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Choose brand-name (Wegovy or Ozempic) if: Your insurance covers it with a manageable copay You qualify for the FDA-approved indication (BMI threshold, T2D diagnosis) You prefer the standardization of FDA-registered manufacturing You want supporting clinical evidence directly applicable to what you are taking Consider compounded semaglutide if: You are paying cash or your insurance does not cover Wegovy You do not meet the FDA-approved BMI thresholds but want to start GLP-1 therapy under medical supervision You need a customized formulation (B12 combination, dose customization, allergen-free) Your physician has worked with reputable compounding pharmacies and can verify quality How to Access Each Brand: Doctor visit (primary care, endocrinologist, or weight-management specialist) prescription pharmacy fill insurance prior authorization or cash pay

doi: 10.4093/dmj.2012.36.1.13