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Reference · Updated 2026-06-01

Semaglutide & Compounded GLP-1 Glossary

Released: · Last reviewed:

Plain-language definitions of every regulatory, clinical, and pharmacy term used in our reviews. 33 entries, cross-referenced and updated quarterly.

33 terms below. Each term is a citable entity with a stable anchor link — e.g., https://semaglutideglpone.com/glossary.html#semaglutide.

Semaglutide

A once-weekly subcutaneous injectable peptide that selectively activates the GLP-1 (glucagon-like peptide-1) receptor — semaglutide is a single-receptor agonist, not dual. Manufactured by Novo Nordisk and sold as Ozempic (FDA-approved for type 2 diabetes) and Wegovy (FDA-approved for chronic weight management 2021; CV risk reduction 2024).

Also known as: GLP-1 receptor agonist, Ozempic, Wegovy, Rybelsus, NN9535

Ozempic

Brand name for semaglutide manufactured by Novo Nordisk, FDA-approved for type 2 diabetes mellitus (May 2022). Same active ingredient as Wegovy but different FDA label.

Also known as: semaglutide for diabetes

Wegovy

Brand name for semaglutide manufactured by Novo Nordisk, FDA-approved for chronic weight management (June 4, 2021) with a March 2024 label expansion adding cardiovascular risk reduction in adults with obesity and established CVD.

Also known as: semaglutide for weight loss, semaglutide for OSA

Semaglutide

A once-weekly GLP-1 receptor agonist manufactured by Novo Nordisk. Brand names include Ozempic (type 2 diabetes), Wegovy (chronic weight management), and Rybelsus (oral type 2 diabetes formulation).

Also known as: GLP-1 agonist, Ozempic, Wegovy

Compounded semaglutide

Patient-specific or office-stock semaglutide preparation dispensed by a 503A licensed compounding pharmacy or 503B FDA-registered outsourcing facility. Compounded semaglutide is NOT FDA-approved and is NOT the same as Ozempic or Wegovy.

Also known as: compounded GLP-1

503A pharmacy

A state-licensed compounding pharmacy under Section 503A of the Federal Food, Drug, and Cosmetic Act. Dispenses patient-specific compounded preparations under valid prescriptions, operates under USP <797> sterile compounding standards. Not FDA-inspected at the federal level (state oversight only).

Also known as: 503A compounding, patient-specific compounding

503B outsourcing facility

An FDA-registered outsourcing facility under Section 503B of the Federal Food, Drug, and Cosmetic Act. Produces office-stock compounded medications under cGMP (current Good Manufacturing Practice). Subject to FDA inspection. Listed in the FDA's public Outsourcing Facility Registration database.

Also known as: 503B compounding, FDA-registered outsourcing

PCAB

Pharmacy Compounding Accreditation Board. A voluntary third-party accreditation administered by the Accreditation Commission for Health Care (ACHC). PCAB accreditation signals adherence to USP <797> sterile compounding standards above and beyond state minimums.

Also known as: Pharmacy Compounding Accreditation Board, PCAB-accredited

USP <797>

United States Pharmacopeia chapter governing sterile compounding. Defines facility, equipment, personnel, environmental controls, and procedural standards for preparing sterile compounded medications including injectables.

Also known as: sterile compounding standard

USP <800>

United States Pharmacopeia chapter governing handling of hazardous drugs. Covers receipt, storage, compounding, dispensing, administration, and disposal.

Also known as: hazardous drug handling standard

United States Pharmacopeia chapter on sterility testing. Required as part of quality assurance for sterile compounded medications including injectable peptides.

Also known as: sterility testing

United States Pharmacopeia chapter on bacterial endotoxins testing. Used to verify endotoxin content in sterile preparations.

Also known as: endotoxin testing

High-Performance Liquid Chromatography test that measures the concentration of an active pharmaceutical ingredient in a finished compounded preparation. Confirms that the labeled potency matches actual content.

Also known as: potency testing

Document issued by a pharmacy or manufacturer for a specific lot or batch, listing test results including sterility, endotoxin, and potency.

FDA-approved

A medication that has completed the FDA's New Drug Application (NDA) process and received marketing authorization for a specific indication, dose, and population. Compounded medications are NOT FDA-approved — they are dispensed under the Federal Food, Drug, and Cosmetic Act's compounding exemptions.

Also known as: FDA approval

A third-party certification program that verifies online pharmacies and telehealth providers operate within applicable laws and best practices.

Also known as:

GLP-1 receptor agonist

Class of medications that activate the glucagon-like peptide-1 receptor. Mechanism: enhances glucose-dependent insulin secretion, suppresses glucagon, slows gastric emptying, and reduces caloric intake. Examples: semaglutide (Ozempic, Wegovy), liraglutide (Saxenda, Victoza), dulaglutide (Trulicity).

Also known as: GLP-1 agonist

GLP-1 receptor (single agonist)

A medication that activates the glucose-dependent insulinotropic polypeptide receptor. GLP-1 is an incretin hormone that, like GLP-1, enhances glucose-dependent insulin secretion. Semaglutide is the first GLP-1 receptor agonist.

Also known as: GLP-1 agonist

Titration schedule

The stepwise increase of medication dose to a target maintenance dose. For Wegovy semaglutide: 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg weekly, with at least 4 weeks at each step before escalating (maintenance from week 17). Slow titration reduces GI side-effect intensity.

Also known as: dose escalation

BMI eligibility

Body Mass Index criteria for semaglutide weight-management prescribing. FDA Wegovy label: BMI ≥30, OR BMI ≥27 with at least one weight-related comorbidity (hypertension, dyslipidemia, type 2 diabetes, OSA, cardiovascular disease).

Also known as: BMI threshold

MTC

Medullary thyroid carcinoma. A type of thyroid cancer arising from parafollicular C cells.

Also known as: medullary thyroid carcinoma

MEN 2

Multiple Endocrine Neoplasia syndrome type 2. A hereditary cancer syndrome characterized by medullary thyroid carcinoma. Contraindication for semaglutide.

Also known as: MEN 2 syndrome, Multiple Endocrine Neoplasia 2

STEP-1

The pivotal weight-loss trial for semaglutide in adults without diabetes (Wilding JP et al., NEJM 2021, n=1,961, PMID 33567185). Primary outcome: -14.9% mean change in body weight on semaglutide 2.4 mg over 68 weeks vs -2.4% on placebo.

Also known as: STEP trial

SURPASS-2

Head-to-head trial of tirzepatide vs semaglutide 1 mg in adults with type 2 diabetes (NEJM 2021, PMID 34170647). Semaglutide produced approximately 47% greater weight loss and superior HbA1c reduction.

Also known as: tirzepatide vs semaglutide trial

Boxed warning

The FDA's most stringent warning, formerly called black-box warning, applied to medications with serious safety concerns. Semaglutide carries a boxed warning regarding thyroid C-cell tumors observed in rodent studies; relevance to humans is unknown.

Also known as: FDA boxed warning, black-box warning

Telehealth

The provision of healthcare services using telecommunications technology, including video visits, asynchronous messaging, and remote monitoring. Telehealth prescribing of GLP-1 medications is permitted in all 50 U.S. states subject to standard practice requirements.

Also known as: virtual care, telemedicine

licensed clinician supervision

Clinical oversight by a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).

Also known as: physician-led prescribing

Async-only telehealth

Telehealth model where the patient never has a real-time video or phone visit with a clinician — all interaction is via written intake forms and messaging. Lower clinician-time cost, but a less rigorous standard for medication management.

Also known as: asynchronous telehealth

Cash-pay telehealth

Telehealth model where the patient pays the provider directly out-of-pocket (often with HSA/FSA), without billing insurance. Common for compounded medications and for brand-name medications when not covered by the patient's plan.

Also known as: self-pay telehealth

Six-pillar transparency framework

SemaglutideGLPOne.com's former v3.0 scoring rubric (replaced by v4.1 in November 2026) for semaglutide telehealth providers. 100 points total. 70% per-pillar threshold for transparency-compliant designation.

Also known as: v3.0 rubric, transparency rubric

Pillar 2 — Pharmacy traceability

Element of the SemaglutideGLPOne.com v3.0 rubric (20 points).

Also known as: pharmacy of record disclosure

Covers nutrition, behavior change, and titration support.

Flat-rate pricing

Pricing model where the monthly cost remains constant across the full medication titration schedule — no price increase as the patient escalates from 0.25 mg to 2.4 mg. NexLife's $95/mo (12-month plan) is flat across the entire 0.25–2.4 mg titration.

Also known as: dose-independent pricing

Researched By Dr. Parmis · Medical Researcher · Western University of Health Sciences

Medically Reviewed By Dr. Jonathan Snipes, MD · Kim Callender, NP (FNP-BC)

Last medically reviewed: · This page is informational and does not constitute medical advice.