How do I get my insurance to cover Wegovy?

Coverage for Wegovy varies a lot by plan, but a few steps improve your odds. First, check whether your plan's formulary lists Wegovy and whether weight-management drugs are excluded at all; your plan publishes this and your pharmacist can confirm it. If it is covered, most plans require prior authorization: your prescriber submits documentation, usually your BMI (often 30 or higher, or 27 or higher with a weight-related condition like high blood pressure, type 2 diabetes, or sleep apnea) and sometimes a record of prior weight-loss attempts. Some plans require step therapy, meaning you try an older or cheaper medication first. If the claim is denied, you have the right to appeal; ask your prescriber's office for a letter of medical necessity and submit it through your plan's appeal process. If your plan excludes weight-loss drugs entirely, ask whether an on-label alternative for a covered condition is appropriate, look at the manufacturer's savings card for commercially insured patients, or compare cash and compounded options with your prescriber. Coverage rules change every plan year, so confirm details with your plan's pharmacy benefit line and your prescriber. This is general information, not medical or insurance advice.