GLP-1 Providers That Accept EmblemHealth: 2026 Coverage, Cost & Your Best First Step
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If you're searching for GLP-1 providers that accept EmblemHealth, here's the honest bottom line most pages skip: no telehealth brand "accepts EmblemHealth" the way a doctor's office does. What actually decides your cost is whether your specific EmblemHealth plan covers the medication on its drug list — plus a step called prior authorization. So your smartest first move isn't booking a visit. It's checking the expensive part — the drug.
The fastest route for each situation
Here's the whole page in one table. Find your row, then jump to the section that matches.
| What you need | Start here | Why |
|---|---|---|
| Know if your plan covers Wegovy/Zepbound/Ozempic | Ro's free GLP-1 coverage check | Free report on coverage + whether prior auth is required |
| A live video doctor, fast | Sesame | Video visits, provider care, and messaging |
| The visit billed to EmblemHealth | Zocdoc, EmblemHealth Find Care, or ACPNY | True in-network appointment routes |
| Diabetes, complex history, or already denied | Your PCP or endocrinologist | They hold your chart, labs, and the strongest paperwork |
| On EmblemHealth Medicare, want a weight-loss GLP-1 | Medicare GLP-1 Bridge ($50/mo, starts July 1, 2026) | Federal program — not run through your EmblemHealth plan |
| On EmblemHealth Medicaid, want a weight-loss GLP-1 | In-network Medicaid provider | New York Medicaid doesn't cover GLP-1s for weight loss |
| Honestly not sure which fits you | Our 60-second matching quiz | Get a coverage-first plan for your exact situation |
Free report. Ro's membership is cash-pay only if you decide to continue.
Need the visit itself billed to EmblemHealth? Jump to the in-network doctor routes →
What does "GLP-1 providers that accept EmblemHealth" really mean?
"Accepts EmblemHealth" can mean four totally different things, and mixing them up is the #1 way people waste money. A provider can bill your visit to EmblemHealth, check your pharmacy benefit for the drug, submit the prior authorization, or simply send your prescription to a pharmacy that bills your plan. For GLP-1s, the question that controls your cost is almost always the pharmacy one.
- Billing the visit. An in-network doctor's office runs your appointment through EmblemHealth, so you pay a copay for the visit. Most cash-pay telehealth programs do not do this.
- Checking the drug benefit. A provider looks up whether your plan covers the specific GLP-1 and what you'd pay. This is the part that actually predicts your monthly cost.
- Doing the prior authorization. Prior authorization (PA) is where most people stall. Someone has to gather your records and submit them.
- Filling at the right pharmacy. Even with approval, the prescription has to go to a pharmacy that can bill your EmblemHealth or Prime Therapeutics benefit.
Have a different insurer? See our broader guide to GLP-1 providers that accept insurance.
Does EmblemHealth cover Wegovy, Zepbound, Ozempic, Mounjaro, or Rybelsus?
Sometimes — and it comes down to your exact plan, your diagnosis, and prior authorization, not the brand on the box. EmblemHealth's drug policy covers GLP-1s for type 2 diabetes when its criteria are met, and that same policy advises against prescribing GLP-1s for weight loss alone. Weight-loss coverage (Wegovy, Zepbound) is decided plan by plan, and many EmblemHealth plans exclude it.
Diabetes drugs and weight-loss drugs are two separate coverage questions. EmblemHealth's prior-authorization policy targets the diabetes GLP-1s — Ozempic, Mounjaro, Rybelsus — for adults with type 2 diabetes, and those are commonly covered when you meet the criteria (PA usually applies). That same diabetes policy does not target Wegovy or Zepbound, and it notes the diabetes GLP-1s in it aren't FDA-approved for weight loss in someone who doesn't have diabetes.
Nationally, only about 19% of large employers covered GLP-1s used mainly for weight loss in 2025 (KFF's 2025 Employer Health Benefits Survey). EmblemHealth is no exception — coverage swings widely from plan to plan. A real example: New York City's municipal health plans, administered by EmblemHealth, stopped covering Zepbound and Wegovy for weight loss while keeping coverage for GLP-1s used for diabetes. One member's cost jumped from a $25 copay every three months to hundreds of dollars a month. That's exactly why you check before you commit.
What "PA," "QL," and "ST" mean on your drug list
- PA — Prior Authorization. Your doctor must get approval before the plan pays.
- QL — Quantity Limit. The plan caps how much it covers in a set period.
- ST — Step Therapy. You may have to try a cheaper drug first before the plan covers the one you want.
A drug appearing on your formulary does not guarantee payment. EmblemHealth says so directly. Always check your own plan's Certificate of Coverage.
EmblemHealth GLP-1 coverage snapshot — verified
| What we checked | What's true | What it means for you |
|---|---|---|
| Diabetes GLP-1 coverage | EmblemHealth's policy targets Ozempic, Mounjaro, and Rybelsus for adults with type 2 diabetes; coverage applies when the policy criteria are met, usually with PA. | If you have diabetes, your in-network doctor + pharmacy benefit is usually the cheapest path. |
| Weight-loss GLP-1 coverage | Plan-specific. NYC municipal plans dropped Wegovy/Zepbound for weight loss; most large employers still don't cover them. | Don't assume. Check your plan's list and PA rules first. |
| Listed ≠ paid | EmblemHealth states a listed drug may still need PA, have quantity limits, or not be covered by your specific plan. | A formulary listing is a starting point, not a green light. |
| Who runs the drug benefit | Prime Therapeutics handles drug approvals for EmblemHealth members starting Jan. 1, 2026; Accredo is the specialty pharmacy for certain plans. | Your PA may go through Prime, not 'EmblemHealth' directly. |
| The NYSHIP formulary | EmblemHealth publishes a 2026 NYSHIP Tier 2 drug list (Formulary ID NYS2), and brand drugs on it carry PA/QL tags. | NYSHIP-via-EmblemHealth members should look up their exact drug on the NYS2 list. |
This table is a research snapshot, not a coverage guarantee. Your plan documents always win. (Sources: EmblemHealth pharmacy pages and GLP-1 policy; EmblemHealth 2026 NYSHIP Tier 2 formulary; KFF 2025; Gothamist.)
Which GLP-1 providers should EmblemHealth members actually start with?
For checking coverage online, start with Ro. For a live video visit, Sesame is the strongest backup. For a visit billed to EmblemHealth, use Zocdoc, EmblemHealth Find Care, or AdvantageCare Physicians before paying any cash-pay membership. The right pick depends on whether you need the visit billed in-network or you mainly need the medication covered.
Ro — best online first step for a free coverage check
The punchline: Ro is the best first click for most EmblemHealth members who want to know whether their plan may cover an FDA-approved GLP-1 before spending a dollar on care.
What we confirmed on Ro's own pages:
- Ro's GLP-1 Insurance Coverage Checker is free, and it returns a personalized report on whether your plan covers GLP-1s and whether PA is required. Ro says new accounts get a $50 credit.
- If you join, Ro's insurance concierge verifies your benefits, submits the PA, fights denials, and resubmits for a covered alternative — about a 2–3 week process when using insurance.
- Ro's pricing page lists FDA-approved options including the Wegovy pill, Foundayo pill, Zepbound KwikPen, Wegovy pen, and Ozempic.
- Membership: $39 for the first month, then as low as $74/month with the annual plan paid upfront ($149/month standard). The medication is billed separately — your plan copay if covered, or a cash price if not. Ro is LegitScript-certified.
Free coverage report. Membership is cash-pay only if you continue.
Sesame — best for a live video visit and medication PA help
The punchline: Sesame fits readers who want a real video visit with a provider and help getting the medication approved, and who are okay with a cash-pay subscription.
What we confirmed:
- Sesame's weight-loss program starts at $99/month (less with an annual plan) and includes video visits, ongoing provider care, and messaging.
- It offers FDA-approved weight-management options like Wegovy (pill and pen) and Zepbound, and separately lists diabetes drugs such as Ozempic, Mounjaro, and Rybelsus.
- Sesame markets the medication "as low as $25/month" when insurance covers it and runs the program "with or without insurance."
Check live pricing, medication choices, and PA support.
The in-network routes (the true "accepts EmblemHealth" answer for your visit)
If what you really want is a doctor who takes EmblemHealth for the appointment, these are your honest, no-membership options:
Zocdoc
Lets you filter by your insurance carrier and plan and find providers for weight-loss or Ozempic/Wegovy consultations near you. Confirm two things with the office: do they prescribe GLP-1s, and will they handle the PA?
EmblemHealth Find Care
The official directory. Search your exact plan, then call the office to confirm GLP-1 prescribing and the PA workflow.
AdvantageCare Physicians (ACPNY)
EmblemHealth's affiliated medical group, states its providers are in all EmblemHealth networks — a clean 'stay inside the EmblemHealth ecosystem' option across NYC and Long Island.
Your current PCP or endocrinologist
Often the strongest path when documentation matters — they already have your chart, labs, and history.
What we verified about each route — last checked
| Route | What they say | What we verified | What could change |
|---|---|---|---|
| Ro | Free coverage check; concierge fights PA | Free checker + $50 new-account credit; $39 first month / as low as $74 annual / $149 monthly; meds billed separately; concierge handles commercial PA only | Pricing and promos; medication list |
| Sesame | Weight loss "with or without insurance" | Program from $99/mo; video visits, care, messaging; FDA-approved weight-loss options plus diabetes drugs listed separately | Pricing; state lab logistics |
| Zocdoc | Find in-network doctors | Lets you filter by EmblemHealth/GHI/your plan for Ozempic-Wegovy consultations | Provider availability by area |
| AdvantageCare Physicians | In EmblemHealth networks | ACPNY states its providers are in all EmblemHealth networks | Network/plan participation |
| Prime Therapeutics | EmblemHealth's drug-benefit manager | Performs utilization management (PA, quantity limits, step therapy) for EmblemHealth members starting Jan. 1, 2026 | Plan-specific rules |
| NYRx (NY Medicaid) | Covers medically necessary FDA uses | Does not cover GLP-1s for weight loss; covers diabetes GLP-1s with PA | State policy updates |
| Medicare GLP-1 Bridge | $50/mo weight-loss access | $50/mo flat, July 1, 2026–Dec. 31, 2027; covers Wegovy, Zepbound KwikPen, Foundayo | CMS program changes |
Should I use Ro, Sesame, an in-network doctor, or my own PCP?
Use Ro to check medication coverage first, Sesame for a live online visit, Zocdoc/Find Care/ACPNY when the visit must be billed in-network, and your own doctor when diagnosis and records are the obstacle. The wrong move is picking a route that answers the provider question while ignoring the drug coverage question.
| Your situation | Best route | Why | Avoid |
|---|---|---|---|
| "Just tell me if Wegovy/Zepbound is covered." | Ro coverage check | Free report + PA info | Paying for a visit before checking the drug |
| "I want a video visit and provider support." | Sesame | Live care + PA help | Assuming the subscription bills insurance |
| "The visit must go through EmblemHealth." | Zocdoc / Find Care / ACPNY | In-network appointment | A cash-pay membership |
| "I have diabetes or abnormal labs." | PCP / endocrinologist | Chart history and diagnosis | Weight-loss-only telehealth with no records |
| "I already got denied." | Your doctor + appeal, or our quiz | The denial reason sets the next step | Starting a brand-new program blindly |
| "On EmblemHealth Medicaid or Medicare." | See the Medicare/Medicaid section | Government plans have separate rules | Ro's concierge (commercial only) |
Before you pay anyone, know these 10 things
- Your exact plan name (it's on your member ID card).
- Your pharmacy benefit manager — Prime Therapeutics or other.
- Whether Prime Therapeutics handles your drug approval.
- The exact medication you want.
- The reason you're using it (diabetes vs. weight loss) — this changes coverage.
- Whether PA, a quantity limit, or step therapy applies.
- Whether the provider will actually submit the PA.
- Whether the visit is billed to insurance or cash-pay.
- Whether labs are required, and how they work in your state.
- Whether your pharmacy can fill it through your benefit.
A personalized plan based on your insurance, your goal, and your visit preference.
What happens if EmblemHealth requires prior authorization for a GLP-1?
Prior authorization means your plan wants proof before it pays, so the provider you choose matters — someone has to gather your records and submit them. EmblemHealth (through Prime Therapeutics starting Jan. 1, 2026) uses PA as a formal drug-management step, and even when a plan covers a GLP-1, it usually requires PA first.
PA paperwork usually asks for some mix of these: your diagnosis, BMI, weight-related conditions, diabetes documentation where relevant, medication history, past lifestyle efforts, lab results, chart notes, and any prior denials. Some plans also require you to join a lifestyle or coaching program before they'll approve the drug.
The EmblemHealth call script (copy/paste this)
Call the pharmacy number on the back of your card and read this:
"I have EmblemHealth plan [plan name]. I'm checking coverage for [Wegovy / Zepbound / Ozempic / Mounjaro / Rybelsus]. Is this under my pharmacy benefit or medical benefit? Is Prime Therapeutics involved? Is prior authorization required? Are there quantity limits or step therapy rules? What diagnosis or documents are needed? And can a telehealth prescriber submit the prior authorization for me?"
Write down the answers. That single call tells you whether to use your own doctor, a telehealth concierge, or to brace for an appeal.
Who handles PA best?
| Route | PA strength | Why |
|---|---|---|
| Your PCP / endocrinologist | High for documented cases | Already has your chart and labs |
| Ro | Strong (commercial plans) | Concierge submits and fights for it |
| Sesame | Strong | Providers can assist with PA |
| Zocdoc in-network office | Varies | Depends on the practice |
| Cash-pay-only programs | Low for insurance | Often won't pursue coverage |
Want a provider whose team handles the PA so you don't have to? See our GLP-1 prior authorization help guide.
What if EmblemHealth denies your Wegovy or Zepbound?
A denial isn't always the end — but your next step depends entirely on why it was denied. Match your denial letter to the table below before you pay for another program — it usually points to a fix that costs nothing.
| Denial reason | What it means | Your next step |
|---|---|---|
| Plan exclusion | Your plan doesn't cover weight-loss drugs | Ask about appeal rights; compare cash-pay FDA-approved options |
| PA missing | No prior auth was submitted | Have your provider submit it |
| PA incomplete | The documents didn't meet criteria | Add chart notes, labs, diagnosis detail |
| Wrong drug category | A diabetes GLP-1 was requested for weight loss | Ask about FDA-approved alternatives for your goal |
| Quantity limit | The plan caps the amount or dose timing | Provider/pharmacy may request a limit exception |
| Pharmacy billing issue | A PBM or billing mismatch | Call the pharmacy and Prime/EmblemHealth for the rejection code |
On EmblemHealth Medicare or Medicaid? Your path is different.
If you have an EmblemHealth Medicare or Medicaid plan, the commercial telehealth route doesn't apply the same way — and for weight-loss GLP-1s, Medicare members have a brand-new federal option starting July 1, 2026. Ro's insurance concierge serves commercial plans only, so government-plan members should use the paths below.
EmblemHealth Medicare members: the Medicare GLP-1 Bridge
Under the Medicare GLP-1 Bridge, a federal program running July 1, 2026 through December 31, 2027, eligible Part D and Medicare Advantage drug-plan members can get a weight-loss GLP-1 for a flat $50 copay per month per the Centers for Medicare & Medicaid Services.
- Covered drugs: Wegovy (injection and tablet), Zepbound KwikPen, and Foundayo.
- How it works: The program runs outside your normal Part D drug benefit. A single federal central processor handles the prior authorization, the claim, and payment to the pharmacy — your EmblemHealth plan doesn't.
- Eligibility: Adults generally need a BMI of 35 or higher, or 27 or higher along with a related condition such as heart disease or prediabetes, plus ongoing lifestyle changes.
- The catches: The $50 doesn't count toward your deductible or out-of-pocket max, and low-income subsidies (Extra Help) can't lower it.
Weight loss only
Medicare GLP-1 Bridge ($50/month)
Type 2 diabetes
Your regular Part D plan (Bridge isn't for this)
OSA or liver disease (MASH)
Your regular Part D plan (Part D–covered uses)
See our full explainer on the Medicare GLP-1 Bridge $50 copay.
EmblemHealth Medicaid members
Clear and important:
New York's Medicaid program (NYRx) does not cover GLP-1 medications for weight loss. NYRx does cover GLP-1s for type 2 diabetes (and other Medicaid-approved medical reasons) when prior-authorization criteria are met. Use an in-network Medicaid provider with a qualifying medical indication.
What will a GLP-1 cost with EmblemHealth?
There are two separate costs — the visit or membership, and the medication — and the medication is the one that matters. When your plan covers the drug, you typically pay a pharmacy copay. When it's not covered, cash prices depend heavily on the drug and dose.
| Route | Visit / program cost | Medication cost |
|---|---|---|
| Ro | $39 first month; then as low as $74/mo on the annual plan ($149/mo standard) | Separate — your plan copay if covered, or cash (Wegovy pill $149 first month then $199–$299; Zepbound KwikPen $299 then $399–$449; Ozempic $900–$1,100/mo without insurance) |
| Sesame | From $99/mo (less with annual); includes visits, care, messaging | Separate — "as low as $25/mo" with insurance per Sesame, or cash |
| Zocdoc in-network doctor | Your plan's copay/deductible | Depends on your pharmacy benefit and PA |
| ACPNY / Find Care | Your plan's copay/deductible | Depends on your pharmacy benefit and PA |
| Your current PCP | Your plan's copay/deductible | Depends on your pharmacy benefit and PA |
| Medicare GLP-1 Bridge | Not applicable | $50/mo flat (weight loss, Medicare members, starts 7/1/2026) |
For the full breakdown, see GLP-1 cost without insurance.
Which EmblemHealth plan am I on, and who handles my GLP-1 prior authorization?
Most of the confusion comes from New York plan names and who runs the drug benefit: GHI, HIP, GHI CBP, NYCE PPO, NYSHIP, and Prime Therapeutics. Use the matrix to find your starting point.
| Your plan | Drug benefit manager | Weight-loss GLP-1 | Diabetes GLP-1 | Best first route |
|---|---|---|---|---|
| NYCE PPO (NYC employees/retirees, new Jan. 1, 2026) | Prime Therapeutics | Often excluded for weight-loss use — confirm your current list | Generally covered with PA | If diabetes → in-network Rx; if weight loss → check list, then cash-pay or appeal |
| GHI / HIP commercial (HMO/POS) | Prime Therapeutics | Plan-dependent — check your formulary | Covered with PA | Ro free check (commercial) or in-network doctor |
| Large group / ASO (self-funded employer) | Varies by employer | Employer's choice (~19% of large employers cover it) | Usually covered with PA | Ask HR; Ro concierge verifies a commercial benefit |
| NYSHIP (NY State employees) | Prime Therapeutics | Check the NYSHIP Tier 2 list (NYS2) for your drug + PA/QL | Listed with PA/QL | Look up your exact drug, then book |
| EmblemHealth Medicaid / Essential Plan | NYRx / plan | Not covered for weight loss (NYRx) | Covered for diabetes with PA | In-network Medicaid provider |
| EmblemHealth Medicare Advantage / Part D | Part D / Prime | Use the Medicare GLP-1 Bridge ($50/mo) | Covered under Part D | Bridge for weight loss; Part D for diabetes |
A note on City of New York / PICA riders: we don't confirm PICA-specific GLP-1 rules here. Use the call script above and verify your card, rider, pharmacy benefit manager, and formulary before booking.
Who should NOT start with online GLP-1 care?
This page is not medical advice. GLP-1 medications are prescription drugs. Whether one is safe for you depends on a licensed clinician's review of your history, medications, labs, and contraindications.
Start with an in-network clinician first if you:
- Have a personal or family history of medullary thyroid cancer or MEN2
- Have had pancreatitis
- Are pregnant or planning pregnancy
- Have type 1 diabetes
- Have a history of an eating disorder
- Have had a bad reaction to a GLP-1 before
- Were already denied because of documentation
Ro or Sesame may fit well if you:
- Want coverage checked first
- Are okay with a cash-pay visit cost
- Want FDA-approved medication options
- Need help with the PA
- Don't need the visit billed to EmblemHealth
EmblemHealth GLP-1 Route Finder
Answer 5 quick questions — get your best starting point. No personal health info stored.
How we verified this
What we actually verified — Last verified :
- EmblemHealth's GLP-1 prior-authorization policy: diabetes GLP-1s targeted for adults with type 2 diabetes; the policy advises against prescribing GLP-1s solely for weight loss.
- EmblemHealth states a listed drug isn't automatically paid, and uses PA, QL, and step therapy.
- NYC municipal plans dropped Wegovy/Zepbound for weight loss while keeping diabetes coverage (Gothamist).
- Prime Therapeutics manages drug approvals for EmblemHealth members starting Jan. 1, 2026.
- EmblemHealth publishes a 2026 NYSHIP Tier 2 formulary (NYS2).
- The Medicare GLP-1 Bridge: $50/mo, July 1, 2026–Dec. 31, 2027, covering Wegovy, Zepbound KwikPen, and Foundayo (CMS; KFF).
- New York Medicaid (NYRx) does not cover GLP-1s for weight loss; it covers diabetes GLP-1s with PA.
- Only ~19% of large employers covered weight-loss GLP-1s in 2025 (KFF 2025 Employer Health Benefits Survey).
- Ro's free coverage checker, $50 credit, insurance concierge, FDA-approved lineup, membership pricing, and medication cash prices.
- Sesame's program pricing and FDA-approved GLP-1 options.
Prescribing and safety information for each named medication should be reviewed with your clinician before starting; this page is not a substitute for the medication guide.
Frequently asked questions
- Do any online GLP-1 providers accept EmblemHealth?
- Some online providers help you use your insurance for the medication, which is different from billing the visit to EmblemHealth. Ro's membership is cash-pay, while its coverage checker and concierge focus on getting the medication covered. For a visit billed in-network, use Zocdoc, EmblemHealth Find Care, or AdvantageCare Physicians.
- Does Ro accept EmblemHealth?
- Not as a visit-billing claim. Ro offers a free GLP-1 coverage check and a concierge that fights for medication coverage and submits prior authorization, but the Ro membership is cash-pay and the medication is billed separately. Ro's concierge works with commercial plans, not EmblemHealth Medicaid or Medicare.
- Does Sesame accept EmblemHealth?
- Sesame positions its weight-loss program as usable with or without insurance, and its providers can help with medication prior authorization. Treat the subscription itself as cash-pay unless Sesame confirms otherwise for your specific plan.
- Does EmblemHealth cover Wegovy?
- It depends on your plan. Wegovy is FDA-approved for weight management, but EmblemHealth weight-loss coverage is set plan by plan, and many plans (including NYC municipal plans) exclude it. Check your formulary and prior-authorization rules first.
- Does EmblemHealth cover Zepbound?
- Also plan-specific. Confirm your own plan's drug list, diagnosis criteria, and prior-authorization requirements before assuming coverage.
- Does EmblemHealth cover Ozempic for weight loss?
- Don't assume so. EmblemHealth's diabetes GLP-1 policy targets these drugs for type 2 diabetes and advises against using them for weight loss alone, so a weight-loss request is a different and tougher coverage conversation.
- What is Prime Therapeutics, and why does it matter?
- Prime Therapeutics is the company that manages EmblemHealth's drug approvals — prior authorizations, quantity limits, and step therapy — for members starting January 1, 2026. Your GLP-1 approval may run through Prime rather than EmblemHealth directly.
- Does EmblemHealth Medicaid cover GLP-1s for weight loss?
- No. New York Medicaid (NYRx) does not cover GLP-1 drugs for weight loss; it covers them for type 2 diabetes and other Medicaid-approved medical reasons when prior-authorization criteria are met. Use an in-network Medicaid provider and a qualifying medical indication.
- Can compounded GLP-1 providers accept EmblemHealth?
- Generally, no for the route this page is about. Compounded GLP-1 programs are typically cash-pay and should not be treated as EmblemHealth-covered substitutes for FDA-approved Wegovy, Zepbound, Ozempic, Mounjaro, or Rybelsus. If your plan excludes brand-name drugs, talk with a licensed clinician about your options rather than assuming a compounded program works with insurance.
- What is the safest first step?
- Check whether your plan covers the medication before paying for care. Use Ro's free coverage check online, or use Zocdoc, EmblemHealth Find Care, or AdvantageCare Physicians when you need the doctor visit billed in-network.
Still not sure which GLP-1 program is right for you?
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Sources
- EmblemHealth — Diabetes GLP-1 Agonists Prior Authorization Policy: emblemhealth.com
- EmblemHealth — Drugs Covered (preauthorization, tiers, Prime/Accredo): emblemhealth.com/resources/pharmacy/drugs-covered
- EmblemHealth — New Pharmacy Benefit Manager: Prime Therapeutics (effective Jan. 1, 2026): emblemhealth.com
- EmblemHealth — 2026 NYSHIP Tier 2 Rx Formulary (NYS2): emblemhealth.com
- EmblemHealth — AdvantageCare Physicians: emblemhealth.com/about/advantagecare-physicians
- Gothamist — NYC employee plan ends weight-loss drug coverage: gothamist.com
- CMS — Medicare GLP-1 Bridge, $50 monthly access: cms.gov
- KFF — Medicare GLP-1 Bridge / BALANCE Model: kff.org
- KFF — 2025 Employer Health Benefits Survey: kff.org
- New York State Department of Health — NYRx pharmacy transition FAQ: health.ny.gov
- eMedNY — NYRx benefits and coverage: member.emedny.org/pharmacy/benefits
- Ro — Weight Loss Program Pricing, Insurance, and GLP-1 Coverage Checker: ro.co/weight-loss/
- Sesame — Online weight loss program: sesamecare.com/service/online-weight-loss-program
The RX Index is an independent comparison resource for GLP-1 telehealth providers. We may earn a commission if you start care through some links on this page, at no extra cost to you. This does not change our criteria, recommendations, or the facts we verify. Coverage rules and prices change — always confirm details with your own plan and prescriber. EmblemHealth members should verify their specific plan documents. This page is not affiliated with or endorsed by EmblemHealth.