🍪 CompoundTalk uses cookies to improve your experience, analyze traffic, and personalize content. By continuing to use this site, you agree to our Cookie Policy.
Evidence-based GLP-1 & peptide discussion since 2023
ForumsInsurance & Access2026 payer coverage update — GLP-1 formulary changes by insurer Page 10

2026 payer coverage update — GLP-1 formulary changes by insurer

InsuranceTom Fri, Dec 1, 2023 at 4:00 PM 54 replies 42,238 viewsPage 10 of 11
RickReta_CO
Member
312
1,234
Jan 2025
Colorado
Dec 2, 2023 at 6:10 AM#46

Bookmarked 📌 The 2026 payer coverage info in this thread is essential. Coming back to this for sure.

Last edited: Dec 2, 2023 at 11:10 AM
3 6matt_MKE, Dr.ReproEndo, lucas_SP_BR
Reply Quote Save Share Report
PharmD_Rodriguez
Senior Member
3,456
14,567
Jan 2024
Miami, FL
Dec 2, 2023 at 6:27 AM#47

Slightly tangential to 2026 payer coverage but Dr.BariatricHTX reminded me — has the insurance landscape changed recently?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

5 3TinaHashiRN, robert_kc, dan_philly and 2 others
Reply Quote Save Share Report
Dr.RaviCardio
VIP Member
2,890
15,678
Jan 2024
New York, NY
Dec 2, 2023 at 6:44 AM#48

Adding my data to this 2026 payer coverage discussion:

MetricBaselineMonth 3Month 8
Weight274 lbs234 lbs219 lbs
A1C6.8%5.8%5.4%
hsCRP8.02.00.8

Protocol: Semaglutide 2.4mg/wk, resistance training 3x/wk, protein 1.6g/kg/day.

37 13mark_tokyo, hans_munich, jason_sac26 and 34 others
Reply Quote Save Share Report

Janoshik Analytical — Independent Testing

Trusted third-party HPLC & mass spectrometry analysis. Verify peptide purity with the lab the community relies on. Independent. Accurate. Transparent.

Verify Your Peptides
tommy_boulder
Member
234
1,123
Nov 2024
Boulder, CO
Dec 2, 2023 at 7:01 AM#49

Reading this thread on 2026 payer coverage hits close to home. Dad of 2 checking in — I started at 285 lbs and felt like I would tried everything.

11 months on tirz and I am a different person. Not just the 60 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about 2026 payer coverage — take the leap. It was the best health decision I have ever made. ❤️

50 0dan_philly, MeganSA_TX, LarryQC_SD and 47 others
Reply Quote Save Share Report
Dr.EM_Chicago
Member
567
2,567
May 2024
Chicago, IL
Dec 2, 2023 at 7:18 AM#50

tommy_boulder — that is really helpful context on 2026 payer coverage. Follow-up question: how long did you wait before increasing your dose?

I am in a similar situation (week 4) and trying to set realistic expectations.

49 16lisa_labSD, adam_van, Dr.SurgeonPGH and 46 others
Reply Quote Save Share Report

Similar Threads

Prior authorization success: step-by-step guide with templates5 replies
Cigna now covering Zepbound — how I got approved13 replies
Appeal letter template — denied PA for GLP-1 medications4 replies
Mounjaro savings card — manufacturer program changes 202610 replies
Medicare Part D GLP-1 coverage — what's covered in 202610 replies
ForumsNewTrendingMembersAccount

Log In

Forgot password?
No account? Register