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Ozempic 0.25 mg or 0.5 mg dose (2 mg/3 mL subcutaneous pen injector) NDC: 0169-4181-13 Days supply: Sample/initial (42 days) 1-month supply (28 days) Intent of prescription: Sample or initial prescription for new starts 1-month prescription for maintenance on 0.5 mg For patients with T2D and CKD, increase to the recommended maintenance dose of 1 mg after at least 4 weeks on 0.5 mg Strength: 2 mg per 3 mL (0.68 mg/mL) Dosage form: Solution SIG: Sample or initial Rx: Inject 0.25 mg SUBQ once weekly for 4 weeks, then 0.5 mg SUBQ once weekly for 2 weeks Maintenance Rx: Inject 0.5 mg SUBQ once weekly for 4 weeks Dispense quantity: 3 mL Dispense quantity unit of measure: mL ONLY Needles: 6 included Number of boxes: 1 box Ozempic 0.25 mg or 0.5 mg dose (2 mg/3 mL subcutaneous pen injector) NDC: 0169-4181-13 Days supply: 3-month supply (84 days) Intent of prescription: 3-month prescription for maintenance on 0.5 mg For patients with T2D and CKD, increase to the recommended maintenance dose of 1 mg after at least 4 weeks on 0.5 mg Strength: 2 mg per 3 mL (0.68 mg/mL) Dosage form: Solution SIG: Maintenance Rx: Inject 0.5 mg SUBQ once weekly for 12 weeks Dispense quantity: 9 mL Dispense quantity unit of measure: mL ONLY Needles: 18 included Number of boxes: 3 boxes Ozempic 1 mg dose (4 mg/3 mL subcutaneous pen injector) NDC: 0169-4130-13 Days supply: 1-month supply (28 days) Intent of prescription: 1-month prescription for maintenance on 1 mg Strength: 4 mg per 3 mL (1.34 mg/mL) Dosage form: Solution SIG: Maintenance Rx: Inject 1 mg SUBQ once weekly for 4 weeks Dispense quantity: 3 mL Dispense quantity unit of measure: mL ONLY Needles: 4 included Number of boxes: 1 box Ozempic 1 mg dose (4 mg/3 mL subcutaneous pen injector) NDC: 0169-4130-13 Days supply: 3-month supply (84 days) Intent of prescription: 3-month prescription for maintenance on 1 mg For patients with T2D and CKD, increase to the recommended maintenance dose of 1 mg Strength: 4 mg per 3 mL (1.34 mg/mL) Dosage form: Solution SIG: Maintenance Rx: Inject 1 mg SUBQ once weekly for 12 weeks Dispense quantity: 9 mL Dispense quantity unit of measure: mL ONLY Needles: 12 included Number of boxes: 3 boxes Ozempic 2 mg dose (8 mg/3 mL subcutaneous pen injector) NDC: 0169-4772-12 Days supply: 1-month supply (28 days) Intent of prescription: 1-month prescription for maintenance on 2 mg Strength: 8 mg per 3 mL (2.68 mg/mL) Dosage form: Solution SIG: Maintenance Rx: Inject 2 mg SUBQ once weekly for 4 weeks Dispense quantity: 3 mL Dispense quantity unit of measure: mL ONLY Needles: 4 included Number of boxes: 1 box Ozempic 2 mg dose (8 mg/3 mL subcutaneous pen injector) NDC: 0169-4772-12 Days supply: 3-month supply (84 days) Intent of prescription: 3-month prescription for maintenance on 2 mg Strength: 8 mg per 3 mL (2.68 mg/mL) Dosage form: Solution SIG: Maintenance Rx: Inject 2 mg SUBQ once weekly for 12 weeks Dispense quantity: 9 mL Dispense quantity unit of measure: mL ONLY Needles: 12 included Number of boxes: 3 boxes Saving Ozempic as a favorite in the EHR as a favorite in the EHR If your EHR allows you to save your frequently used prescriptions to a "favorites" list, be sure to add Ozempic pen for quicker access

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