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Comparison

Mounjaro vs Saxenda

The facts that differ, side by side, from each FDA label and trial.

Clinician review pending Updated

Mounjaro

tirzepatide · Eli Lilly

vs

Saxenda

liraglutide · Novo Nordisk

Side by side

MounjaroSaxenda
Active ingredienttirzepatideliraglutide
MakerEli LillyNovo Nordisk
ClassGIP and GLP-1 receptor agonistGLP-1 receptor agonist
Approved forType 2 diabetesWeight management
How you take itonce weekly injectiononce daily injection
Starting dose2.5 mg0.6 mg
Highest dose15 mg3 mg
Main trial resultA1C fell 2.0 to 2.3 points and weight fell about 17 to 25 lb across doses; semaglutide 1 mg lowered A1C 1.9 points and weight about 13 lb8.0% avg loss (SCALE Obesity and Prediabetes, 3 mg, 56 wk)
Nausea (label)12% to 18% vs 4% placebo39% vs 14% placebo
Missed-dose window4 days (96 hours)resume the next day (more than 3 days missed: restart titration)
Out of the fridgeUp to 21 days at or below 86°F (30°C)Up to 30 days after first use at 59°F to 86°F
List price$1,080/mo$1,349/mo
Lowest self-paynot offerednot offered

Prices compiled mid-2026 from manufacturer announcements; re-checked monthly.

Key differences

  • Different molecules. Mounjaro is tirzepatide (GIP and GLP-1 receptor agonist); Saxenda is liraglutide (GLP-1 receptor agonist).
  • Different approvals. Saxenda is approved for weight management; Mounjaro is approved for type 2 diabetes. That shapes insurance coverage.
  • Different routine. Mounjaro is a once weekly injection; Saxenda is a once daily injection.

Trial weight loss

Saxenda 3 mgSCALE Obesity and Prediabetes · 56 wk
8.0%
Average % of body weight lost in each drug's main trial. Separate trials, not a head-to-head result.

Which one fits you

That's a decision for you and your prescriber. The factors that usually decide it:

  • Your diagnosis, which decides the approved option and often the coverage
  • Whether your plan covers one and not the other
  • A shot or a pill, weekly or daily
  • How you tolerate side effects
  • Cost if you pay yourself: see the cost index

Common questions

Is Mounjaro the same as Saxenda?

No. They contain different medicines: tirzepatide and liraglutide.

Which works better for weight loss, Mounjaro or Saxenda?

Their main trials were separate, so a direct ranking isn't possible from that data. Your prescriber can weigh your history.

Can I switch from Mounjaro to Saxenda?

Only with your prescriber. Switching usually means a new starting dose, not a direct swap.

Which is cheaper, Mounjaro or Saxenda?

List prices are $1,080/mo and $1,349/mo a month; lowest self-pay options we track are not offered and not offered. Coverage usually matters more.

Sources

  1. Mounjaro prescribing information (FDA label on DailyMed)
  2. SURPASS-2 trial publication
  3. Saxenda prescribing information (FDA label on DailyMed)
  4. SCALE Obesity and Prediabetes trial publication

Clinician review pending. Drafted from primary sources and waiting for sign-off by a licensed clinician (MD, DO or PharmD) before launch. Every number is checked against its source. Drug facts are re-checked quarterly, prices monthly and whenever a label changes. How we review · Report an error