Semaglutide injection for weight management (Wegovy)

A prescription semaglutide injection given once a week, with a reduced-calorie diet and more physical activity. The FDA label record lists it to lower the risk of major heart and blood-vessel events in adults who have cardiovascular disease and obesity or overweight, and to reduce excess body weight and keep it off in adults and children aged 12 and older with obesity, and in adults with overweight who have at least one weight-related condition. The SELECT trial tested semaglutide 2.4 mg a week in adults with heart disease and overweight or obesity but no diabetes.

Also called Wegovy

  • Product
  • In this atlas

Overview

Technical summary

FDA application NDA215256, applicant listed as NOVO. Original approval on 2021-06-04 (ORIG-1, classified Type 10 - New Indication Submitted as Distinct NDA - Not Consolidated). Dosage form SOLUTION. The label record used for the indications is a repackager copy (A-S Medication Solutions, effective 2024-04-23).

Product details

Type
Medicine
Model or formulation
Solution for subcutaneous injection (dosage form SOLUTION on the openFDA record); several strengths.
Version
Not stated in the sources read. The application covers several strengths and presentations.

Intended-use sources

  1. Background WEGOVY drug label (openFDA record, set id f5e548d0-cc79-4c34-a3f5-e20a5b8b6564)

    Label · U.S. Food and Drug Administration (openFDA drug label endpoint) · Edition openFDA drug label record, label effective 20240423, dataset last updated 2026-10-13. This label record is the one openFDA returned for the application number; its manufacturer field names A-S Medication Solutions, a repackager. The labeling text is the product labeling for the application; no label record from Novo Nordisk itself was found by the application-number search. · SPL set id: f5e548d0-cc79-4c34-a3f5-e20a5b8b6564

    Locator
    Whole source
    How it applies
    Source of the stated intended use
    Retrieved
    Source effective date
    2024-04-23
    Source state
    Current
    Snapshot hash
    a08bc72d365699317453205cf6fb34b92fc52711315bcba269f256581a5f8fc9
    Reuse basis
    openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/). The label text is the manufacturer's labeling as FDA publishes it; check the openFDA documentation for a not-in-the-public-domain warning before quoting beyond short passages. The raw file is committed at research/snapshots/ch-openfda-label-f5e548d0-cc79-4c34-a3f5-e20a5b8b6564.json.

Claims and evidence

Context United States FDA original approval of a new drug application (NDA)

Recipient
Recipient not specified
Population
Not stated in the FDA application records read. The records give the applicant, the products and the submission history; the label record gives age limits for each indication.
Care setting
Not stated in the FDA records
Geography
United States (decision by the US Food and Drug Administration)
Life stage
Not stated in the FDA records
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
Not applicable (regulatory decision)
Eligibility: inclusion criteria not stated; exclusion criteria not stated
Included
None stated
Excluded
None stated
  • Regulatory Evidence stage not applicable Certainty not assessed

    The US Food and Drug Administration approved Wegovy (semaglutide injection) on 4 June 2021 under new drug application NDA215256. The Drugs@FDA page lists the original submission as ORIG-1, an approval. The openFDA record lists the applicant as NOVO and classifies the original submission as Type 10 - New Indication Submitted as Distinct NDA - Not Consolidated. The label record fetched on 2026-10-14 says Wegovy is a GLP-1 receptor agonist indicated, with a reduced calorie diet and more physical activity, to reduce the risk of major adverse cardiovascular events in adults with established cardiovascular disease and either obesity or overweight, and to reduce excess body weight and maintain weight reduction long term in adults and pediatric patients aged 12 years and older with obesity, and in adults with overweight who have at least one weight-related comorbid condition. It is dosed once weekly.

    Applies to Recipient not specified
    • Not stated in the FDA application records read. The records give the applicant, the products and the submission history; the label record gives age limits for each indication.
    • Not stated in the FDA records
    • United States (decision by the US Food and Drug Administration)
    • Not stated in the FDA records
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up Not applicable (regulatory decision)
    Certainty method
    Not assessed
    Limitations
    An FDA approval is a decision about a medicine, not a finding about how much it helps any person. The date comes from the Drugs@FDA page, which writes it as a month-first slash date. The openFDA record gives the date only as a compact number, so the page is quoted. The indications quoted are those on the label record fetched on 2026-10-14 and may differ from the original 2021 approval, which later supplements changed; the original indication is not in the sources read. openFDA says not to rely on it for decisions about medical care. The label record is a copy listed under the repackager A-S Medication Solutions, effective 2024-04-23, and may not show later changes to the label.
    Last checked
    2026-10-14
    Next evidence check due
    Not scheduled
    Sources and citations (7)
    1. Supports FDA New Drug Application NDA215256: Wegovy (openFDA drugsfda record)

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drugsfda record for application NDA215256 returned on 2026-10-14, from a dataset last updated 2026-10-13. It lists the applicant, products and submissions but gives the original approval date only as a compact number (YYYYMMDD), so the Drugs@FDA page is also kept as a snapshot. · NDA: NDA215256

      Locator
      results[0].application_number; results[0].sponsor_name
      How it applies
      Application number and applicant.
      Retrieved
      Source effective date
      2026-10-13
      Source state
      Current
      Snapshot hash
      af5056161789a8ea657eb7eb0e9dbbf6e7861d7cbf0105645ba18fe4c9f107df
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted, as the openFDA terms page states (fetched 2026-10-14 as ch-openfda-terms.html, sha256 b11f712bfb11, hash only). The raw record is committed at research/snapshots/ch-openfda-nda215256.json.
    2. Supports Drugs@FDA: approval date(s) and history for NDA 215256 (Wegovy)

      Regulator · U.S. Food and Drug Administration (Drugs@FDA) · Edition Drugs@FDA application overview page fetched 2026-10-14.

      Locator
      Original Approvals or Tentative Approvals, Action Date (MM/DD/YYYY)
      How it applies
      Original approval date.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      e264a6cd297aa6eaa33269a0088d41fae8c6832dba56aa338817b23d4e2bb432
      Reuse basis
      The FDA website policies page (fetched 2026-10-14 as ch-fda-website-policies.html, sha256 59b7c8541753, hash only) says that, unless otherwise noted, the contents of the FDA website (www.fda.gov) are not copyrighted and are in the public domain. This page is on the accessdata.fda.gov host of FDA; the policy page names www.fda.gov only, so the terms for this host are unverified and the source is cite_only: facts are stated in the atlas's own words, with no quoted span. The raw page is committed at research/snapshots/ch-fda-daf-nda215256.html.
    3. Supports FDA New Drug Application NDA215256: Wegovy (openFDA drugsfda record)

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drugsfda record for application NDA215256 returned on 2026-10-14, from a dataset last updated 2026-10-13. It lists the applicant, products and submissions but gives the original approval date only as a compact number (YYYYMMDD), so the Drugs@FDA page is also kept as a snapshot. · NDA: NDA215256

      Locator
      results[0].submissions[3].submission_type; results[0].submissions[3].submission_status; results[0].submissions[3].submission_class_code_description
      How it applies
      Original submission, its status and classification.
      Retrieved
      Source effective date
      2026-10-13
      Source state
      Current
      Snapshot hash
      af5056161789a8ea657eb7eb0e9dbbf6e7861d7cbf0105645ba18fe4c9f107df
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted, as the openFDA terms page states (fetched 2026-10-14 as ch-openfda-terms.html, sha256 b11f712bfb11, hash only). The raw record is committed at research/snapshots/ch-openfda-nda215256.json.
    4. Supports WEGOVY drug label (openFDA record, set id f5e548d0-cc79-4c34-a3f5-e20a5b8b6564)

      Label · U.S. Food and Drug Administration (openFDA drug label endpoint) · Edition openFDA drug label record, label effective 20240423, dataset last updated 2026-10-13. This label record is the one openFDA returned for the application number; its manufacturer field names A-S Medication Solutions, a repackager. The labeling text is the product labeling for the application; no label record from Novo Nordisk itself was found by the application-number search. · SPL set id: f5e548d0-cc79-4c34-a3f5-e20a5b8b6564

      Locator
      results[0].indications_and_usage[0]; results[0].dosage_and_administration[0]
      How it applies
      Indications and dosing on the label record.
      Retrieved
      Source effective date
      2024-04-23
      Source state
      Current
      Snapshot hash
      a08bc72d365699317453205cf6fb34b92fc52711315bcba269f256581a5f8fc9
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/). The label text is the manufacturer's labeling as FDA publishes it; check the openFDA documentation for a not-in-the-public-domain warning before quoting beyond short passages. The raw file is committed at research/snapshots/ch-openfda-label-f5e548d0-cc79-4c34-a3f5-e20a5b8b6564.json.
    5. Background FDA New Drug Application NDA215256: Wegovy (openFDA drugsfda record)

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drugsfda record for application NDA215256 returned on 2026-10-14, from a dataset last updated 2026-10-13. It lists the applicant, products and submissions but gives the original approval date only as a compact number (YYYYMMDD), so the Drugs@FDA page is also kept as a snapshot. · NDA: NDA215256

      Locator
      results[0].products[0].active_ingredients[0].name
      How it applies
      Active ingredient on the application record.
      Retrieved
      Source effective date
      2026-10-13
      Source state
      Current
      Snapshot hash
      af5056161789a8ea657eb7eb0e9dbbf6e7861d7cbf0105645ba18fe4c9f107df
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted, as the openFDA terms page states (fetched 2026-10-14 as ch-openfda-terms.html, sha256 b11f712bfb11, hash only). The raw record is committed at research/snapshots/ch-openfda-nda215256.json.
    6. Background WEGOVY drug label (openFDA record, set id f5e548d0-cc79-4c34-a3f5-e20a5b8b6564)

      Label · U.S. Food and Drug Administration (openFDA drug label endpoint) · Edition openFDA drug label record, label effective 20240423, dataset last updated 2026-10-13. This label record is the one openFDA returned for the application number; its manufacturer field names A-S Medication Solutions, a repackager. The labeling text is the product labeling for the application; no label record from Novo Nordisk itself was found by the application-number search. · SPL set id: f5e548d0-cc79-4c34-a3f5-e20a5b8b6564

      Locator
      results[0].openfda.manufacturer_name[0]
      How it applies
      The label record is a repackager listing.
      Retrieved
      Source effective date
      2024-04-23
      Source state
      Current
      Snapshot hash
      a08bc72d365699317453205cf6fb34b92fc52711315bcba269f256581a5f8fc9
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/). The label text is the manufacturer's labeling as FDA publishes it; check the openFDA documentation for a not-in-the-public-domain warning before quoting beyond short passages. The raw file is committed at research/snapshots/ch-openfda-label-f5e548d0-cc79-4c34-a3f5-e20a5b8b6564.json.
    7. Background Drugs@FDA: approval date(s) and history for NDA 215256 (Wegovy)

      Regulator · U.S. Food and Drug Administration (Drugs@FDA) · Edition Drugs@FDA application overview page fetched 2026-10-14.

      Locator
      Supplements, Submission Classification
      How it applies
      The Drugs@FDA page lists later supplements classified as new indications, so the current label may differ from the original approval.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      e264a6cd297aa6eaa33269a0088d41fae8c6832dba56aa338817b23d4e2bb432
      Reuse basis
      The FDA website policies page (fetched 2026-10-14 as ch-fda-website-policies.html, sha256 59b7c8541753, hash only) says that, unless otherwise noted, the contents of the FDA website (www.fda.gov) are not copyrighted and are in the public domain. This page is on the accessdata.fda.gov host of FDA; the policy page names www.fda.gov only, so the terms for this host are unverified and the source is cite_only: facts are stated in the atlas's own words, with no quoted span. The raw page is committed at research/snapshots/ch-fda-daf-nda215256.html.

Authorization

Regulatory decision: Semaglutide injection for weight management (Wegovy)

Applies to Recipient not specified
  • Not stated in the FDA application records read. The records give the applicant, the products and the submission history; the label record gives age limits for each indication.
  • Not stated in the FDA records
  • United States (decision by the US Food and Drug Administration)
  • Not stated in the FDA records
  • Gestational age Not reported
  • Postnatal age Not reported
Follow-up Not applicable (regulatory decision)
Decision
Approval,
Pathway
NDA
Submission
NDA215256
Jurisdictions
United States; note: United States
Product version
Wegovy (semaglutide) injection, application NDA215256, original submission ORIG-1
Indication
The indication on the original approval was not read. On the current label record (repackager copy, 2024-04-23) the weight indication is limited to adults and pediatric patients aged 12 years and older with obesity, and adults with overweight in the presence of at least one weight-related comorbid condition; the other uses are in claim-fda-nda215256-approval.
Basis
The US Food and Drug Administration approved Wegovy (semaglutide injection) on 4 June 2021 under new drug application NDA215256. The Drugs@FDA page lists the original submission as ORIG-1, an approval. The openFDA record lists the applicant as NOVO and classifies the original submission as Type 10 - New Indication Submitted as Distinct NDA - Not Consolidated. The label record fetched on 2026-10-14 says Wegovy is a GLP-1 receptor agonist indicated, with a reduced calorie diet and more physical activity, to reduce the risk of major adverse cardiovascular events in adults with established cardiovascular disease and either obesity or overweight, and to reduce excess body weight and maintain weight reduction long term in adults and pediatric patients aged 12 years and older with obesity, and in adults with overweight who have at least one weight-related comorbid condition. It is dosed once weekly.

Limitations. An FDA approval is a decision about a medicine, not a finding about how much it helps any person. The date comes from the Drugs@FDA page, which writes it as a month-first slash date. The openFDA record gives the date only as a compact number, so the page is quoted. The indications quoted are those on the label record fetched on 2026-10-14 and may differ from the original 2021 approval, which later supplements changed; the original indication is not in the sources read. openFDA says not to rely on it for decisions about medical care. The label record is a copy listed under the repackager A-S Medication Solutions, effective 2024-04-23, and may not show later changes to the label.

A regulatory decision is separate from a guideline recommendation and from payment coverage.

Record details

Record id
cardio:wegovy
Content hash
a0fd76f4f727e7d70efc8f7f7176d7c5e918a38887e54f2f27122381d0e314fd