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Comparison

Ozempic vs Saxenda

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

Clinician review pending Updated

Ozempic

semaglutide · Novo Nordisk

vs

Saxenda

liraglutide · Novo Nordisk

Side by side

OzempicSaxenda
Active ingredientsemaglutideliraglutide
MakerNovo NordiskNovo Nordisk
ClassGLP-1 receptor agonistGLP-1 receptor agonist
Approved forType 2 diabetesWeight management
How you take itonce weekly injectiononce daily injection
Starting dose0.25 mg0.6 mg
Highest dose2 mg3 mg
Main trial resultA1C fell about 1.5 to 1.8 points at 1 mg, with average weight loss of roughly 10 to 14 lb in most trials8.0% avg loss (SCALE Obesity and Prediabetes, 3 mg, 56 wk)
Nausea (label)16% to 20% vs 6% placebo39% vs 14% placebo
Missed-dose window5 daysresume the next day (more than 3 days missed: restart titration)
Out of the fridgeUp to 56 days after first use at 59°F to 86°F (15°C to 30°C)Up to 30 days after first use at 59°F to 86°F
List price$998/mo$1,349/mo
Lowest self-pay$349/monot offered

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

Key differences

  • Different molecules. Ozempic is semaglutide (GLP-1 receptor agonist); Saxenda is liraglutide (GLP-1 receptor agonist).
  • Different approvals. Saxenda is approved for weight management; Ozempic is approved for type 2 diabetes. That shapes insurance coverage.
  • Different routine. Ozempic 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 Ozempic the same as Saxenda?

No. They contain different medicines: semaglutide and liraglutide.

Which works better for weight loss, Ozempic 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 Ozempic to Saxenda?

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

Which is cheaper, Ozempic or Saxenda?

List prices are $998/mo and $1,349/mo a month; lowest self-pay options we track are $349/mo and not offered. Coverage usually matters more.

Sources

  1. Ozempic prescribing information (FDA label on DailyMed)
  2. Saxenda prescribing information (FDA label on DailyMed)
  3. 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