Ozempic was originally FDA-approved for type 2 diabetes, while Wegovy (same medication, higher dose) is approved for weight loss. Understanding the differences helps you get the right medication for your situation.
Key Differences
| Feature | Ozempic | Wegovy |
|---|---|---|
| Active ingredient | Semaglutide | Semaglutide |
| FDA indication | Type 2 diabetes | Weight management |
| Max dose | 2 mg weekly | 2.4 mg weekly |
| Insurance | Often covered | Less commonly covered |
Using Ozempic for Weight Loss
Many people use Ozempic "off-label" for weight loss. This is legal and common—doctors can prescribe FDA-approved medications for any purpose they deem appropriate. However:
- Insurance may not cover off-label use
- The maximum dose is lower than Wegovy
- It's the exact same medication, just different dosing and indication
Which Should You Choose?
If You Have Type 2 Diabetes
Ozempic is likely your best option—it's approved for diabetes, more likely to be covered by insurance, and provides weight loss as a bonus.
If You Need Weight Loss Only
Wegovy is specifically designed for weight management with a higher maximum dose. However, insurance coverage can be challenging.
If Cost Is a Concern
Ozempic may be easier to get covered. Alternatively, compounded semaglutide from telehealth providers offers significant savings.
The Bottom Line
Ozempic and Wegovy are the same medication at different doses. The "right" choice depends on your health conditions, insurance coverage, and cost considerations. Both produce significant weight loss.