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Some provinces cover semaglutide or tirzepatide for diabetes under specific circumstances, while weight-management indications often require private payment or specialized insurance plans

None are currently FDA-approved for T1D, but off-label prescribing has been rising sharply and the clinical data is starting to catch up

Employers should demand transparency into rebate structures and consider authorization controls one PBM blocked 21.5% of inappropriate GLP-1 requests through prior authorization or prescription optimization strategies

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"So, instead of having empty stomachs, they're now basically putting people under anesthesia who have fuller-type stomachs and they're seeing a lot of aspiration." Last month, the American Society of Anesthesiologists issued new guidance for when patients should stop taking GLP-1 receptor agonists before surgery

Second, request a formulary exception, explaining why alternatives arent appropriate for your medical situation
