Generally, to get these drugs covered, adults over age 18 must have a body mass index (BMI) of 30 or higher (or 27 or higher with certain additional requirements), and they must have at least one weight-related health condition
Members track food and exercise in the WW app
The Semaglutide Treatment Process Consultation: Your provider will review your medical history, weight loss goals, and any medications to ensure semaglutide is right for you
Some plans exclude it entirely. You may be eligible for the Zepbound Self Pay Journey Program through the manufacturer, which reduces the cost of Zepbound
Refunds are available if a provider disqualifies you for medical reasons before medication is ordered, or if you cancel before medication is ordered
Gather your pharmacy records, hospital discharge summaries, and any imaging or test results