real benefits you can expect, how long you'll use it, and what alternatives exist, from intensive lifestyle changes to other medications.

Before starting, always check the official leaflet and follow your doctor's or pharmacist's exact instructions regarding dosage, increasing schedule, and method of administration.

Tags: GLP-1 agonistsSpain
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