🍪 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 3

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

InsuranceTom Fri, Dec 1, 2023 at 4:00 PM 54 replies 42,238 viewsPage 3 of 11
mike_mod
Moderator
7,234
19,823
Nov 2023
New York
Online
Dec 1, 2023 at 8:15 PM#11

Moderator note: This thread has been getting great engagement. Please remember to cite sources when making clinical claims.

No issues to report — carry on. 👍

50 7PharmHunterJen, TomTeleRx, DoseLogDan and 47 others
Reply Quote Save Share Report
mike.trainer_LA
Senior Member
1,567
7,234
Apr 2024
Los Angeles, CA
Dec 1, 2023 at 8:32 PM#12

Slightly tangential to 2026 payer coverage but amsterdam_pete reminded me — what is the latest on the oral formulations?

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.

Last edited: Dec 2, 2023 at 12:32 AM
9 5newstart_MO, mia_MS2, LeilaHI and 6 others
Reply Quote Save Share Report
paul_denver
Member
723
3,234
May 2024
Denver, CO
Dec 1, 2023 at 8:49 PM#13

+1 to maria_elpaso. Especially the point about "Follow-up question: did you change anyth..." — I have seen the same in my own experience with 2026 payer coverage.

5 10wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 2 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
Dr.LipidDallas
VIP Member
2,678
14,567
Dec 2023
Dallas, TX
Dec 1, 2023 at 9:06 PM#14

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

5 5lori_vegas, Dr.PulmRoch, maya_sedona and 2 others
Reply Quote Save Share Report
Dr.RaviCardio
VIP Member
2,890
15,678
Jan 2024
New York, NY
Dec 1, 2023 at 9:23 PM#15

Relevant to 2026 payer coverage update — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 241 → 111 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

13 18jason_sac26, chris_chi24, tampaLisa73 and 10 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