Ozempic Access in Portugal: new Eligibility Criteria for 2026
Primary Topic: Ozempic (semaglutide) access and coverage in Portugal’s National Health Service (SNS).
Primary Keyword: Ozempic comparticipação
Secondary Keywords: diabetes type 2, obesity, IMC, cardiovascular risk, SNS, semaglutide, medication coverage, Infarmed, metformina.
Ozempic, an injectable medication containing semaglutide, now has expanded coverage within Portugal’s National Health Service (SNS) for individuals with type 2 diabetes and obesity. This update modifies previous eligibility requirements, making the drug accessible to a broader patient base.
Who is now eligible for ozempic coverage?
The SNS will now cover Ozempic for more adults diagnosed with type 2 diabetes mellitus. Eligibility now includes those with a body mass index (BMI) of 30 kg/m² or higher (Class 1 obesity) or those at high risk of cardiovascular disease, regardless of their BMI.
Previously, Ozempic coverage was limited to type 2 diabetics with a BMI of 35 or higher (Class 2 obesity).
Does this mean anyone with a BMI of 30 or more can access Ozempic?
No. Coverage remains specifically for individuals with insufficiently controlled type 2 diabetes. The change expands access within this population to include those with Class 1 obesity or elevated cardiovascular risk, rather than opening coverage to all individuals with a BMI of 30+.
When is Ozempic indicated?
While more individuals with type 2 diabetes may now qualify for coverage, the indications for Ozempic use remain consistent:
* Coverage is limited to patients with insufficiently controlled type 2 diabetes.
* Ozempic should be used as an adjunct to diet and exercise when first-line treatments are ineffective, contraindicated, or poorly tolerated.
* The level of coverage remains at 90%.
* Metformin remains the first-line treatment for managing type 2 diabetes.
* An remarkable coverage regime applies when specifically mentioned on the prescription by specialists in endocrinology and nutrition, internal medicine, pediatrics, and general and family medicine.
For guidance on weight management, explore recommended diet plans. You can also calculate your BMI online; consulting a doctor is recommended if your BMI is 30 or higher.
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