FDA Eligibility Criteria

GLP-1 Eligibility Checker

Answer 5 quick questions to find out if you may qualify for GLP-1 weight management therapy.

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Step 1 of 5

What's your height and weight?

We'll calculate your BMI to determine which GLP-1s you may qualify for.

Height
ft in
Weight
lbs
Your BMI
Step 2 of 5

Do you have any of these conditions?

These are the conditions that can qualify you for GLP-1 therapy at lower BMIs. Check all that apply.

Step 3 of 5

Have you tried to lose weight before?

Providers and insurers often ask about prior weight loss attempts before prescribing GLP-1 medications.

Step 4 of 5

What's your insurance situation?

This affects which medications may be covered and what you'll pay out of pocket.

Eligibility FAQ

FDA criteria for Wegovy, Zepbound, and Saxenda require: BMI ≥30 (obesity), OR BMI ≥27 (overweight) with at least one weight-related comorbidity such as type 2 diabetes, hypertension, dyslipidemia, or obstructive sleep apnea. Additionally, you must not have contraindications (personal/family history of medullary thyroid cancer, MEN-2 syndrome, or history of pancreatitis).
Contraindications to GLP-1 medications include: personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN-2), history of serious hypersensitivity to the drug or any component, and for some GLP-1s, severe gastroparesis. Pregnancy and breastfeeding are also contraindications. Your provider will review your full medical history.
Yes, most commercial insurance plans require prior authorization for GLP-1 weight management medications. Requirements typically include: documented BMI meeting criteria, presence of required comorbidities, documentation of prior weight loss attempts, and sometimes a signed attestation from the prescribing provider. Medicare and Medicaid programs have their own authorization processes.
Yes. Telehealth providers like Ro, Hims/Hers, Henry Meds, and LifeMD prescribe GLP-1 medications online without requiring insurance. Costs typically range from $199–$499/month including the medication and provider oversight. Some offer compounded semaglutide or tirzepatide at lower price points.
Telehealth providers can typically complete an evaluation within 24–48 hours and send a prescription to your pharmacy the same day. With traditional providers, you may need an office visit first. Insurance prior authorization can take 1–14 days. Some insurers require a step-therapy protocol (trying other weight loss medications first).

Get a Professional Eligibility Evaluation

This quiz provides an estimate. A licensed telehealth provider can do a complete medical evaluation and prescribe GLP-1 therapy if appropriate.

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