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Marc Jean Gilles, DO, FACOG, GA , is here to help

If your BMI is between 27 and 30, you can still qualify for Wegovy as long as you have at least one weight-related health condition: Type 2 diabetes or prediabetes High blood pressure (hypertension) High cholesterol Sleep apnoea Fatty liver disease Polycystic ovary syndrome (PCOS) Can I switch to Wegovy if my BMI is below 27

Recent Developments: As of mid-2026, the FDA has proposed to exclude popular GLP-1 substances like Semaglutide, Tirzepatide, and Liraglutide from the list, concluding that there is no clinical need to compound them from bulk ingredients when approved versions are available

While there is no universal approach to coverage, there are a multitude of opportunities available to plan sponsors to best fit their goals
