Access

Coverage for GLP-1 medications hinges on three levers — formulary, prior authorization, and step therapy — plus a fourth most people miss: whether the prescription is for diabetes or weight management. Here's how each actually works, and how to build your best case for coverage.

Before you can get a GLP-1 medication covered, you need to know if it's on your plan's formulary — and where. Here's how to check, what the tiers mean, and who actually decides what's on the list in the first place.