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Requestors, such as family members or caregivers, can also utilize the form but do not need to provide a signature

Ozempic 2 mg/3 mL (0.68 mg/mL) prefilled pen that delivers 0.25 mg or 0.5 mg per injection Images Generic Name: semaglutide This medication has been identified as Ozempic 2 mg/3 mL (0.68 mg/mL) prefilled pen that delivers 0.25 mg or 0.5 mg per injection and is used for Cardiovascular Risk Reduction, Chronic Kidney Disease, and Type 2 Diabetes

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Patients with a personal or family history of medullary thyroid cancer, pancreatitis, or certain diabetic complications need careful risk assessment before starting GLP-1 therapy