Five steps that are easy to confuse
A medicine can be authorised without a particular service being ready to prescribe it. Work through the route in order: the medicine’s licensed use, the national recommendation, the local funded service, the clinical assessment and the individual prescription. Each answers a different question.
For oral Wegovy and Foundayo, authorisation alone does not establish NHS funding. The medicine pages link the relevant official announcements and current appraisal information.
Start with your nation and local pathway
Our four-nations guide separates the current arrangements. In England, an ICB helps organise local NHS services; other nations use their own organisations and pathways. Ask your GP which service is relevant and how a referral is made.
Oviva and other commissioned providers
Oviva’s referral information is organised by local NHS area. Our service guide also explains regional Second Nature and Morelife examples. A named provider is not a guarantee of a named medicine.
Bring useful questions to the appointment
- Which pathway is being considered, and why?
- What records or previous results are needed?
- Which service receives the referral?
- How will I know whether it is accepted?
- What support is available while I wait?
- Who will coordinate monitoring and ongoing care?
Use our appointment preparation guide to organise your notes.
If private care is part of the discussion
Understand both the complete cost and the clinical handover. A first-order offer may differ from repeat pricing. Med Easy uses Monj, iGovy, Ogovy and Dayo as its specialist price references.
Read how private and NHS care fit together before assuming prescribing or follow-up will transfer.
Sources & further reading
Source material checked 20 October 2026. Follow the original publication to check current arrangements. The source labels describe the publisher; they are not a quality rating.
- NHS England: weight management injections ↗NHS or public authorityengland.nhs.uk
- NICE TA1026: implementation ↗NHS or public authoritynice.org.uk
- NICE TA875: semaglutide for weight management ↗NHS or public authoritynice.org.uk
- Oviva: NHS referral routes by ICB ↗Provider or specialist organisationoviva.com
- MHRA: first GLP-1 tablet for weight loss approved in the UK ↗NHS or public authoritygov.uk
- MHRA: UK authorisation of orforglipron (Foundayo) ↗NHS or public authoritygov.uk