Advice

in the absence of a submission from the holder of the marketing authorisation:

semaglutide tablet (Wegovy®) is not recommended for use within NHSScotland.

Indication under review: as an adjunct to a reduced-calorie diet and increased physical activity for weight management, including weight loss and weight maintenance, in adults with an initial Body Mass Index (BMI) of
• ≥30 kg/m2 (obesity), or
• ≥27 kg/m2 to <30 kg/m2 (overweight) in the presence of at least one weight-related comorbidity.

The holder of the marketing authorisation has not made a submission to SMC regarding this product in this indication. As a result, we cannot recommend its use within NHSScotland.

The holder of the marketing authorisation has indicated that they plan to make a submission to SMC in the future.

SMC has previously accepted semaglutide FlexTouch solution for injection in pre-filled pen (Wegovy®) for restricted use for this indication (SMC2497). This advice remains valid.

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Medicine details

Medicine name:
semaglutide (Wegovy)
SMC ID:
SMC2988
Indication:

As an adjunct to a reduced-calorie diet and increased physical activity for weight management, including weight loss and weight maintenance, in adults with an initial Body Mass Index (BMI) of
• ≥30 kg/m2 (obesity), or
• ≥27 kg/m2 to <30 kg/m2 (overweight) in the presence of at least one weight-related comorbidity.

Pharmaceutical company
Novo Nordisk Ltd
BNF chapter
Endocrine system
Submission type
Non submission
Status
Not recommended
Date advice published
12 October 2026