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ForumsInsurance & Access2026 payer coverage update — GLP-1 formulary changes by insurer Page 20

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

InsuranceTom Mon, Feb 26, 2024 at 4:00 PM 132 replies 48,422 viewsPage 20 of 20
mark_tokyo
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1,890
Jun 2024
Tokyo, JP
Feb 27, 2024 at 8:20 PM#96

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

40 4pete_manc_UK, anna.melb_AU, mark_tokyo and 37 others
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JenMemphis
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267
1,234
Jan 2025
Memphis, TN
Feb 27, 2024 at 8:37 PM#97

Slightly tangential to 2026 payer coverage but oliver_london reminded me — does anyone have experience combining this with metformin?

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.

39 5BenResearch_OR, MikeKY_noInsulin, Dr.RaviCardio and 36 others
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SleepDoc_PDX
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289
1,234
Sep 2024
Portland, OR
Feb 27, 2024 at 8:54 PM#98

Adding my data to this 2026 payer coverage discussion:

MetricBaselineMonth 5Month 6
Weight264 lbs244 lbs209 lbs
A1C6.8%6.0%5.2%
hsCRP8.04.00.6

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/wk, protein 1.6g/kg/day.

50 1carlos_SATX, sophie_paris, mel_PDX and 47 others
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Dr.PathRoch
Member
456
2,123
Jun 2024
Rochester, MN
Feb 27, 2024 at 9:11 PM#99

Reading this thread on 2026 payer coverage hits close to home. Night shift nurse — I started at 275 lbs and felt like I would tried everything.

11 months on tirz and I am a different person. Not just the 50 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. ❤️

39 18SaraMom3, Dr.MetabolicMD, RetaRick_CA and 36 others
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cory_ATX
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2,123
Jul 2024
Austin, TX
Feb 27, 2024 at 9:28 PM#100

JenMemphis — that is really helpful context on 2026 payer coverage. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

Last edited: Feb 27, 2024 at 11:28 PM
40 10tane_welly, Dr.PathRoch, mona_PHX and 37 others
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