What is the closest alternative to Compounded semaglutide?

Wegovy, Wegovy pill, Ozempic and Rybelsus — same molecule, different product. Switching between them is a prescribing decision rather than a change of drug. Wegovy pill and Rybelsus are pills rather than an injection, dosed on a different scale.

Is there a cheaper alternative to Compounded semaglutide?

Compounded semaglutide publishes no verified maintenance price, so there is nothing to compare against. Every alternative below that does publish one is listed with the date it was read.

Does anything work better than Compounded semaglutide?

No trial figure is recorded for Compounded semaglutide here, so this page does not rank it against anything on effect. Price and product status are what it can compare, and both are below.

← Compounded semaglutide

Alternatives to Compounded semaglutide

Bottom line

If you want the same molecule under a different product, that is Wegovy or Wegovy pill or Ozempic or Rybelsus. Every price below carries its source and the date it was read, which is what separates this list from the others answering the same question.

No clinician has reviewed this page. Label and trial statements are quoted from the FDA label or the trial cited beside them. General guidance is marked as such, and every price carries the date it was verified. That is sourcing, not medical review. What we do and do not check · Who checked the price

Last updated 2026-09-22 — each alternative's published price. Read and dated by Alex Seot.

What can you take instead of Compounded semaglutide?

14 alternatives are tracked here. 4 are the same molecule under another product — Wegovy, Wegovy pill, Ozempic and Rybelsus — where switching is a prescribing decision rather than a change of medication. The other 10 are different medications, each started on its own dosing schedule.

Best alternatives to Compounded semaglutide

Ordered by published trial weight loss, then by price. Every figure carries the date it was read.

1. Zepbound (tirzepatide)

The strongest approved weight-loss drug. $449/mo once titrated — or $699 if you ever miss the 45-day refill window.

A month: $449
Trial weight loss: 20.9%
What it is: branded, FDA approved
Checked: 2026-08-19, past 45 days
A first year: $5,637

Tirzepatide, not semaglutide.

2. Wegovy (semaglutide)

$349/mo flat across every standard dose, with no refill deadline attached. Lilly's equivalent has one.

A month: $349
Trial weight loss: 14.9%
What it is: branded, FDA approved
Checked: 2026-09-22
A first year: $4,237

Wegovy is the same molecule as Compounded semaglutide in another product.

3. Wegovy pill (semaglutide)

The first GLP-1 pill approved for weight loss. NovoCare self-pay is $149 a month at 1.5 mg, $199 at 4 mg, and $299 at 9 mg and at the 25 mg dose you stay on.

A month: $299
Trial weight loss: 13.6%
What it is: branded, FDA approved
Checked: 2026-09-10
A first year: $3,338

Wegovy pill is the same molecule as Compounded semaglutide in another product: a pill rather than an injection.

4. Mounjaro (tirzepatide)

Zepbound's molecule under the diabetes label. Same drug, different box, different coverage rules.

A month: $499
Trial weight loss: 11.9%
What it is: branded, FDA approved
Checked: 2026-09-21

Tirzepatide, not semaglutide.

5. Foundayo (orforglipron)

The first small-molecule GLP-1 pill. $149 to start, $299 once titrated, and no injection at any point.

A month: $299
Trial weight loss: 11.1%
What it is: branded, FDA approved
Checked: 2026-09-12
A first year: $3,188

Orforglipron, not semaglutide.

6. Qsymia (phentermine, topiramate)

The strongest non-GLP-1 pill, at about 10% loss — with real pregnancy restrictions.

A month: $75
Trial weight loss: 9.8%
What it is: branded, FDA approved
Checked: 2026-09-22

Phentermine and topiramate, not semaglutide.

7. Saxenda (liraglutide)

The first-generation GLP-1. Daily injection, half the weight loss, largely superseded.

A month: no verified price
Trial weight loss: 7.4%
What it is: branded, FDA approved
Checked: —

Liraglutide, not semaglutide.

8. Ozempic (semaglutide)

Same molecule as Wegovy, approved for type 2 diabetes. $199 for two fills, then $349 to $499 a month.

A month: $349
Trial weight loss: 6.4%
What it is: branded, FDA approved
Checked: 2026-09-22
A first year: $4,237

Ozempic is the same molecule as Compounded semaglutide in another product.

9. Contrave (naltrexone, bupropion)

Non-GLP-1 oral option. Modest loss, but it is a pill and it is cheap.

A month: $99
Trial weight loss: 5.4%
What it is: branded, FDA approved
Checked: 2026-09-22

Naltrexone and bupropion, not semaglutide.

10. Trulicity (dulaglutide)

$389 a month on the federal TrumpRx site. Lilly publishes no cash price of its own — only a copay card for the commercially insured.

A month: $389
Trial weight loss: not published
What it is: branded, FDA approved
Checked: 2026-09-22

Dulaglutide, not semaglutide.

11. Compounded tirzepatide (tirzepatide)

$199–$359/mo for the strongest molecule — with Eli Lilly suing the pharmacies that sell it.

A month: $199–$359 (no maintenance price)
Trial weight loss: not published
What it is: compounded, not FDA approved
Checked: 2026-09-13

Tirzepatide, not semaglutide.

12. Phentermine (phentermine)

The cheapest weight-loss drug there is — approved for a few weeks, sold by subscription for years.

A month: no verified price
Trial weight loss: not published
What it is: generic
Checked: —

Phentermine, not semaglutide.

13. Victoza (liraglutide)

Daily liraglutide for type 2 diabetes — the same molecule as Saxenda at lower doses. No cash price published.

A month: no verified price
Trial weight loss: not published
What it is: branded, FDA approved
Checked: 2026-09-10

Liraglutide, not semaglutide.

14. Rybelsus (semaglutide)

Novo publishes no cash price for Rybelsus, and the federal TrumpRx tablet is the Ozempic pill — a different strength on the same label.

A month: no verified price
Trial weight loss: not published
What it is: branded, FDA approved
Checked: 2026-09-07

Rybelsus is the same molecule as Compounded semaglutide in another product: a pill rather than an injection.

Quick comparison

Drug	A month	Trial loss	What it is	Checked
Compounded semaglutide (comparing against)	$129–$349 (no maintenance price)	—	compounded, not FDA approved	2026-09-13
Zepbound	$449	20.9%	branded, FDA approved	2026-08-19
Wegovy	$349	14.9%	branded, FDA approved	2026-09-22
Wegovy pill	$299	13.6%	branded, FDA approved	2026-09-10
Mounjaro	$499	11.9%	branded, FDA approved	2026-09-21
Foundayo	$299	11.1%	branded, FDA approved	2026-09-12
Qsymia	$75	9.8%	branded, FDA approved	2026-09-22
Saxenda	—	7.4%	branded, FDA approved	—
Ozempic	$349	6.4%	branded, FDA approved	2026-09-22
Contrave	$99	5.4%	branded, FDA approved	2026-09-22
Trulicity	$389	—	branded, FDA approved	2026-09-22
Compounded tirzepatide	$199–$359 (no maintenance price)	—	compounded, not FDA approved	2026-09-13
Phentermine	—	—	generic	—
Victoza	—	—	branded, FDA approved	2026-09-10
Rybelsus	—	—	branded, FDA approved	2026-09-07

Trial figures come from each drug's own trial, so the column ranks published results rather than the drugs themselves. None of these drugs was compared against another in a head-to-head.

Compounded semaglutide price and terms →What Compounded semaglutide costs without insurance →Everything ranked by price →

Where these Compounded semaglutide figures come from

[1] GLP-1 Telehealth Price Report 2026secondary
[2] Compounded GLP-1 providers under active litigationsecondary
[3] Washington Pharmacy Quality Assurance Commission: Limited Stop Service issued to Aequita Pharmacy, 13 March 2025primary archived 2026-03-15

Everything on Compounded semaglutide

Alternatives to Compounded semaglutide, answered

What is the closest alternative to Compounded semaglutide?: Wegovy, Wegovy pill, Ozempic and Rybelsus — same molecule, different product. Switching between them is a prescribing decision rather than a change of drug. Wegovy pill and Rybelsus are pills rather than an injection, dosed on a different scale.
Is there a cheaper alternative to Compounded semaglutide?: Compounded semaglutide publishes no verified maintenance price, so there is nothing to compare against. Every alternative below that does publish one is listed with the date it was read.
Does anything work better than Compounded semaglutide?: No trial figure is recorded for Compounded semaglutide here, so this page does not rank it against anything on effect. Price and product status are what it can compare, and both are below.

Every price here carries its source and the date it was read, and anything past 45 days without a re-check is marked stale rather than quietly aging. Information only, not medical advice — which drug suits you is a question for a clinician.

What the FDA says about compounded medicine

A compounded drug is not an FDA-approved one. What that means, and what the agency has and has not evaluated, is its own to state.

Compounding and the FDA: questions and answers — What a compounded drug is, and what the FDA does and does not review before it is sold.
Medications containing semaglutide marketed for type 2 diabetes or weight loss, FDA — The FDA's own notice on compounded semaglutide and what it has not evaluated.