How to get semaglutide online

Semaglutide is prescribed for weight management in adults with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related condition (high blood pressure, type 2 diabetes, high cholesterol, or sleep apnea). These are the same criteria a brick-and-mortar doctor would apply.

Most telehealth platforms use a short intake quiz to screen for these criteria plus contraindications: personal or family history of medullary thyroid carcinoma, MEN 2 syndrome, pancreatitis history, or pregnancy. If you do not meet eligibility, a legitimate platform will tell you — not prescribe anyway.

The intake typically takes 3 to 5 minutes and covers your weight, height, medical history, current medications, and weight-loss goals. Some platforms request lab work before prescribing; others order it after the initial review.

The intake is reviewed by a licensed clinician — a doctor, nurse practitioner, or physician assistant — who decides whether semaglutide is appropriate. This review is a medical decision, not a formality. If the clinician identifies a contraindication, they will not prescribe.

If approved, the clinician writes a prescription for either branded semaglutide (Wegovy) or compounded semaglutide. Branded Wegovy is the FDA-approved version; compounded semaglutide is made by a licensed compounding facility and is typically less expensive, especially when branded supply is constrained.

The clinician also determines your starting dose. Semaglutide is titrated — you start at a low dose and increase gradually over several weeks to minimize gastrointestinal side effects. Dose escalation is a standard part of the protocol, not optional.

Once prescribed, the medication is prepared by a licensed fulfillment facility and shipped to your door, typically within 5 to 10 business days. Temperature-controlled shipping is standard for injectable semaglutide.

Your shipment should include the medication, injection supplies (syringes or a pen), and instructions. A legitimate platform provides access to a clinician or care team for questions after delivery.

Branded semaglutide (Wegovy, Ozempic) is the FDA-approved product with full clinical-trial data. Compounded semaglutide is prepared by a licensed compounding facility to the same active ingredient specification, but it is not an FDA-approved finished product.

For most patients, the practical difference is cost and availability. Compounded semaglutide is significantly less expensive and avoids the supply shortages that have affected branded Wegovy. Both require a prescription and clinician oversight.

Not every site selling 'semaglutide' online is legitimate. The following are red flags that indicate a site is not operating as a legitimate medical practice: