There are several other medications to manage obesity if Ozempic is unsuitable or not covered by insurance. These drugs include Orlistat (brand name Xenical), which blocks the absorption of fat in the gut. Orlistat is approved for use in adults and is available over the counter (OTC) in a lower dose form called Alli. Phentermine (brand names Adipex-P and Lomaira) is a stimulant that reduces appetite. Adults typically take it only for a short period of time. Liraglutide (brand name Saxenda) is a GLP-1 receptor agonist similar to Ozempic but approved at a lower dose for weight loss.