Frequently Asked Questions

Considering RYBELSUS®

Is RYBELSUS® right for me?
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There are many reasons that RYBELSUS® could be right for you. First and foremost, RYBELSUS® is used along with diet and exercise to improve blood sugar and A1C. So, if you’re an adult whose A1C is no longer at goal, you should consider discussing a change in treatment with your healthcare provider.

LEARN MORE

Ask your healthcare provider if RYBELSUS® is right for you. Download a discussion guide to help get the conversation started.

DOWNLOAD NOW
What is RYBELSUS®?
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RYBELSUS®, the first and only GLP-1 pill, is a prescription medicine taken once daily that is used along with diet and exercise to improve blood sugar and A1C in adults with type 2 diabetes.

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Is RYBELSUS® proven to lower A1C?
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In a 6-month study, the majority of people taking RYBELSUS® reached an A1C of less than 7%.


Results are from a 6-month medical study with 703 adults with type 2 diabetes that compared 7 mg RYBELSUS® and 14 mg RYBELSUS® with a sugar pill when both were added to diet and exercise. People who took a sugar pill had a 0.3% lowering of A1C, and 31% reached an A1C goal of <7%.

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Will RYBELSUS® affect my weight?
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While not for weight loss, RYBELSUS® may help you lose some weight.

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Has RYBELSUS® been studied for cardiovascular risk?
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Yes. In a study, RYBELSUS® did not increase the risk of major cardiovascular (CV) events such as heart attack, stroke, or death.

In a cardiovascular safety study, 3183 adults with type 2 diabetes and a high risk of CV events were treated once daily with either 14 mg RYBELSUS® or a sugar pill in addition to their usual diabetes and CV medications.

LEARN MORE
How does RYBELSUS® work?
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RYBELSUS® works like your body’s naturally occurring GLP-1 to lower blood sugar in the following 3 ways:

1. Stimulates your pancreas to release more insulin when your blood sugar is high

2. Prevents your liver from making and releasing too much sugar

3. Slows down food leaving your stomach after eating

WHAT IS RYBELSUS®?
What is GLP-1?
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GLP-1, or glucagon-like peptide-1, is a natural hormone that helps your body keep blood sugar in balance. GLP-1 treatments work like this naturally occurring hormone. Until FDA approval of RYBELSUS®, GLP-1 treatments had only been available in an injectable form. RYBELSUS® is the first and only GLP-1 in a pill.

LEARN MORE
What questions should I ask my doctor?
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The RYBELSUS® Doctor Discussion Guide can help guide you through a conversation with your healthcare provider about whether RYBELSUS® is right for you.

DOWNLOAD NOW

Savings & Support

What's my cost?
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You can look up your co-pay and see how much RYBELSUS® will cost you.

FIND OUT NOW
Is there a way to save on my RYBELSUS® prescription?
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Yes! If eligible, you may PAY AS LITTLE AS $10 for a 1-, 2-, or 3-month prescription of RYBELSUS®.a

Check out these 3 ways to get the Savings Offer:

Textb READY to 21848.

GET STARTED

Download a Savings Card online.

GET STARTED

Call 1-833-ASK-A-CDE and ask for assistance with the Savings Offer.

Monday – Friday, 9:00 AM – 6:00 PM ET

GET STARTED

aTo receive offer, 7 mg or 14 mg dose prescription must be for a 1-, 2-, or 3-month supply. For 3 mg dose, pay as little as $10 each month. Eligible, commercially insured patients only. Maximum savings of $300 per 1‑month supply, $600 per 2‑month supply, or $900 per 3‑month supply. Eligibility and other restrictions apply.

bMessage and data rates may apply. Check with your mobile service provider. Message frequency will be based on your selections. Text HELP to 21848 for help. Text STOP to 21848 to quit. See Terms and Conditions of Use.

How can I participate in the support program?
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Texta READY to 21848 to get support through text messages with RYBELSUS® Connect.

GET STARTED

aMessage and data rates may apply. Check with your mobile service provider. Message frequency will be based on your selections. Text HELP to 21848 for help. Text STOP to 21848 to quit. See Terms and Conditions of Use.

Get medicine reminders

Receive helpful information

Receive motivational messages

Call a Diabetes Health Coach

Give us a call for one-on-one, live support from a Diabetes Health Coach—and to learn more about taking RYBELSUS®.

Call 1-833-ASK-A-CDE (1-833-275-2233)

Monday – Friday, 9:00 AM – 6:00 PM ET

CALL NOW
How can I get live phone support for my questions about RYBELSUS®?
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You can speak with a Diabetes Health Coach by calling 1-833-ASK-A-CDE (1-833-275-2233). The Diabetes Health Coach will be happy to answer your questions about RYBELSUS®.

CALL NOW

Taking RYBELSUS®

How do I take RYBELSUS®?
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For RYBELSUS® to work as planned to lower blood sugar, store RYBELSUS® tablets at room temperature and keep them in the closed RYBELSUS® bottle until you are ready to take one.

Take on an empty stomach when you first wake up.

Take with no more than 4 ounces of plain water.

Wait 30 minutes before eating, drinking, or taking other oral medications.

If you miss a dose, the missed dose should be skipped, and the next dose should be taken the following day.

HOW TO START RYBELSUS®
Can I take RYBELSUS® with another pill at the same time?
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No, RYBELSUS® should be taken on an empty stomach when you first wake up.

Wait 30 minutes after taking RYBELSUS® before eating, drinking, or taking other oral medications.

Dosing and timing of your other medications may need to be adjusted.

You should talk with your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

HOW TO START RYBELSUS®
Why do I have to take RYBELSUS® on an empty stomach?
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In order for RYBELSUS® to be properly absorbed into the body, the RYBELSUS® tablet needs to rest on the stomach lining undisturbed for at least 30 minutes.

HOW TO START RYBELSUS®
What will happen if I don’t take RYBELSUS® as instructed every day?
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RYBELSUS® may not work as planned to lower blood sugar if it’s not taken as directed every day. Talk with your healthcare provider if you have any questions about taking RYBELSUS®.

HOW TO START RYBELSUS®
What can I expect when I start taking RYBELSUS®?
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When taken as instructed every day, RYBELSUS®, along with diet and exercise, may help improve your blood sugar. While taking RYBELSUS®, you may experience some side effects.

POSSIBLE SIDE EFFECTS
What are the most common side effects?
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The most common side effects of RYBELSUS® may include nausea, stomach (abdominal) pain, diarrhea, decreased appetite, vomiting, and constipation. Make sure to talk with your healthcare provider if you have any questions about side effects.

POSSIBLE SIDE EFFECTS
What can I do if I experience nausea?
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Speak with your healthcare provider if you experience nausea or have any questions about side effects.

Here are some general nausea tips that may be helpful:

Eat bland, low-fat foods, like crackers, toast, and rice

Eat foods that contain water, like soups and gelatin

Avoid fried, greasy, or sweet foods

Avoid lying down after you eat

Go outdoors for fresh air

Eat more slowly

Drink clear or ice-cold drinks

POSSIBLE SIDE EFFECTS
Can RYBELSUS® be used while I'm pregnant?
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It is not known if RYBELSUS® will harm your unborn baby. Women should stop taking RYBELSUS® 2 months before they plan to become pregnant. Talk to your healthcare provider about the best way to control your blood sugar if you plan to become pregnant or while you are pregnant.

Please contact your healthcare provider if you are pregnant or intend to become pregnant, or if you are breastfeeding or plan to breastfeed, while taking RYBELSUS®.

Can RYBELSUS® be used while breastfeeding?
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It is not known if RYBELSUS® passes into breast milk. Breastfeeding is not recommended during treatment with RYBELSUS®. You should talk to your healthcare provider about the best way to control your blood sugar while you are breastfeeding.

Please contact your healthcare provider if you are breastfeeding or plan to breastfeed.

What will my RYBELSUS® dosage be?
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The beginning dose is 3 mg for the first 30 days to help your body get used to the medicine.

Your healthcare provider will then prescribe a 7 mg dose to help lower blood sugar.

If more blood sugar control is needed after at least 30 days on the 7 mg dose, your healthcare provider may prescribe the 14 mg dose.

HOW TO START RYBELSUS®
How do I store RYBELSUS® properly?
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Store RYBELSUS® at room temperature 68°F to 77°F. Keep your RYBELSUS® tablets in the closed RYBELSUS® bottle until you are ready to take one. Storing the tablets in another container or changing their form before you are ready to take them can reduce how well RYBELSUS® works.

Store tablets in the closed RYBELSUS® bottle until you are ready to take one.

Do not use a pill organizer or other container to store RYBELSUS® tablets.

Swallow tablet whole. Do not cut, crush, or chew.


Store in a dry place away from moisture.

RYBELSUS® comes in a child-resistant bottle. Keep out of reach of children.

HOW TO START RYBELSUS®
What does the RYBELSUS® packaging look like?
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RYBELSUS® comes in a child-resistant bottle with a blue cap. The bottle lists the name RYBELSUS® and the dosage, which can be 3 mg, 7 mg, or 14 mg.

3 mg dose

7 mg dose

14 mg dose

What are the ingredients in RYBELSUS®?
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Active ingredient: semaglutide (pronounced sem-a-gloo-tide)

Inactive ingredients:

  • magnesium stearate (pronounced mag-nee-zee-uhm stee-uh-reyt)
  • microcrystalline cellulose (pronounced my-kroh-kris-tl-in sel-yuh-lohs)
  • povidone (pronounced po-vi-done)
  • salcaprozate sodium (pronounced sal-kap-roe-zate sow-dee-uhm)
How do I establish a wake-up routine?
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Everyone has a different wake-up routine. Here's a tip to help you remember to take RYBELSUS® when you first wake up: Keep your RYBELSUS® bottle and a small glass of plain water on your nightstand.

When you wake up, take your medicine with a sip of plain water (no more than 4 ounces), and then wait 30 minutes before eating, drinking, or taking any other oral medications. After 30 minutes, you can eat, drink, or take other oral medications, vitamins, or supplements.

HOW TO START RYBELSUS®
NEXT: What Is Type 2 Diabetes?

Get your A1C DOWN with RYBELSUS®

Once-daily RYBELSUS® is proven to significantly lower A1C.

LEARN MORE

Pay as little as $10 for up to a 3‑month RYBELSUS® prescriptiona

Check your insurance coverage and learn about ways to save.

START SAVING

aEligible, commercially insured patients only. For 3 mg dose, pay as little as $10 each month. Restrictions apply.

Support to help you start and stay on RYBELSUS®

RYBELSUS® Connect offers support when and where you need it. Textb READY to 21848 to get started.

MORE INFO

aEligible, commercially insured patients only. For 3 mg dose, pay as little as $10 each month. Restrictions apply.

bMessage and data rates may apply. Check with your mobile service provider. Message frequency will be based on your selections. Text HELP to 21848 for help. Text STOP to 21848 to quit. See Terms and Conditions of Use.

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Indication and Important Safety Information

READ MORE COLLAPSE
Scroll to Indication

Important Safety Information

What is the most important information I should know about RYBELSUS®?

RYBELSUS® may cause serious side effects, including:

  • Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, RYBELSUS® and medicines that work like RYBELSUS® caused thyroid tumors, including thyroid cancer. It is not known if RYBELSUS® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people

Do not use RYBELSUS® if:

  • you or any of your family have ever had MTC, or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • you have had a serious allergic reaction to semaglutide or any of the ingredients in RYBELSUS®. See symptoms of serious allergic reaction in "What are the possible side effects of RYBELSUS®?"

Important Safety Information (cont'd)

Before using RYBELSUS®, tell your healthcare provider if you have any other medical conditions, including if you:

  • have or have had problems with your pancreas or kidneys
  • have a history of vision problems related to your diabetes
  • are pregnant or plan to become pregnant. It is not known if RYBELSUS® will harm your unborn baby. You should stop using RYBELSUS® 2 months before you plan to become pregnant. Talk to your healthcare provider about the best way to control your blood sugar if you plan to become pregnant or while you are pregnant
  • are breastfeeding or plan to breastfeed. Breastfeeding is not recommended during treatment with RYBELSUS®

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. RYBELSUS® may affect the way some medicines work and some medicines may affect the way RYBELSUS® works.

How should I take RYBELSUS®?

  • Take RYBELSUS® exactly as your healthcare provider tells you to
  • Take RYBELSUS® by mouth on an empty stomach when you first wake up with a sip of plain water (no more than 4 ounces)
  • Do not split, crush, or chew. Swallow RYBELSUS® whole
  • After 30 minutes, you can eat, drink, or take other oral medicines
  • If you miss a dose of RYBELSUS®, skip the missed dose and go back to your regular schedule

What are the possible side effects of RYBELSUS®?

RYBELSUS® may cause serious side effects, including:

  • inflammation of your pancreas (pancreatitis). Stop using RYBELSUS® and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back
  • changes in vision. Tell your healthcare provider if you have changes in vision during treatment with RYBELSUS®  
  • low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use RYBELSUS® with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery
  • kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration
  • serious allergic reactions. Stop using RYBELSUS® and get medical help right away, if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat

The most common side effects of RYBELSUS® may include nausea, stomach (abdominal) pain, diarrhea, decreased appetite, vomiting, and constipation. Nausea, vomiting, and diarrhea are most common when you first start RYBELSUS®.

Scroll to ISI

What is RYBELSUS®?

RYBELSUS® (semaglutide) tablets 7 mg or 14 mg is a prescription medicine used along with diet and exercise to improve blood sugar (glucose) in adults with type 2 diabetes.

  • RYBELSUS® is not recommended as the first choice of medicine for treating diabetes
  • It is not known if RYBELSUS® can be used in people who have had pancreatitis
  • RYBELSUS® is not for use in people with type 1 diabetes
  • It is not known if RYBELSUS® is safe and effective for use in children under 18 years of age

Please see Prescribing Information and Medication Guide for RYBELSUS®.

RYBELSUS® is a prescription medication.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

Important Safety Information

What is the most important information I should know about RYBELSUS®?

RYBELSUS® may cause serious side effects, including:

  • Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, RYBELSUS® and medicines that work like RYBELSUS® caused thyroid tumors, including thyroid cancer. It is not known if RYBELSUS® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people

Do not use RYBELSUS® if:

  • you or any of your family have ever had MTC, or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • you have had a serious allergic reaction to semaglutide or any of the ingredients in RYBELSUS®. See symptoms of serious allergic reaction in "What are the possible side effects of RYBELSUS®?"

Important Safety Information (cont'd)

Before using RYBELSUS®, tell your healthcare provider if you have any other medical conditions, including if you:

  • have or have had problems with your pancreas or kidneys
  • have a history of vision problems related to your diabetes
  • are pregnant or plan to become pregnant. It is not known if RYBELSUS® will harm your unborn baby. You should stop using RYBELSUS® 2 months before you plan to become pregnant. Talk to your healthcare provider about the best way to control your blood sugar if you plan to become pregnant or while you are pregnant
  • are breastfeeding or plan to breastfeed. Breastfeeding is not recommended during treatment with RYBELSUS®

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. RYBELSUS® may affect the way some medicines work and some medicines may affect the way RYBELSUS® works.

How should I take RYBELSUS®?

  • Take RYBELSUS® exactly as your healthcare provider tells you to
  • Take RYBELSUS® by mouth on an empty stomach when you first wake up with a sip of plain water (no more than 4 ounces)
  • Do not split, crush, or chew. Swallow RYBELSUS® whole
  • After 30 minutes, you can eat, drink, or take other oral medicines
  • If you miss a dose of RYBELSUS®, skip the missed dose and go back to your regular schedule

What are the possible side effects of RYBELSUS®?

RYBELSUS® may cause serious side effects, including:

  • inflammation of your pancreas (pancreatitis). Stop using RYBELSUS® and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back
  • changes in vision. Tell your healthcare provider if you have changes in vision during treatment with RYBELSUS®  
  • low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use RYBELSUS® with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery
  • kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration
  • serious allergic reactions. Stop using RYBELSUS® and get medical help right away, if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat

The most common side effects of RYBELSUS® may include nausea, stomach (abdominal) pain, diarrhea, decreased appetite, vomiting, and constipation. Nausea, vomiting, and diarrhea are most common when you first start RYBELSUS®.

What is RYBELSUS®?

RYBELSUS® (semaglutide) tablets 7 mg or 14 mg is a prescription medicine used along with diet and exercise to improve blood sugar (glucose) in adults with type 2 diabetes.

  • RYBELSUS® is not recommended as the first choice of medicine for treating diabetes
  • It is not known if RYBELSUS® can be used in people who have had pancreatitis
  • RYBELSUS® is not for use in people with type 1 diabetes
  • It is not known if RYBELSUS® is safe and effective for use in children under 18 years of age

Please see Prescribing Information and Medication Guide for RYBELSUS®.

RYBELSUS® is a prescription medication.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

 

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