There are numerous compounding pharmacies selling generic ozempic (Semaglutide)
There is competition, I see ads on Facebook and Instagram for it all the time, there are clinics all over where I live advertising Semaglutide treatment for weight loss.
Additionally, "Ozempic" (semaglutide) has become the blanket word to describe an entire class of drugs (GLP-1 Agonists) that all kind of do the same thing. Some of which have already been proven in clinical trials to be even more effective than Ozempic (ex. Tirzepatide)
It's like when COVID hit and somehow "Zoom" became the shorthand for online video meetings even though there were (and still are) a ton of options for that functionality on the market.
There is competition, I see ads on Facebook and Instagram for it all the time, there are clinics all over where I live advertising Semaglutide treatment for weight loss.