Is Ozempic (semaglutide) covered by insurance?

Whether insurance covers semaglutide in the form of Ozempic®, which is FDA-approved for type 2 diabetes, depends on your insurance plan. Insurance plans have varying policies on whether or not they cover certain medications and under what circumstances medications are covered. Note that medication coverage is considered part of the insurance plan benefits. To best determine if Ozempic is covered by insurance and what other medications are covered by your plan, you can review your plan’s drug formulary, which is a list of generic and brand name prescription drugs that are covered by your prescription drug plan or contact your insurance company using the phone number on the back of your insurance card.

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Some people choose to get compounded semaglutide medication instead of the brand name medication like Ozempic. Although they are often available at a lower cost, it’s important to know that these compounded weight loss medications come with real risks. The molecule has not been tested in clinical trials and approved by the FDA for safety and efficacy. Additionally, compounding facilities may not be FDA monitored and there is a risk of contaminants and patient dosing errors. Form is dedicated to providing quality evidence-based medical weight loss care. The National Obesity Medicine Association recently published an extensive position statement advising against using compounded peptides that also highlights the risk to individuals. Form Health is aligned with the Obesity Medicine Association’s position. We do not prescribe compounded medication.

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Learn more about FDA-approved medications at Form Health, including more on Ozempic prescribing information.