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(Victoza contains the same active ingredient as Saxenda but is used for Type 2 diabetes and cardiovascular risk reduction.) Other Saxenda alternatives include Ozempic (semaglutide), Mounjaro (tirzepatide), metformin, Qsymia (phentermine/topiramate), and Contrave (naltrexone/bupropion)

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The backstory: CVS Caremark, the nations largest pharmacy benefit manager, stopped covering Zepbound on July 1, 2025, after reaching a deal with Novo Nordisk, the maker of rival GLP-1 drug Wegovy