Your GLP-1 Options
This document provides an overview of GLP-1 medications, their usage, insurance coverage, and options to obtain them for treating Type 2 diabetes and weight loss.
How do GLP-1s work? What are GLP-1s? GLP-1 medications are prescription drugs that help treat type 2 diabetes and obesity. They mimic a natural hormone in the body called glucagon-like peptide-1 (GLP-1), which plays an important role in regulating blood sugar and appetite. GLP-1 medications work by helping your body release insulin when blood sugar is high, slowing the rate at which food leaves the stomach. They also act on the brain to increase feelings of fullness and decrease hunger. GLP-1 Treatment OZEMPIC Type 2 diabetes RYBELSUS Type 2 diabetes MOUNJARO Type 2 diabetes ZEPBOUND Weight loss WEGOVY Weight loss How to obtain GLP-1s FDA-Approved Options Compounded GLP-1 Options Damien Center Membership Are GLP-1s covered by our health plan? GLP-1s: Understanding & Obtaining your Rx Brand-name GLP-1 medications may be available by prescription through manufacturer-supported services such as LillyDirect and NovoCare by Novo Nordisk. Telehealth providers such as WeightWatchers Clinic, Hims & Hers, and Ro may connect patients with licensed clinicians who evaluate treatment options. Some services may offer compounded GLP-1 medications, which are not FDA-approved and do not undergo the same review for safety, effectiveness, and quality as approved medications. Availability and eligibility vary. If you are an Indiana resident and are NOT on government insurance, you can access brand-name Wegovy® and a full virtual weight loss program through Damien Center, a nonprofit health center in Indiana – at a significantly lower out-of-pocket cost. Most GLP-1s are covered by the health plan as treatment for Type 2 Diabetes. GLP-1 medications are not covered to treat weight loss alone by our health plan. Though, you can still access certain GLP-1s out-of-pocket through providers like WeightWatchers, Hims, etc. For Type 2 Diabetes For Weight Loss Scan to learn more and get LillyDirect NovoCare started FDA approvals, formulary updates, and benefit changes may affect coverage. Please consult your Pharmacy Benefit Manager (PBM) and your current formulary drug list for the most current information. Coverage Subject to Change
