In stock

Compounded Semaglutide

  • Same active ingredient as Ozempic® and Wegovy®

  • In stock: Ships free in 1-4 days, if prescribed

  • Each batch of medication undergoes extensive quality checks

Safety info: Compounded semaglutide may have serious side effects, including possible thyroid tumors. Do not use if you or your family have a history of a type of thyroid cancer called MTC or MEN 2. Read more about serious warnings and safety info.

Get started with GLP-1 medication

Compounded semaglutide is a weekly shot that uses the same active ingredient as Ozempic and Wegovy.

As an alternative to FDA-approved branded products, where appropriate, a provider may prescribe a compounded drug, which is prepared by a state-licensed sterile compounding pharmacy partner. Although compounded drugs are permitted to be prescribed under federal law, they are not FDA-approved and do not undergo safety, effectiveness, or manufacturing review.

Medication is not included in the cost of the Body Program.

Compounded semaglutide


Compounded semaglutide

Ro's commitment to quality medication

We work with a registered and certified third-party lab to run quality control checks for every lot of compounded semaglutide prescribed for Ro patients. We test four key characteristics that are associated with quality and safety. Learn more about our quality and safety practices here.

How it works

We’re pushing every day to get medication to our patients faster. Right now, it takes 4-6 weeks to start treatment with compounded semaglutide. This timing includes provider reviews pharmacy fulfillment. If your provider orders a lab test, it may extend the timeline depending on how quickly you complete the labs.

Get started $99

Answer health questions and complete your online visit

Share your health history and weight loss goals with us online to get started. A Ro-affiliated provider will review your answers and get back to you within a few days. Depending on your health review, a provider may order a metabolic lab test before moving forward with treatment.

After reviewing your results, your provider will determine if you’re eligible for medication. If you are, they’ll tailor a program with prescription treatment best suited to your unique biology.

Ongoing care $145/mo

If you move forward with treatment, our partner pharmacy will ship out your medication in 1-4 days.

You’ll have everything you need during treatment, including on-demand provider access via video or messaging, medication management, and ongoing refill support.

Meet our expert

From diagnosis to delivery, our healthcare providers are with patients every step of the way.

get video check ups with qualified medical advisors to review your progress on the Body Program

What’s included

Provider consultation

GLP-1 prescription (if appropriate)

Insurance concierge

Ongoing care & support

Tools to track progress

Please note: The cost of medication is not included in the Body Program.

Questions we hear every day

Dr Steve Silvestro, Ro

Compounded semaglutide 101

What is compounded semaglutide?

Compounding is the process of creating a medication that’s tailored to the needs of an individual patient. For example, some patients may need a medication in liquid form when the FDA-approved drug comes in a pill. Additionally, a pharmacy can compound medications of FDA-approved drugs that are in shortage. 

Compounded drugs are prepared by state-licensed compounding pharmacies that meet FDA and state requirements, including quality standards. When compounding in compliance with federal law, compounded drugs are not subject to FDA approval and do not have to undergo safety, effectiveness, or manufacturing review. 

Ro is partnering with compounding pharmacies to offer compounded semaglutide that uses the same active ingredient as Ozempic and Wegovy. In addition, Ro only offers a compounded product that contains semaglutide base (the same active ingredient in Ozempic and Wegovy) and not semaglutide salts (which are not the same active ingredient as Ozempic and Wegovy).

Where is compounded semaglutide made?

Ro works with state-licensed compounding pharmacies to produce compounded semaglutide. Compounding is regulated by both FDA and state boards of pharmacy. A licensed compounding pharmacy must comply with both federal and state laws, which include administrative requirements and quality standards.

What is the dosing for compounded semaglutide?

Dosing starts low, then gradually increases over the first few months until a steady dose is reached. If prescribed, your Ro-affiliated provider will work with you to find the right schedule and dosing for you.

How do you take compounded semaglutide?

Compounded semaglutide offered by Ro comes in small glass vials that you must carefully prepare to self-administer the injectable medication. 

To prepare each dose, clean the top of the vial with an alcohol wipe, and draw the appropriate amount of medication into the syringe. Like Wegovy and Ozempic, compounded semaglutide is injected weekly in your abdomen, thigh, or upper arm.

Potential risks of self-prepared dosing:

  • Administering a higher dose than recommended can lead to unwanted effects such as severe nausea, severe vomiting, and severe hypoglycemia.

  • Administering a lower dose than recommended can lead to inadequate treatment.

  • Improper cleaning can lead to infection.

If you’re prescribed medication, you'll receive additional training to guide you on safely preparing your dose for self-administration to minimize these risks.

Will my insurance cover compounded semaglutide?

Compounded semaglutide prescribed by Ro-affiliated providers is not covered by insurance.  

Is compounded semaglutide offered in my state?

Compounded semaglutide through Ro is available in 41 states. It’s not currently offered in Alabama, Alaska, Arkansas, California, Hawaii, Louisiana, Mississippi, Virginia, and the District of Columbia.