NHS Wegovy Eligibility Calculator
Check whether you may qualify for NHS Wegovy (semaglutide) using current NICE recommendations. This is guidance only and final decisions depend on your NHS clinician and local service pathways.
1. Are you 18 or over?
NICE recommendations for semaglutide weight management apply to adults.
This tool provides general guidance only. It is not a medical assessment, and NHS access can vary by region. Always speak to your GP or clinician.
NHS vs private: 2-year cost comparison
If you receive Wegovy through the NHS in England, the standard prescription charge may apply unless you are exempt. Private costs vary widely by provider.
NHS prescription (England)
- £9.90 per item in England, unless exempt
- Provided within specialist weight management services
- Maximum duration in NICE is 2 years
Scotland, Wales, and Northern Ireland have different prescription charging arrangements.
Private treatment
- Monthly costs can be several hundred pounds
- Speed of access can be quicker
- Clinical support varies by provider
How NHS Wegovy access typically works
Specialist service pathway
NICE recommends semaglutide within a specialist weight management service offering multidisciplinary support.
Diet and activity support
Wegovy is recommended alongside a reduced-calorie diet and increased physical activity, not as a standalone treatment.
Review and stopping rule
NICE suggests clinicians consider stopping if less than 5% of initial weight is lost after 6 months.
Complete NHS Wegovy eligibility criteria (NICE summary)
This is a plain-English summary of the key parts used in this tool. Local NHS pathways can add further requirements.
BMI at least 35, plus at least one weight-related comorbidity, within a specialist service.
BMI 30 to 34.9, plus at least one comorbidity, and you meet criteria for referral to specialist services.
NICE advises using lower BMI thresholds (usually reduced by 2.5) for some family backgrounds, including South Asian, Chinese, other Asian, Middle Eastern, Black African, and African-Caribbean.
Frequently asked questions
How long does the NHS provide Wegovy?
In NICE recommendations, semaglutide is used for a maximum of 2 years within a specialist service. Clinicians may consider stopping if weight loss is less than 5% after 6 months.
Why does this tool ask about comorbidities?
NICE recommendations include the requirement for at least one weight-related comorbidity when considering semaglutide for weight management in adults.
Does everyone in the UK have the same access?
No. Local service availability and referral pathways can differ by area. This tool provides guidance, but your GP and local services make the final decision.
Can I still use private treatment if I am not eligible on the NHS?
Yes, many people access treatment privately. Use the comparison pages to check current providers and prices, and speak to a clinician before starting any medication.
How this tool works and sources
This tool is built from the public NICE recommendations for semaglutide weight management. It does not store your answers, and it does not provide medical advice.
- Uses BMI thresholds and ethnicity adjustment from NICE
- Requires at least one weight-related comorbidity
- Includes specialist service pathway and review guidance