Obesity Treatment Check Coverage Tool for HCPs

Check your patient's insurance coverage

Complete this secure, online form to get answers about your patient's insurance coverage in minutes. Estimated cost will also be provided when available.

*Indicates required field

What type of medication is your patient taking?

Sorry! That state does not cover prescription obesity medicines through Medicaid. Each state decides for itself what prescription drugs to cover through Medicaid. Your patient would need to contact the state Medicaid office to learn more about its policies on covering prescription weight-management medicines. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Good news! California’s Medicaid program covers prescription obesity medicines for patients aged 12 years and older. Health care professionals are restricted to use for chronic weight management. If approved, patients could pay $0. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Good news! {patientState}’s Medicaid program covers prescription obesity medicines for patients aged 12 years and older. Health care professionals are required to submit a prior authorization (PA) request. If approved, patients could pay under $3. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Good news! {patientState}'s Medicaid program covers prescription obesity medicines for patients aged 12 to 21 years old. Health care professionals are required to submit a prior authorization (PA) request. If approved, patients could pay under $3. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Good news! {patientState}'s Medicaid program covers prescription obesity medicines for patients aged 12 years and older. Health care professionals are required to submit a prior authorization (PA) request. If approved, patients could pay under $3. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Some {patientState} Medicaid plans cover prescription obesity medicines for patients aged 12 years and older. Health care professionals are required to submit a prior authorization (PA) request. If approved, patients could pay $0. For more information, click the link below to visit the state’s Medicaid website.

Learn more

Unfortunately, Medicare does not cover some prescription obesity medicines including Saxenda^®. However, some select Medigap and Medicare Advantage plans do. If the patient has one of these plans, please have them reach out to the insurance company to determine coverage and appropriate next steps.

The Centers for Medicare & Medicaid Services recently updated their guidance allowing plans to cover Wegovy^® for certain patients. If the patient has one of these plans, please have them reach out to the insurance company to determine coverage and appropriate next steps.

The VA will cover obesity management. Please refer to the VA National Formulary for the latest coverage information.

Your patient’s plan provides coverage for this medication in certain situations. To determine if coverage is available, you may request a coverage review. Please have your patient contact their Military Treatment Facility or Tricare Network health care professional for more information.

Next: Patient and HCP info

Patient information

Note: In most cases, the following fields are the only information we need to check your patient’s coverage. NovoCare^® electronically connects with insurance companies to get your patient’s coverage details. A prescription insurance card is not required.

Health care professional information

Need to look up your NPI number? NovoCare^® uses a public database to find your NPI. Please ensure your search criteria matches what is on file here.