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For more information, see KFFs policy watch on rising Medicare spending on Ozempic and other GLP-1 Drugs

The most significant regulatory development is the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) , which took effect January 1, 2026

Compounded GLP-1 medications are not authorised in Canada

We highly encourage you to call our free, national helpline at 800-333-4114 to discuss your coverage options in a more private way, or to contact your local State Health Insurance Assistance Program (SHIP) whose number can be found at Some general answerswhich may or may not apply to your specific circumstance: The BMI at the start of the GLP-1 therapy is the BMI they go off of (just make sure to have your doctor verify this)

CLICK HERE TO SEE OUR PROGRAM OVERVIEW Bundles contain multiple MAPS programs combined in a synergistic fashion to be used either concurrently or in sequence