While Novo Nordisk manufactures specific pens for each dosage step (0.25, 0.5, 1.0, 1.7, 2.4), the "Click Chart" is often used by patients who may be instructed by their physician to use a higher concentration pen (like the 2.4 mg pen) to administer a partial dose.
Assuming a 4 mg/mL concentration pen (total 4 mg of semaglutide).
Since all pen strengths often share the same price point, a 2.4 mg pen can provide multiple smaller doses, effectively lasting up to 8 weeks if needles are replaced. wegovy 2.4 click chart
*Note: 1.7 mg is not a standard fraction of a 2.4 mg pen. Most click charts for 2.4 mg pens are used to the dose (e.g., taking 1.0 mg from a 2.4 mg pen by counting 74 clicks).
| Number of Clicks | Approximate Dose (mg) | Status | | :--- | :--- | :--- | | | 0 mg | Start | | 5 | 0.25 mg | Starting Dose | | 10 | 0.50 mg | Week 5 Dose | | 15 | 0.75 mg | Intermediate | | 20 | 1.00 mg | Week 9 Dose | | 25 | 1.25 mg | Intermediate | | 30 | 1.50 mg | Intermediate | | 34 | 1.70 mg | Week 13 Dose | | 40 | 2.00 mg | Intermediate | | 48 | 2.40 mg | Maintenance Dose | While Novo Nordisk manufactures specific pens for each
In some healthcare systems, the price of a Wegovy pen is flat regardless of the dosage strength. A patient might buy a 2.4 mg pen and split it into smaller doses to lower their monthly pharmacy bill, though this is considered "off-label" usage and requires physician oversight.
| Desired Dose (mg) | Approximate Clicks | Pen to Use | | :--- | :--- | :--- | | | 18 clicks | 2.4 mg pen (dial down) | | 0.5 mg | 37 clicks | 2.4 mg pen (dial down) | | 1.0 mg | 74 clicks | 2.4 mg pen (dial down) | | 1.7 mg | ~62 clicks* | 2.4 mg pen (partial) | | 2.4 mg (Full dose) | 74 clicks | 2.4 mg pen (maximum) | *Note: 1
Cost per pen is ~$500 for all strengths (contains 4 regular doses) Wegovy 0.5mg pen (1.5mL pen - total of 148 clicks) 1 click = 0. Byward Family Health Team Wegovy Click Counting - Byward Family Health Team
Some users find the standard 4-week escalation schedule too aggressive. Counting clicks allows for "micro-dosing" (e.g., taking 0.375 mg instead of 0.5 mg) to mitigate nausea.