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For patients in any of these states whose insurance doesnt cover weight loss medications, or who want to avoid the prior authorization process entirely, compounded semaglutide or compounded tirzepatide through a telehealth platform offers a predictable out-of-pocket alternative

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There are a few things worth doing immediately if youre in this situation: Talk to your prescribing physician about whether your medical record documents all qualifying conditions including pre-diabetes, cardiovascular disease, or sleep apnea that could support a covered indication under your employers revised policy Request a formal medical necessity letter from your provider if you plan to appeal your insurers coverage denial Research your states Medicaid position on GLP-1s Simplefills breakdown of the state-by-state divide over GLP-1 Medicaid coverage is an up-to-date resource on which states are covering these medications and under what conditions Dont Wait Until You Miss a Dose The patients who get the best outcomes from prescription assistance are the ones who start the process before their coverage actually lapses