It cannot be legally prescribed off-label, and the FDA has explicitly stated it cannot be used in compounding pharmacies under federal law
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doi:10.2174/1573399816666200705210006 2
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Quick Answer: Semaglutide is self-administered as a once-weekly subcutaneous injection into the abdomen, thigh, or upper arm using either a multi-dose pen (Ozempic) or single-dose pen (Wegovy)
The comparison between compounded semaglutide and Ozempic is helpful because Ozempic is a proven, FDA-approved medication, while compounded medications are not evaluated for safety and effectiveness by the FDA, although they are useful during times of shortages or when a patient needs a personalized medication without a specific ingredient, for example