Reference
    Drug List

    Every GLP-1 Medication Ever Approved: Complete List

    A comprehensive catalog of every GLP-1 receptor agonist approved by the FDA, plus key investigational drugs in the pipeline.

    Last updated: April 1, 2026-15 min read

    The GLP-1 receptor agonist class has grown from a single twice-daily injection in 2005 to a diverse family of medications targeting weight loss, diabetes, cardiovascular protection, and beyond. This reference lists every approved drug plus the most promising pipeline candidates.

    FDA-Approved GLP-1 Receptor Agonists

    Complete Approved Drug List

    GenericBrand(s)ApprovedTypeFrequency
    ExenatideByetta2005GLP-1Twice daily
    LiraglutideVictoza, Saxenda2010, 2014GLP-1Daily
    Exenatide ERBydureon2012GLP-1Weekly
    AlbiglutideTanzeum2014GLP-1Weekly (discontinued)
    DulaglutideTrulicity2014GLP-1Weekly
    LixisenatideAdlyxin2016GLP-1Daily
    SemaglutideOzempic, Wegovy, Rybelsus2017-2021GLP-1Weekly/Daily oral
    TirzepatideMounjaro, Zepbound2022-2023GIP/GLP-1Weekly

    Key Pipeline Drugs (Investigational)

    DrugCompanyMechanismPhaseKey Data
    RetatrutideEli LillyGLP-1/GIP/GlucagonPhase 324.2% weight loss
    OrforglipronEli LillyOral GLP-1Phase 3~15% weight loss
    SurvodutideBoehringerGLP-1/GlucagonPhase 3~19% weight loss
    AmycretinNovo NordiskAmylin/GLP-1Phase 2~13% at 12 weeks
    PemvidutideAltimmuneGLP-1/GlucagonPhase 2~16% weight loss

    Weight Loss Efficacy Comparison

    Across clinical trials, the progression is clear: each generation of GLP-1-based therapy delivers substantially more weight loss. First-generation GLP-1s (liraglutide/Saxenda) averaged ~8% body weight loss. Second-generation (semaglutide/Wegovy) jumped to 15-17%. Dual agonists (tirzepatide/Zepbound) reached 20-22.5%. And triple agonists (retatrutide) have shown 24%+ with weight curves still declining at study end.

    Accessing GLP-1 Medications Through Trimi

    Trimi offers all three current generations: compounded semaglutide ($99/mo), tirzepatide ($125/mo), and retatrutide. Our physicians help match each patient with the optimal medication based on their goals, medical history, and budget.

    Find Your Optimal GLP-1

    From first-generation to cutting-edge triple agonists. Trimi has them all.

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    Medical Disclaimer

    This reference is for educational purposes. Pipeline drugs are investigational and not FDA-approved. Clinical trial results cited are from published studies. Always consult your healthcare provider for treatment decisions.

    Sources & References

    1. Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM 2021;384:989-1002.
    2. Jastreboff AM et al. Tirzepatide Once Weekly for the Treatment of Obesity. NEJM 2022;387:205-216.
    3. Lincoff AM et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. NEJM 2023;389:2221-2232.
    4. FDA Prescribing Information for Wegovy (semaglutide) and Zepbound (tirzepatide).

    What's the history of GLP-1 medications from 1987 to 2026?

    The GLP-1 receptor agonist class was discovered in 1987, when researchers identified GLP-1 as a gut peptide that stimulates insulin secretion in response to food. Key timeline: 2005, exenatide (Byetta) became the first FDA-approved GLP-1 receptor agonist for type 2 diabetes (twice-daily injection). 2010-2014, liraglutide entered as Victoza (diabetes 2010) and Saxenda (weight loss 2014) — daily injection format. 2017, semaglutide (Ozempic) was FDA-approved for type 2 diabetes — first weekly injection format with substantial efficacy. 2021, Wegovy (semaglutide 2.4 mg) was FDA-approved specifically for chronic weight management — the major commercial breakthrough that drove public awareness. 2022-2023, tirzepatide entered as Mounjaro (2022 for diabetes) and Zepbound (2023 for weight loss) — the first dual GIP/GLP-1 agonist, with ~20-22.5% weight loss surpassing all prior options per SURMOUNT-1. 2026 status: tirzepatide is the highest-efficacy FDA-approved option; retatrutide (triple-receptor GLP-1/GIP/glucagon agonist) is in phase 3 trials with FDA approval expected no earlier than 2028; cagrilintide/amycretin (Novo Nordisk) are in earlier-stage development.

    1987: GLP-1 discovered. 2005: Byetta first GLP-1 RA.
    2017: Ozempic (weekly). 2021: Wegovy for weight loss.
    2023: Zepbound; ~20-22.5% loss; current best.

    Key Takeaways

    • 1987: Glucagon-like peptide-1 (GLP-1) hormone discovered; identified as gut peptide that stimulates insulin secretion in response to food.
    • 2005: Exenatide (Byetta) became first FDA-approved GLP-1 receptor agonist for type 2 diabetes; required twice-daily injection.
    • 2010-2014: Liraglutide (Victoza for diabetes 2010, Saxenda for weight loss 2014) — daily injection format.
    • 2017: Semaglutide (Ozempic) FDA-approved for type 2 diabetes — first weekly injection format with substantial efficacy.
    • 2021: Wegovy (semaglutide 2.4 mg) FDA-approved specifically for chronic weight management — major commercial breakthrough.
    • 2022-2023: Tirzepatide (Mounjaro 2022 for diabetes, Zepbound 2023 for weight loss) — first dual GIP/GLP-1 agonist; ~20-22.5% weight loss surpassed all prior options.
    • 2026 status: tirzepatide is the highest-efficacy FDA-approved option; retatrutide (triple-agonist) in phase 3 trials; cagrilintide/amycretin (Novo) in earlier-stage development.

    Medically Reviewed

    DMR

    Dr. Michael Rodriguez

    MD, FACP, Board Certified in Internal Medicine

    Internal Medicine & Weight Management

    Last reviewed: March 6, 2026

    TCCT

    Written by Trimi Clinical Content Team

    Medical Writers & Healthcare Professionals

    Our clinical content team includes registered nurses, pharmacists, and medical writers who specialize in translating complex medical information into clear, actionable guidance for patients.

    Medically reviewed by Dr. Michael Rodriguez, MD, FACP, Board Certified in Internal Medicine

    What real Trimi patients say

    Verbatim quotes from Trimi's Facebook and Reddit community reviews. First name and last initial preserved per editorial policy.

    21 lbs down in 6 weeks! So happy I started with you guys!

    Outcome: 21 lbs lost in 6 weeks

    Robyn Lynn CurtisFacebook
    Amazing company and care team support! Fast response time, no hidden fees and they actually care enough to work with you and your needs on your weight loss journey. Down 12.5 pounds in 2 months!

    Outcome: Down 12.5 lbs in 2 months

    Sarah MillerFacebook

    Editorial Standards

    Trimi publishes patient education using a medical-review workflow, source-based claim checks, and dated updates for fast-changing pricing, access, and safety topics.

    Review our Editorial Policy and Medical Review Policy for more details about sourcing, updates, and reviewer attribution.

    Scientific References

    1. Wilding JPH, et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. The New England Journal of Medicine.Read StudyDOI: 10.1056/NEJMoa2032183
    2. Jastreboff AM, et al. (2022). Tirzepatide Once Weekly for the Treatment of Obesity. The New England Journal of Medicine.Read StudyDOI: 10.1056/NEJMoa2206038
    3. Novo Nordisk (2025). Wegovy (semaglutide) prescribing information. U.S. Food and Drug Administration.Read Study
    4. Eli Lilly and Company (2025). Zepbound (tirzepatide) prescribing information. U.S. Food and Drug Administration.Read Study
    5. Novo Nordisk (2025). Ozempic (semaglutide) prescribing information. U.S. Food and Drug Administration.Read Study
    6. Eli Lilly and Company (2025). Mounjaro (tirzepatide) prescribing information. U.S. Food and Drug Administration.Read Study

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