Switching from Mounjaro to Wegovy Pharmacy Policies
With recent Mounjaro price fluctuations in the UK, many patients are looking at swapping to Wegovy. Pharmacies set independent rules, and policies depend on pricing, supply, and strict internal clinical procedures.
Because of rising costs, some patients now consider Wegovy as a more affordable choice. As a result, pharmacies are seeing more switching requests. Some pharmacies require a new prescription, while others manage changes according to their own internal procedures.
Clinical Check Required: Before switching from Mounjaro to Wegovy, pharmacies may need to run extra checks. Your prescriptions, current BMI, and any past side effects can affect the decision. The tables below are a guide only. Each pharmacy may treat your case differently.
Cautious Swapper Pharmacies
These independent pharmacies allow swapping to Wegovy, but only with stricter checks and requirements.
| Pharmacy | BMI Switch | Days | Evidence Required | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg |
|---|---|---|---|---|---|---|---|---|
| Medicine Marketplace | 30 / 27 | 28 | Current BMI | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg |
Swap but Drop Pharmacies
These pharmacies allow immediate switching from Mounjaro to Wegovy, but limit the supply strictly to the lowest starter dose regardless of previous tolerance.
| Pharmacy | BMI Switch | Days | Evidence Required | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg |
|---|---|---|---|---|---|---|---|---|
| Happy Pharmacy | 26 | 7 | Proof of Mounjaro dose | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg |
| OnlineMeds | 20 | 7 | Proof of Mounjaro dose | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg |
| Tribelle | 22 | 7 | Initial GLP starting BMI | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg | → 0.25mg |
Hot Swap Pharmacies
These pharmacies allow a direct switching transition from higher Mounjaro doses to corresponding higher Wegovy doses with minimal administrative barriers.
| Pharmacy | BMI Switch | Days | Evidence Required | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg |
|---|---|---|---|---|---|---|---|---|
| Bolt Pharmacy | 21 | — | Proof of Mounjaro dose | → 1mg | → 1mg | → 1.7mg | → 1.7mg | → 2.4mg |
| Cuva Health | 22 | 7 | Proof of Mounjaro / Initial BMI | → 0.5mg | → 1mg | → 1.7mg | → 2.4mg | → 2.4mg |
| Dr Weightmans | 21 | 7 | Proof of Mounjaro / Initial BMI | → 1mg | → 1.7mg | → 1.7/2.4mg | → 2.4mg | → 2.4mg |
| Farmeci | 24 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1.7mg | → 1.7mg | → 2.4mg |
| Fella Health | 21 | 7 | Proof of Mounjaro dose | → 1mg | → 1mg | → 1.7mg | → 1.7mg | → 2.4mg |
| Fylde Clinic | 23 | 7 | Proof of Mounjaro dose | → 0.25mg | → 0.5mg | → 0.5mg | → 1mg | → 1mg |
| Get A Drip | 19.5 | 7 | Proof of Mounjaro dose | → 0.5mg | → 0.5mg | → 1mg | → 1mg | → 1mg |
| Juniper | 22 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1.7mg | → 2.4mg | → 2.4mg |
| Lloyds Pharmacy | 25 | 7 | Proof of Mounjaro dose | → 1mg | → 2.4mg | → 2.4mg | → 2.4mg | → 2.4mg |
| Lotus Weight Loss | 20 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1.7mg | → 2.4mg | → 2.4mg |
| Medicspot | 21 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1.7mg | → 1.7mg | → 1.7mg |
| MSH Weight Loss | 20 | 7 | Proof of Mounjaro / Initial BMI | → 0.5mg | → 0.5mg | → 1mg | → 1mg | → 1mg |
| My London Pharmacy | 24 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1.7mg | → 1.7mg | → 2.4mg |
| Oushk | 22 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1mg | → 1.7mg | → 2.4mg (7.2mg Pos) |
| Pharmacy2U | 25 | 7 | Proof of Mounjaro dose | → 1mg | → 2.4mg | → 2.4mg | → 2.4mg | → 2.4mg |
| Pharmacy Online | 25 | 7 | Proof of Mounjaro / Initial BMI | → 1mg | → 1mg | → 1.7mg | → 1.7mg | → 2.4mg |
| PillSorted | 24 | 7 | Proof of Mounjaro / Initial BMI | → 0.25mg | → 0.5mg | → 1mg | → 1mg | → 1mg |
| PrivateDoc | 21 | 7 | Proof of Mounjaro / Initial BMI | → 0.5mg | → 1mg | → 1mg | → 1mg | → 1mg |
| Quickmeds | 24 | 7 | Proof of Mounjaro dose | → 0.5mg | → 0.5mg | → 0.5mg | → 0.5mg | → 0.5mg |
| Simple Online Pharmacy | 24 | 7 | Proof of Mounjaro dose | → 0.5mg | → 1mg | → 1mg | → 1.7mg | → 1.7mg |
| WePrescribe | 21 | 7 | Proof of Mounjaro doses | → 0.5mg | → 1mg | → 1mg/1.7mg | → 1.7mg | → 1.7mg/2.4mg |
Switching from Mounjaro to Wegovy: Clinical Data?
Understanding the off-licence nature of cross-titrating GLP-1 and GIP receptor agonists.
There are currently no published clinical trials looking at people switching directly from Mounjaro (tirzepatide, at any dose) to Wegovy (semaglutide, at any dose).
The major studies of these medicines tested them separately or compared them side by side, but did not examine the physiological effect of moving from one to the other.
In the UK, such a switch may still be offered by a prescriber or pharmacy, but this type of prescribing is considered off-licence (used outside strict licence conditions).
A switch can be made if the prescriber believes it is appropriate, but it should be done with careful monitoring. Outcomes may differ from standalone clinical studies.
Sources referenced on this page
Standing primary references for every iGovy page:
- Wegovy (semaglutide) Summary of Product Characteristics and Patient Information Leaflet, electronic medicines compendium
- MHRA Drug Safety Update: GLP-1 receptor agonists
- NICE TA875: semaglutide for managing overweight and obesity
- General Pharmaceutical Council register of pharmacies
- MHRA Yellow Card scheme
