GLP-1 weight loss injections require meeting specific eligibility criteria. Here's what qualifies you and how to get a prescription.
FDA Eligibility: Wegovy (Semaglutide)
- BMI ≥30 kg/m², OR
- BMI ≥27 kg/m² with: type 2 diabetes, hypertension, dyslipidaemia, sleep apnea, or cardiovascular disease
- Age 18+ (adolescents 12+ as of 2023)
FDA Eligibility: Zepbound (Tirzepatide)
Same BMI criteria as Wegovy. Adults 18+.
Absolute Contraindications
- Personal/family history of medullary thyroid carcinoma (MTC)
- Multiple Endocrine Neoplasia type 2 (MEN 2)
- History of pancreatitis
- Pregnancy or breastfeeding
How to Talk to Your Doctor
Book a weight management appointment. Bring your BMI (use our free BMI calculator), any weight-related conditions, record of prior weight loss attempts. Ask directly: "Am I a candidate for a GLP-1 medication for weight management?"
Telehealth Options
Services like Ro, Sequence (part of WeightWatchers), and Found prescribe GLP-1s after online medical review. Monthly membership $20-100 applies on top of medication cost. Ensure proper medical history review, not just a BMI check.
Insurance Prior Authorisation
Most insurers require prior auth. Your prescriber submits BMI, comorbidities, and prior weight loss attempts. First-level appeals succeed ~50% of the time with a strong medical necessity letter.