GLP-1

Getting GLP-1 Medications in Ireland: Ozempic, Mounjaro, and Wegovy (2026)

If you have a medical card and type 2 diabetes, Ozempic is free through the GMS. For weight management, the rules are different and more expensive.

2026-04-23
8 min read

Verification note: HSE access criteria, HPRA authorisation, and pricing change frequently. Information here reflects publicly available data as of May 2026. Always verify current status at hse.ie and hpra.ie before making treatment decisions.

If you have a medical card in Ireland and type 2 diabetes, Ozempic is available to you at no cost through the GMS scheme. If you want it for weight management, or you have private insurance, the rules are different and more expensive.

GLP-1 Coverage in Ireland at a Glance

MedicationActive ingredientGMS/Medical cardPrivate
OzempicSemaglutideT2DM (reimbursed)~EUR120-200/month
VictozaLiraglutideT2DM (reimbursed)Available
MounjaroTirzepatideT2DM (check PCRS list)~EUR250-400/month
WegovySemaglutide 2.4mgNot reimbursed~EUR250-350/month
SaxendaLiraglutide 3mgNot reimbursedAvailable

GMS reimbursement status is managed by the PCRS (Primary Care Reimbursement Service) and can change. Verify with your GP or pharmacist for current status.

How GMS / Medical Card Coverage Works in Ireland

Ireland's GMS scheme covers approved medications at no cost for medical card holders. Unlike the NHS in the UK, there is no flat prescription charge for medical card holders -- covered medications are free.

For GLP-1 medications reimbursed for type 2 diabetes, the process is: (1) Your GP diagnoses type 2 diabetes. (2) Ozempic or an approved GLP-1 is added to your prescription. (3) You collect it from any pharmacy -- no charge on a medical card.

Without a medical card (or for non-reimbursed indications), you pay the Drug Payment Scheme (DPS) rate. The DPS caps monthly medication spend at EUR80 per household. Depending on your total medication costs, GLP-1 drugs may partially fall under this cap.

Ozempic in Ireland

Ozempic (semaglutide 0.25mg, 0.5mg, 1mg, 2mg) is available in Ireland and is reimbursed by the GMS for type 2 diabetes management.

  • For T2DM on medical card: Free
  • For T2DM on DPS (no medical card): Counts toward your EUR80/month DPS cap
  • For weight management only: Not reimbursed -- private script required at EUR120-200/month depending on dose

Ozempic is prescribed by GPs and endocrinologists. Your GP can initiate it for type 2 diabetes without a specialist referral.

Mounjaro (Tirzepatide) in Ireland

Mounjaro was granted EMA approval for both type 2 diabetes and obesity management in the EU. In Ireland, PCRS reimbursement for Mounjaro for T2DM has been progressing but check current PCRS reimbursement lists for up-to-date status, as new medications are added on a rolling basis.

  • For T2DM: Check current PCRS list -- reimbursement has been applied for
  • For weight management only: Private prescription -- EUR250-400/month depending on dose

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Mounjaro is a dual GIP/GLP-1 receptor agonist that produced greater average weight loss than semaglutide in head-to-head trials. It is available in Ireland through private prescriptions via private clinics and GPs who specialise in weight management.

Wegovy for Weight Management in Ireland

Wegovy (semaglutide 2.4mg) is EMA-approved for chronic weight management and is available in Ireland via private prescription. It is not reimbursed by the GMS or DPS for obesity management.

  • Private monthly cost: EUR250-350/month depending on dose
  • Who can prescribe: Any GP or specialist
  • Eligibility: BMI of 30 or higher, or BMI of 27 or higher with a weight-related condition

Some GPs in Ireland will prescribe Ozempic at the 2mg dose for weight management off-label. It is the same molecule as Wegovy and costs less on a private script. Worth asking your GP directly.

How to Get a GLP-1 Prescription in Ireland

Route 1: Through your GP for T2DM (medical card)

  1. Your GP confirms your T2DM diagnosis.
  2. Ozempic or an approved GLP-1 is added to your GMS prescription.
  3. Collect from pharmacy -- free on medical card.

Route 2: Private prescription for weight management

  1. Book a GP appointment or telehealth consultation.
  2. Discuss your BMI and weight history.
  3. GP issues a private prescription.
  4. Fill at a pharmacy and pay full cost (no GMS/DPS subsidy for obesity indication).

Several Irish telehealth platforms offer weight management consultations that include prescription support. In-person options include private clinics in Dublin, Cork, and Galway that specialise in obesity medicine.

What to Expect on a GLP-1 Protocol

GLP-1 medications follow a titration schedule -- you start low and increase every 4 weeks.

Ozempic standard titration

  • Weeks 1-4: 0.25mg/week
  • Weeks 5-8: 0.5mg/week
  • Weeks 9+: 1mg/week (or 2mg if needed)

Mounjaro standard titration

  • Weeks 1-4: 2.5mg/week
  • Weeks 5-8: 5mg/week
  • Then titrate up every 4 weeks based on tolerability

Side effects during titration -- nausea, reduced appetite, occasional fatigue -- are most common in the first 4-6 weeks and typically resolve at maintenance dose.

Community Insight: The Drug Payment Scheme EUR80 monthly cap matters most for people on multiple medications. If you are paying privately for a GLP-1 and also have other regular prescriptions, your total household medication spend above EUR80/month is covered by the DPS. It will not make a GLP-1 free, but for people with several prescriptions, the effective out-of-pocket cost for the GLP-1 portion can be lower than the sticker price suggests. Worth running the numbers with your pharmacist.

Pro Tip: Medical card holders with a confirmed type 2 diabetes diagnosis have access to Ozempic through the GMS at no cost. If you are borderline for a T2DM diagnosis, such as elevated fasting glucose, pre-diabetes, or family history, getting your HbA1c properly assessed could change your access pathway significantly. A confirmed T2DM diagnosis shifts you from a private script at EUR120-200/month to a GMS prescription at no charge. That is a meaningful difference. Talk to your GP about whether formal HbA1c testing makes sense.

Tracking Your GLP-1 Protocol in Ireland

Weekly GLP-1 injections involve a titration schedule, dose tracking, and regular monitoring of weight, side effects, and if applicable, blood glucose. Regimen supports GLP-1 tracking with injection reminders, titration calendars, weight trend logging, and integration with Apple Health and Google Health Connect.

Frequently Asked Questions

Is Ozempic available in Ireland in 2026?

Yes. Ozempic is available in Ireland. It is reimbursed through the GMS for type 2 diabetes. For weight management, a private prescription is required at approximately EUR120-200/month.

Is Mounjaro covered by the HSE or GMS in Ireland?

Not reimbursed under the GMS or DPS as of 2026. Mounjaro is available in Ireland via private prescription at approximately EUR300-450/month depending on dose. Check with your GP for current status on any reimbursement update.

Can I get Wegovy on a medical card in Ireland?

No. Wegovy is not currently reimbursed by the GMS for obesity management. It is available via private prescription only at approximately EUR250-350/month.

What is the Drug Payment Scheme and does it help with GLP-1 costs?

The DPS caps your household's monthly spend on medications at EUR80. If your total monthly medication costs (across all prescriptions) exceed EUR80, the state covers the excess.

Where can I get a private GLP-1 prescription in Ireland?

Any GP can issue a private prescription for Ozempic or Mounjaro. Several telehealth platforms operating in Ireland offer weight management consultations. Private clinics in Dublin, Cork, and Galway also provide obesity medicine services.

Track your Ozempic or Mounjaro dose, weight, and side effects with Regimen. Free for one compound.

Regimen is a tracking tool, not a medical service. We do not provide medical advice. Always consult your healthcare professional before starting, changing, or stopping any medication protocol.

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