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Wegovy vs Mounjaro: what the two labels actually say
Wegovy and Mounjaro are different drugs approved for different jobs. Wegovy treats weight. Mounjaro treats blood sugar in type 2 diabetes. Neither label covers the other’s use.
Source: Read from both FDA labels on DailyMed
What matters first
Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewerReviewed 2026-08-13every number here is sourced
Wegovy and Mounjaro, line by line
14 lines, read off the two labels. Where a label says nothing, the cell says so rather than borrowing from the other one.
| Question | Wegovy | Mounjaro |
|---|---|---|
| What is in it | Semaglutide, which acts on one gut hormone receptor, GLP-1 | Tirzepatide, which acts on two, GIP and GLP-1 |
| Who makes it | Novo Nordisk | Eli Lilly and Company |
| What the label approves | Weight reduction, lower heart event risk in adults with heart disease and excess weight, MASH liver disease, and patients from age 12 | Blood sugar control in type 2 diabetes, and nothing else |
| Is it approved for weight | Yes | No |
| Is it approved for blood sugar in type 2 diabetes | No | Yes |
| How oftenSame on both labels | Once a week | Once a week |
| When it was approved | 2021-06-04, under NDA 215256 | 2022-05-13, under NDA 215866 |
| Starting dose | 0.25 mg once a week | 2.5 mg once a week for 4 weeks |
| Top dose | 2.4 mg, or 7.2 mg for weight reduction in adults | 15 mg a week for adults, 10 mg from age 10 |
| Doses you can stay on | 1.7, 2.4 or 7.2 mg | The label names none. Any step from 5 mg up, chosen on blood sugar control |
| How a missed week is handled | Take it if the next dose is more than 2 days off, otherwise skip | Within 4 days the dose can still go in |
| Youngest patient covered | Age 12 | Age 10, added in December 2025 |
| Is there a pill | Yes, a tablet at 1.5, 4, 9 and 25 mg, under a separate application | No. Injection only |
| What the label reports for nausea | 44 in 100 at 2.4 mg, against 16 on placebo | 12, 15 and 18 in 100 at 5, 10 and 15 mg, against 4 on placebo |
Has anyone tested Wegovy against Mounjaro directly?
No. Two trials have compared the two ingredients, and each of them lines up with one of these products and not the other.
SURMOUNT-5 ran 72 weeks in 751 adults with obesity and without type 2 diabetes. Its semaglutide arm reached 1.7 mg or 2.4 mg, which is Wegovy’s own maintenance range, and its tirzepatide arm reached 10 mg or 15 mg, which is inside Mounjaro’s range too. But the people in it were being treated for obesity — Wegovy’s approved use, and not one the Mounjaro label carries.
SURPASS-2 ran 40 weeks in 1,879 adults with type 2 diabetes, which is Mounjaro’s use. Its semaglutide arm was 1 mg. That is below every dose Wegovy names as one to stay on, so it does not describe Wegovy at any point.
So the trials bracket this pair without landing on it: right population and the wrong semaglutide dose, or right semaglutide dose and the wrong population.
There is a plainer reason nobody has run it. A trial needs a shared measure, and these two labels have none — one is approved on weight and the other on blood sugar.
5Comparison details
This pair is usually the wrong question, and there is a right one behind it
Wegovy is approved for weight and Mounjaro is approved for blood sugar. If somebody is being treated for weight, Mounjaro is not the label-covered option; if for type 2 diabetes, Wegovy is not.
What makes that easy to miss is that each has a twin under a different name. Mounjaro’s twin is Zepbound: the same tirzepatide, the same maker, the same devices, the same 2.5 mg steps, and a label that covers weight. Wegovy’s twin is Ozempic: the same semaglutide, the same maker, and a label that covers type 2 diabetes.
So the comparison that answers a weight question is Wegovy against Zepbound, and the one that answers a diabetes question is Ozempic against Mounjaro. Both of those pairs have been tested head to head. This one has not, and could not be.
Being prescribed one of these off its label is common, and it is not the same as being prescribed the other
A prescriber may write either drug for something its label does not cover. That is legal and ordinary, and it is not what this page can weigh in on.
What the labels do settle is what happens around it. An approved use brings a printed dose schedule for that use, a reaction table drawn from trials in those patients, and an age range. Mounjaro’s reaction table comes from diabetes trials in people mostly already on other diabetes medicines. Wegovy’s comes from weight trials carried to 2.4 mg.
That is why the nausea rows sit so far apart — 44 in 100 against 12 to 18 in 100 — for two drugs that behave far more alike than that gap suggests. Different trials, different people, different printing cut-offs. Neither figure is the truth about either molecule.
Only one of the two has a tablet, and only one has an age-10 approval
Wegovy also exists as a tablet, at 1.5, 4, 9 and 25 mg, under a separate application. Mounjaro is injection only.
Mounjaro reaches further down in age: from 10 years old, added in December 2025, with the ceiling set at 10 mg rather than 15 for those patients. Wegovy covers age 12 and up.
Neither of those is a strength or weakness of the molecule. Each is one company having run a trial and filed for one more approval, and each belongs to that product alone.
What about “Mounjaro vs Wegovy”?
It is the same comparison with the names reversed, so both searches lead to this answer.
Publishing both orderings would mean two near-identical pages competing with each other for one answer. We publish one page per pair and let both phrasings land on it.
The full label for each
Compare the products here, then open each product’s own dose schedule and side-effect table for the details.
Wegovy
Mounjaro
- Wegovy (semaglutide) injection and tablets — FDA-approved Prescribing Information (DailyMed)retrieved 2026-08-12FDA label
- Wegovy (semaglutide) Prescribing Information, revised 06/2026 — Drugs@FDA NDA 215256/S-025retrieved 2026-08-12FDA label
- FDA approval letter, NDA 215256 — Wegovy (semaglutide) injection, chronic weight management in adultsretrieved 2026-08-12FDA label
- FDA supplement approval letter, NDA 215256/S-005 — Wegovy in pediatric patients aged 12 years and olderretrieved 2026-08-12FDA label
- FDA supplement approval letter, NDA 215256/S-011 — Wegovy cardiovascular risk reduction indication (SELECT)retrieved 2026-08-12FDA label
- FDA accelerated approval letter, NDA 215256/S-024 — Wegovy for noncirrhotic MASH with stage F2 to F3 fibrosisretrieved 2026-08-12FDA label
- FDA supplement approval letter, NDA 215256/S-029 — Wegovy injection 7.2 mg once-weekly doseretrieved 2026-08-12FDA label
- FDA approval letter, NDA 218316 — Wegovy (semaglutide) tablets, oral dosage formretrieved 2026-08-12FDA label
- Mounjaro (tirzepatide) injection — FDA-approved Prescribing Information (DailyMed)retrieved 2026-08-12FDA label
- Drugs@FDA approval history — NDA 215866, Mounjaro (tirzepatide) injectionretrieved 2026-08-12FDA label
- FDA approval letter, NDA 215866 — Mounjaro (tirzepatide) injection, glycemic control in adults with type 2 diabetesretrieved 2026-08-12FDA label
- FDA supplement approval letter, NDA 215866/S-039 — expansion of the Mounjaro type 2 diabetes indication to pediatric patients aged 10 years and older (trial I8F-MC-GPGV)retrieved 2026-08-12FDA label
- Aronne LJ et al. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5). N Engl J Med 2025;393(1):26-36 — PubMed 40353578retrieved 2026-08-12Human trial
- SURMOUNT-5 trial registry record — ClinicalTrials.gov NCT05822830retrieved 2026-08-12Human trial
- Frías JP et al. Tirzepatide versus Semaglutide Once Weekly in Patients with Type 2 Diabetes (SURPASS-2). N Engl J Med 2021;385(6):503-515 — PubMed 34170647retrieved 2026-08-12Human trial
- SURPASS-2 trial registry record — ClinicalTrials.gov NCT03987919retrieved 2026-08-12Human trial