Semaglutide is the entry point: the most pharmacy availability, the cheapest research vial, the most published data, and the weakest trial number of the three. The dual-market situation, Ozempic and Wegovy pens from ₱7,650 a month on one side and ₱2,800 vials on the other, makes it the compound where channel choice changes the annual budget most.
Tirzepatide adds GIP co-agonism to GLP-1 and the trial delta over semaglutide is large enough to matter in practice. In the Philippines it lives in both markets too, but Mounjaro stock is less reliable than Ozempic stock, which pushes a share of pen buyers toward the research-grade 30mg vials whether they planned it or not.
Retatrutide is the triple agonist, GLP-1 plus GIP plus glucagon, and holds the strongest published figure in the class at 28.3% over 80 weeks in Phase 3 TRIUMPH-1. There is no pen and no pharmacy route; it is research-grade or nothing until the Phase 3 TRIUMPH program concludes. The retatrutide sourcing guide covers the PH-specific reality in depth.
How the choice actually gets made here. In my correspondence the deciding variable is rarely the trial number. It is whether the buyer wants a prescription relationship or not. Someone who wants a prescriber, a registered pharmacy counter, and a product with a CPR number is choosing between semaglutide and tirzepatide, and their real decision is Ozempic versus Mounjaro on stock and price. Someone who has already decided to run self-directed is choosing on cost per milligram and supplier documentation, and for that buyer retatrutide is on the table precisely because the pharmacy route does not exist to complicate it. Those are two different buyers with two different risk profiles, and a ranked table flattens the distinction.