Coverage matrix for the eight major U.S. payers. Drug details sourced live from FDA OpenFDA. Pricing via GoodRx verified averages.
Wegovy now covered for cardiovascular indication only (Mar 2024). Bariatric surgery covered with comorbidity.
Prior Auth. Carrier approval required before dispensing.
Step Therapy. Cheaper drug must fail before GLP-1 is approved.
Comorbidity. Diabetes, hypertension, sleep apnea, dyslipidemia.
Drug data: FDA OpenFDA API. Pricing: GoodRx verified averages. Coverage: demo / illustrative.