Brand semaglutide and tirzepatide

Some commercial plans cover Wegovy and Zepbound when prescribed for chronic weight management with documented BMI and comorbidities. Most do not.

Medicare

Currently does not cover GLP-1 medications for weight management alone.

Medicaid

State-by-state. A handful of states cover. Most do not.

Compounded options

Not covered by insurance. You pay cash. The trade-off is the lower out-of-pocket monthly cost.

The honest framing

Most people in 2026 are paying cash for GLP-1. The cheapest cash option (compounded, flat-rate) often beats a partially-covered brand option after deductibles.