Product Details

Semaglutide Injection

Semaglutide
1.34 mg/mL
Solution for Injection
3-mL (4 mg) Prefilled Pen

DIN/PIN/NPN

02567814

Manufacturer

Dr. Reddy's Laboratories Inc.

Formulary Listing Date

2026-06-30  

Unit Price

78.1410

Amount MOH Pays

78.1410

Coverage Status

Limited Use Product Insulin or Oral Hypoglycemic Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A10BJ06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02471469 Ozempic 227.9400 78.1410
02568012 Apo-Semaglutide Injection 78.1410 78.1410
02567814 Semaglutide Injection 78.1410 78.1410
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
665 Indefinite

For the treatment of adult patients with type 2 diabetes when adequate glycemic control is not achieved on the maximum tolerated dose of metformin or where metformin is contraindicated or inappropriate.

Semaglutide is not funded in combination with another glucagon-like peptide-1 receptor agonist (GLP-1 RA) or dipeptidyl peptidase-4 (DPP-4) inhibitor.

Injectable semaglutide is not funded in combination with oral semaglutide. Coverage is only provided for one dosage format.

Reimbursed dose: As per the product monograph

 

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph