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If your insurance wont cover semaglutide or youre paying out-of-pocket for your prescription, consider asking your healthcare provider about these alternatives to semaglutide: Mounjaro or Zepbound Foundayo Metformin Victoza or Saxenda Phentermine/topiramate Naltrexone/bupropion Orlistat Mounjaro or Zepbound Mounjaro and Zepbound are once-weekly injections containing tirzepatide as the active ingredient