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My insurance denied Wegovy. Are compounded GLP-1s my best option?

ClaudediscoveryCollected Jul 19, 2026, 12:18 UTC

Verbatim response from Claude

This is a really common situation right now. Here are your main options to consider:

Compounded GLP-1s

Possible options include:

  • Hims & Hers - offers compounded semaglutide with medical oversight
  • Ro (Body program) - similar telehealth compounded option
  • Eden - another telehealth platform for compounded semaglutide

Important caveats:

  • The FDA has recently moved to end compounded semaglutide as Wegovy/Ozempic shortages resolve
  • Quality varies significantly between compounding pharmacies
  • These aren't FDA-approved in the same way brand-name versions are

Other Options Worth Considering First

Appeal your denial:

  • Novo Nordisk's patient assistance program - can significantly reduce Wegovy costs
  • Ask your doctor to write a letter of medical necessity
  • Try a peer-to-peer review request

Alternatives your insurance might cover:

  • Saxenda (liraglutide) - older GLP-1, sometimes covered when Wegovy isn't
  • Qsymia or Contrave - different weight loss meds with better coverage

Cost reduction:

  • Wegovy savings card can bring costs down to ~$0-$650/month depending on your situation

My Recommendation

Exhaust the appeal process first before going compounded, given the regulatory uncertainty around compounded GLP-1s right now.

Would you like help thinking through the appeal process?

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