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How to get a prescription for compounded semaglutide

1 min Read

Reviewed by:

Dr Ameen Masoodi, MD

Family Medicine Physician, MPH, DABOM

Learn how to get compounded semaglutide for weight loss, its benefits, safety, and how Noom Med supports your personalized weight loss journey.

What you’ll learn:       

  • Compounded semaglutide contains the same active ingredient as Ozempic® and Wegovy®, but it is easier to get during shortages and is less expensive.
  • Noom Med clinicians can prescribe compounded semaglutide through Noom GLP-1ᴿˣ as an alternative to branded medications.
  • Noom GLP-1ᴿˣ pairs this medication with Noom Med’s full support—helping you achieve lasting weight loss through medical guidance, lifestyle changes, and psychological tools.

If you’re exploring GLP-1 medications like Ozempic® or Wegovy®, you’re probably aware they’re in high demand, can be challenging to find due to ongoing shortages, and are very expensive without insurance. As access becomes more limited, you might be wondering about alternatives. Compounded semaglutide* through Noom GLP-1Rx could be the solution you’re looking for.

Made by specialized pharmacies, compounded semaglutide contains the same active ingredient (semaglutide) as Ozempic® and Wegovy®. During shortages, compounded versions of medications can be produced so that people can continue taking the medication they need. Like Ozempic® and Wegovy®, compounded semaglutide is designed to reduce hunger and slow digestion, so you eat less without feeling deprived. 

How do you get a prescription for compounded semaglutide? If you qualify for Noom Med, your clinician can prescribe compounded semaglutide if they determine it’s right for you. Then, we’ll ship the medication to you within seven days. Plus, your clinician will help you learn to use it, be available for any issues, and develop a personalized plan to help you lose weight and keep it off. You’ll also get access to the complete Noom program to create healthy habits that will last beyond semaglutide treatment.

Could compounded semaglutide be right for you? We’ll guide you through the details, from getting it to making it part of your personalized weight loss plan. Let’s explore the options together and find what works best for you.

Understanding compounded semaglutide

Compounded semaglutide is a valuable option for those who struggle to access or afford branded GLP-1 medications. It contains the same active ingredient—semaglutide—and can help reduce hunger, slow digestion, and manage blood sugar levels. Compounded semaglutide available through the Noom platform is made by specialized 503B compounding pharmacies that follow strict FDA regulations. 

For those who qualify, this option offers a cost-effective solution to support weight loss without the high price tag of branded GLP-1 medications.

What does compounded semaglutide through Noom GLP-1Rx cost?

Compounded semaglutide through Noom Med’s GLP-1Rx costs $149 for the first month, with all costs covered, including medication—no insurance required. After that, you’ll pay $279 per month, billed in three-month increments. 

This price also includes access to tools to support healthy habits, track your progress, and connect with supportive coaches and a community. Noom Med offers a complete, personalized weight loss program with a dedicated clinician to create your plan and continuous support from a Care Team. You’ll also benefit from 1:1 telehealth visits, on-demand chats with clinicians, and the GLP-1 Companion program, which provides nutrition, fitness resources, and a supportive community for ongoing success. Here’s a look at everything you get when you sign up.

Is compounded semaglutide the same as Ozempic and Wegovy?

Compounded semaglutide and Ozempic® or Wegovy® contain the same active ingredient, but the way you take them is a bit different. Ozempic® and Wegovy® come in pre-filled injection pens. Noom GLP-1ᴿˣ’s compounded semaglutide comes in a vial that you’ll draw into a syringe before injecting it yourself. Just like with Ozempic® and Wegovy®, you’ll inject the medication once a week under the skin—usually in your stomach, thigh, or upper arm.

High-quality meds. Powerful psychology-based weight loss.

  • Starting at $149/month
  • Meds to your door in 7 days
  • 100% online access to coaches and doctors
  • Backed by Noom's award winning behavior change program

See if you qualify

Medications require consultation and prescription by clinician through Noom platform. Not all customers will qualify for prescription. Compounded semaglutide is produced in an FDA-registered facility but not reviewed by the FDA for safety, efficacy or quality.

What do I need to do to get compounded semaglutide through Noom GLP-1ᴿˣ?

First, you need to see if you qualify for Noom Med. Then, you’ll fill out some info and consult with your Noom Med clinician. Here’s how the process works:

  1. Complete a brief intake survey: You’ll provide details about your health history, current medications, and weight loss goals to help determine if compounded semaglutide is right for you.
  2. Consult with a Noom Med clinician: A licensed clinician will review your information during a telehealth visit. If they determine that compounded semaglutide is appropriate for you, they’ll write a prescription. This entire process happens online for convenience.
  3. Receive your medication: Once approved, your medication is shipped directly to your door—typically within seven days. 
  4. Follow your customized plan: You’ll get a personalized treatment plan along with your medication. This plan is designed to help you achieve sustainable weight loss by combining medication with behavior change tools and ongoing clinical support. You can also access the GLP-1 companion, a tool that can support your weight loss journey.
  5. Ongoing care and support: Noom Med supports you with regular check-ins, access to your clinician, and medication refills as needed. 

This simple process allows you to seamlessly integrate compounded semaglutide into your weight loss journey with guidance every step of the way.

Who is compounded semaglutide right for? 

Compounded semaglutide can be prescribed for those with a BMI of 30 or above or for individuals with a BMI of 27 or higher who also have weight-related conditions like high blood pressure or type 2 diabetes. If weight loss has been especially challenging due to these health concerns, the support offered by Noom Med could be a helpful addition to your weight loss journey.

What should my clinician know before I take compounded semaglutide?

Compounded semaglutide contains the same active ingredient found in popular medications like Wegovy® and Ozempic®, so it may have similar benefits and side effects. Before starting compounded semaglutide, it’s important to share your complete health history with your clinician to make sure it’s the right choice for you. 

Here are some key health conditions to discuss:

  1. Type 1 diabetes: Compounded semaglutide isn’t meant for managing type 1 diabetes. If you have this condition, let your clinician know so they can recommend an alternative treatment.
  2. Thyroid cancer: If you or a family member has a history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2), compounded semaglutide isn’t right for you.
  3. Allergies: Let your clinician know if you’re allergic to semaglutide or any components of GLP-1 medications. Allergic reactions, though rare, can be serious and need to be ruled out before starting treatment.
  4. Pancreatic issues: Compounded semaglutide isn’t for those who have had pancreatitis (inflammation of the pancreas). If you have a history of this condition, it’s essential to inform your clinician to avoid complications.
  5. Gallbladder disease: If you’ve had gallbladder problems in the past, such as gallstones, compounded semaglutide could potentially worsen the condition. Make sure to discuss this history with your clinician.
  6. Kidney or liver conditions: People with kidney or liver issues may need to take extra precautions with GLP-1 medications like compounded semaglutide. Your clinician will assess whether it’s safe for you based on your medical history.
  7. Eye problems: Compounded semaglutide can sometimes worsen diabetic retinopathy, a condition that affects the eyes. If you have this or other eye issues, be sure to let your clinician know so they can monitor your eye health closely.
  8. Pregnancy or breastfeeding: Compounded semaglutide is not for use during pregnancy or while breastfeeding.

Providing accurate and complete information about your health is important. It helps your clinician decide if compounded semaglutide is right for you and prevents serious risks or complications.

Common side effects of compounded semaglutide

Starting a new medication like compounded semaglutide can bring up questions and concerns. Let’s explore some common challenges you might face and how to navigate them effectively.

What are the most common side effects of compounded semaglutide?

People using compounded semaglutide may experience the same mild side effects that can come with branded medications. They usually decrease over time as the body adjusts to the medication. They can include:

  • Nausea: The most commonly reported side effect, typically mild or moderate in severity.
  • Diarrhea: Your digestive system may take some time to adapt, leading to loose or more frequent stools.
  • Vomiting: This can occur, especially when you’re first starting the medication.
  • Constipation: Compounded semaglutide can slow digestion, which might cause constipation for some users.
  • Abdominal pain: Most people report stomach discomfort or pain while using GLP-1 medications.

If you’re concerned about any side effects, chat with your clinician—they can suggest ways to manage them, like eating smaller meals or adjusting your dose.

How can I manage potential digestive issues while using compounded semaglutide?

To help manage digestive issues, try eating smaller, more frequent meals and staying hydrated. Avoiding fatty or spicy foods might also ease discomfort. Remember, medication is just one part of your weight loss journey. 

Combining it with healthy eating habits and regular physical activity can lead to better results and help manage side effects. That’s where the Noom GLP-1 Companion comes in, offering nutrition guidance and fitness-focused lessons. You can also connect with fellow Noomers through the Community tab to share your experiences. 

Everyone’s experience with compounded semaglutide is different. Stay in touch with your healthcare provider, and don’t hesitate to ask questions or share concerns as you navigate your journey. 

What should I do if I miss a dose of compounded semaglutide?

Semaglutide is typically taken once a week. If you miss a dose, take it as soon as you remember – if it’s within five days of your scheduled injection. If it’s been longer than five days, skip the missed dose and take your next scheduled one. Don’t take a double dose, as this could increase your risk of side effects.

Can my semaglutide treatment be adjusted over time?

Yes, your Noom Med clinician may adjust your compounded semaglutide dose based on how you’re responding to the treatment and any side effects you might experience. Typically, the dosing starts low and gradually increases over time. This allows your body to adapt to the medication while helping to reduce side effects like nausea and digestive discomfort. 

Regular check-ins with your clinician help ensure that the dose is increased at the right pace so your treatment stays effective and tailored to your evolving needs.

What are some severe issues and warnings associated with compounded semaglutide? 

Compounded semaglutide, like other GLP-1 medications, may cause rare but serious side effects. If you notice any of the following, contact your clinician immediately:

  • Allergic reactions: Stop using compounded semaglutide and seek urgent medical help if you experience symptoms such as swelling of the face, lips, tongue, or throat; difficulty breathing or swallowing; severe rash or itching; fainting; dizziness; or a rapid heartbeat.
  • Pancreatitis: Be alert for severe, persistent stomach pain that may radiate to your back, with or without vomiting, as this could be a sign of pancreatitis.
  • Vision changes: Inform your clinician if you notice any changes in your vision while using compounded semaglutide. Seek immediate medical attention for any sudden vision changes.
  • Low blood sugar (hypoglycemia): If you have diabetes and are using compounded semaglutide with other medications that lower blood sugar, you could experience low blood sugar. Be alert for symptoms like dizziness, blurred vision, anxiety, confusion, shakiness, weakness, or a fast heartbeat.
  • Kidney problems: Compounded semaglutide may worsen kidney issues, especially if you experience dehydration due to diarrhea, nausea, or vomiting. Symptoms to watch for include swelling in your legs or ankles, fatigue, shortness of breath, or changes in urination.
  • Increased heart rate: Compounded semaglutide may cause an increase in resting heart rate. Seek immediate medical attention if you experience a racing or pounding heartbeat that lasts for several minutes.
  • Thyroid tumors: Be vigilant for symptoms like a lump or swelling in your neck, hoarseness, difficulty swallowing, or shortness of breath. Although this is rare, animal studies with GLP-1 medications have shown an increased risk of thyroid tumors.

Always keep your healthcare provider informed about any unusual symptoms you may experience while using compounded semaglutide.

Take the next step in your weight loss journey

Your journey to better health is personal. Noom Med is here to help you find solutions tailored to your needs. Noom Med offers more than just medication. Along with compounded semaglutide, you’ll get the support Noom is known for—personalized guidance, behavior change tools, and resources that help you build healthy habits. This combination of medical support and lifestyle coaching leads to real, lasting results.

Getting started is simple: answer a few quick questions and consult with a clinician. If compounded semaglutide is prescribed, you’ll receive the meds and a custom weight-loss plan tailored to your needs​​​.

High-quality meds. Powerful psychology-based weight loss.

  • Starting at $149/month
  • Meds to your door in 7 days
  • 100% online access to coaches and doctors
  • Backed by Noom's award winning behavior change program

See if you qualify

Medications require consultation and prescription by clinician through Noom platform. Not all customers will qualify for prescription. Compounded semaglutide is produced in an FDA-registered facility but not reviewed by the FDA for safety, efficacy or quality.

Take the first step today with Noom GLP-1ᴿˣ and discover how our comprehensive program can support your unique weight loss journey. 

*Compounded semaglutide available on the Noom platform is produced in an FDA-registered facility but not reviewed by the FDA for safety, efficacy, or quality.

Note: Ozempic® is not FDA-approved to treat obesity or for weight loss.