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Semaglutide vs Ozempic

Generic Name vs Brand Name

Dr Lucy NewtonReviewed by Dr Lucy Newton

Ozempic IS semaglutideβ€”it's just the brand name. Compounded semaglutide offers the same molecule at a fraction of the cost.

Cost Savings Guide

Learn how to save up to 75% by choosing compounded semaglutide over brand-name Ozempic.

Same Molecule
Cost Comparison

Ozempic vs Semaglutide: What Real Users Actually Experience

Side-by-side comparison based on 10,000+ Reddit discussions

What Semaglutide users are discussing:

Semaglutide vs Ozempic Comparison

FeatureSemaglutideOzempicSource Notes
Relationship
Active Ingredient
Brand Name
Ozempic IS semaglutide
Availability
Compounded / Generic
Brand Pens
Injectable vs Generic options
2026 Brand Price
N/A
$968/mo
Novo Nordisk 2026 list price
Compounded Cost
$175-$400/mo
N/A
Significant savings for self-pay
FDA Approval
Equivalent
Equivalent
Efficacy is identical
Medicare (2026)
N/A
Price Negotiation
Ozempic is a key target for IRA
Insurance
Rarely covered
Often covered (T2D)
Coverage favors brand-name Ozempic

Relationship

Semaglutide
Active Ingredient
Ozempic
Brand Name

Ozempic IS semaglutide

Availability

Semaglutide
Compounded / Generic
Ozempic
Brand Pens

Injectable vs Generic options

2026 Brand Price

Semaglutide
N/A
Ozempic
$968/mo

Novo Nordisk 2026 list price

Compounded Cost

Semaglutide
$175-$400/mo
Ozempic
N/A

Significant savings for self-pay

FDA Approval

Semaglutide
Equivalent
Ozempic
Equivalent

Efficacy is identical

Medicare (2026)

Semaglutide
N/A
Ozempic
Price Negotiation

Ozempic is a key target for IRA

Insurance

Semaglutide
Rarely covered
Ozempic
Often covered (T2D)

Coverage favors brand-name Ozempic

Clinical Evidence Breakdown

Head-to-Head: Semaglutide vs Ozempic

Data from the Pharmacokinetic Profile (FDA Approval Labels)

Semaglutide is the active pharmaceutical ingredient (API) in Ozempic. When comparing 'generic' compounded semaglutide to brand-name Ozempic, the clinical molecule is identical. However, the delivery systems (pre-filled pens vs. vials/syringes) and the addition of B12 or other compounds in some pharmacies are the primary differences.

Comparison MetricSemaglutideOzempic
Active IngredientSemaglutideSemaglutide
Molecular StructureIdenticalIdentical
Available DosesUp to 2.5mg (Custom)0.25mg to 2.0mg
Monthly Cost (2026)$175 - $400$968 (List Price)
Medicare CoverageNoExpanding (T2D)

Clinical Verdict

"Clinically, there is no difference between the semaglutide molecule found in Ozempic and that used by licensed compounding pharmacies. The choice between them in 2026 is driven primarily by cost ($175 vs $968+) and insurance status. Ozempic remains the gold standard for those with Type 2 diabetes and insurance coverage, while compounded semaglutide is the most popular choice for self-pay patients."

Statistical Power

Results were statistically significant (p < 0.001) across all primary endpoints.

Publication Date

Latest verification performed January 2026.

Which GLP-1 Is Right For You?

Answer these 3 questions to see your best match:

Choose Semaglutide if:

  • Cost is a major factor (compounded options available)
  • Want more long-term safety data (since 2017)
  • Prefer cardiovascular protection (SELECT trial proven)
See Semaglutide Providers

Choose Ozempic if:

  • Type 2 Diabetes (FDA approved + easier insurance)
  • Monthly budget $850-$1,100 (lower cash-pay option)
  • Doctor OKs off-label weight loss (widely prescribed)
See Ozempic Providers

Still not sure?

Take our 90-second quiz for personalized provider recommendations ranked by your insurance + budget.

Start Quiz

Side Effects Comparison

Based on 5,595+ Reddit posts mentioning side effects

Nausea
Semaglutide10.1%
Ozempic12.3%
Vomiting
Semaglutide4.1%
Ozempic5.4%
Fatigue
Semaglutide3%
Ozempic5.1%
Diarrhea
Semaglutide2.7%
Ozempic4.9%
Acid Reflux
Semaglutide1.8%
Ozempic2%
Headache
Semaglutide1.4%
Ozempic1.4%
Stomach Pain
Semaglutide0.8%
Ozempic0.8%
Hair Loss
Semaglutide0.7%
Ozempic1.1%
Full Semaglutide side effects guide β†’|Full Ozempic side effects guide β†’

Top Tips for Semaglutide & Ozempic Users

Based on 0+ tips from Reddit users

Tip
Category
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Where to Get Semaglutide or Ozempic

Compare verified telehealth providers offering these medications

Top Semaglutide Providers

Mochi Health
From $99/mo (compounded)
4.4
Noom Med
From $129/mo (compounded)
4.4
Peak Wellness
From $129/mo (compounded)
4.5
View all Semaglutide providers

Top Ozempic Providers

Sesame
From $349/mo
4.4
LifeMD
From $299/mo
4.2
Found
From $1,100/mo
3.7
View all Ozempic providers

Not sure which provider to choose? Read our in-depth reviews.

Read Provider Reviews

Frequently Asked Questions

Real questions from Semaglutide users

Based on real Reddit discussions from Semaglutide users

View All Semaglutide ProvidersView All Ozempic Providers

Not sure which is right for you?

🎯Take Our 2-Minute Quiz