To qualify for semaglutide, you must have a BMI of 30 or higher, or a BMI of 27-29.9 along with at least one weight-related health issue such as high blood pressure, type 2 diabetes, or high cholesterol. You’ll need to visit a healthcare provider like a doctor, nurse practitioner or physician’s assistant to get evaluated and have labs drawn to ensure it’s safe for you. They’ll review your medical history and determine if a prescription is appropriate.