Saxenda Insurance Coverage: Will Your Plan Still Pay in 2027?

Saxenda insurance coverage depends on your plan. Some plans exclude weight-loss drugs; others cover Saxenda or its FDA-approved generic with prior authorization. Novo Nordisk plans its final U.S. wholesaler shipments of brand Saxenda for late January 2027. Basic Medicare Part D excludes Saxenda used for weight loss.

The RX Index is the independent GLP-1 decision resource that scores telehealth providers and treatment paths on clinical legitimacy, care quality, transparency, access, and cost, so readers can choose the path that fits their situation.

What changes the answer for you:

• Work or Marketplace plan: may be covered with approval, if your plan includes weight-loss drugs. Some plans prefer the generic.
• Medicare: basic Part D excludes it when used for weight loss. The $50 Medicare GLP-1 Bridge doesn't include Saxenda.
• Medicaid: depends on your state.
• Teen, 12 to 17: can be covered, under teen rules.
• No coverage: the generic's advertised GoodRx price was about 28% of the brand's when we checked. Get a quote for your pharmacy.

Below: which plans cover the brand versus the generic, approval rules from four payer documents and the FDA label (including the 16-week check that trips up renewals), and what to do before January.

RX Index Decision Verdict: If you're on Saxenda now, ask your plan and pharmacist about the generic for Saxenda this month. Then decide with your clinician whether to stay on it or move to a weekly option your plan covers.

• Best for: adults whose plan covers weight-loss drugs and who are doing well on Saxenda.
• Not ideal for: Medicare members relying on basic Part D, and anyone whose plan excludes weight-loss drugs.
• The factor that matters most: whether your plan covers weight-loss medicines at all.

What's changing with Saxenda in 2026 and 2027?

Novo Nordisk is discontinuing the Saxenda brand in the U.S., with its final shipments to wholesalers planned for late January 2027. Novo calls it a business decision, not a safety or quality problem. At the same time, an FDA-approved generic is on the market, and some published plan rules prefer the generic over the brand.

Think of it like a store brand replacing the name brand on the shelf. The medicine inside is liraglutide either way. The box, the maker, and the price change.

The last shipment date isn't the day your pharmacy runs out. Stock can last longer in some places and run short sooner in others. This isn't a recall, so don't stop your medicine on your own. Talk to your clinician about what comes next before a refill gets urgent.

Does insurance cover Saxenda? Coverage by plan type

It depends on your plan type and the company that runs your drug benefits. Work and Marketplace plans may cover Saxenda or its generic with prior authorization, if the plan includes weight-loss drugs. Basic Medicare Part D excludes drugs when used for weight loss, and Medicaid depends on your state.

Here's what we found when we read the published drug lists and policies on October 22, 2026. Your own plan's documents always win.

One catch trips people up: a drug can sit on a company's drug list and still not be covered for you. An employer plan can exclude weight-loss drugs as a group. Cigna's policy says this plainly: the customer's plan document wins if the two conflict. Our guide to plan exclusion vs. prior authorization explains the difference.

How to check your own Saxenda coverage in five steps

Start with your plan's weight-loss drug benefit. Then check the exact medicine, the approval rules, your cost, and your renewal date. Write each answer down, with the date and a reference number, so you, your prescriber, and your pharmacy work from the same facts.

The phone or chat number for prescriptions is on your insurance card. If you see a company name like Express Scripts, CVS Caremark, or OptumRx there, that's who runs your drug benefits.

Copy these questions for your plan:

"I'm checking coverage for Saxenda for weight management. Does my plan include that benefit? Please check brand Saxenda and the generic for Saxenda separately. Which one is preferred, does it need prior authorization, and what will I pay for a 30-day supply at my pharmacy? If it's denied, please send me the written reason and the plan rule it's based on."

Here's an example. Say your work plan includes weight-loss drugs, and the pharmacy says "PA required." That means there's a paperwork step, not a "no." Ask your plan for the rule, send it to your prescriber's office, and get a cost quote at the same time. If the written answer instead says weight-loss drugs are excluded, filing the same paperwork again won't fix it. The next conversation is about that exclusion and your other options.

If your plan's answer means you may need to switch medicines, the right path depends on your situation. Your state, your insurance and its drug list, whether you want a brand or generic, a shot or a pill, and your budget all change the best fit. The RX Index's Find My GLP-1 Path tool asks a few quick questions and shows the GLP-1 paths and providers that fit your goals, budget, insurance, and situation. It's free, takes about 2 minutes, and needs no signup. It suggests paths; it doesn't verify your personal insurance coverage or copay.

Explore your GLP-1 options

Will insurance cover generic liraglutide instead of Saxenda?

Some plans prefer the FDA-approved generic for Saxenda. Express Scripts' 2027 National Preferred Formulary excludes the brand because its generic is covered, subject to your plan's benefit. A separate Cigna option requires a generic trial and a qualifying ingredient problem before employer plans using it approve the brand. The FDA approved the first generic of Saxenda in August 2025.

The generic has the same active ingredient as Saxenda, liraglutide, and the same FDA-approved weight-management use, including teens 12 and up (FDA).

Two questions to ask before your next fill:

• Your pharmacist: "Can my next fill be the generic for Saxenda, and what will it cost me?"
• Your plan: "Does my current approval cover the generic, or does my prescriber need to send a new one?" Don't assume an approval carries over. Plans handle this differently.

One mix-up to avoid: not every liraglutide is the generic for Saxenda. Victoza is also liraglutide, but it's approved for type 2 diabetes at lower doses. A liraglutide listing under diabetes benefits does not establish coverage for Saxenda or its weight-management generic. Ask your pharmacist to confirm your prescription is the product that matches Saxenda. Our guide to how GLP-1 generics work goes deeper.

What does Saxenda prior authorization require?

Prior authorization is a permission slip from your insurer: the plan reviews your records before it agrees to pay. The Saxenda policies below check your BMI, ask for diet and lifestyle records, and recheck progress. The timing differs by plan.

BMI is body mass index, a number based on your height and weight. Three quick self-checks before you or your prescriber file:

1. Was your starting BMI 30 or higher, or 27 or higher with a weight-related condition like high blood pressure? (One Cigna option uses 32.)
2. Do you have records showing 3 to 6 months of diet, activity, or a weight program?
3. Are you 18 or older? Teens have their own rules, covered below.

If you said yes to all three, you match the basic shape of most plans we read. Your prescriber's office still has to send the request, and your plan still decides.

Real Saxenda approval rules, side by side

These are published adult and teen rules we read on October 22, 2026. They show what a request may need. They are not a decision for your plan.

Sources: Cigna, CVS Caremark, FEP Blue, HCSC / Prime, FDA label.

Cigna also has a separate, stricter option some plans use (effective September 1, 2026). Its adult rule is a BMI of 32 or higher, or 27 or higher with at least two listed conditions. Its lifestyle program requires four weigh-ins and four app engagements each month. For employer plans using this policy, brand approval requires a generic trial plus a documented inactive-ingredient difference expected to cause a significant allergy or serious adverse reaction (Cigna).

Read across the rows and the pattern is simple. These examples ask three things: Does your BMI meet the rule? Can you show the required lifestyle work? And did you reach or keep the required progress? The check date and renewal rule depend on the plan.

The 16-week check that trips up renewals

Saxenda's FDA label tells clinicians to check adults at 16 weeks and stop the medicine if they haven't lost at least 4% of their starting weight. Most plans we read use a similar 4% or 5% bar to renew approval.

In real numbers: if you started at 250 pounds, 4% is 10 pounds and 5% is 12.5 pounds.

Two details matter more than people expect:

• Cigna uses your weight before any GLP-1. Cigna defines baseline as your weight before you started any GLP-1 medicine, including liraglutide, Wegovy, or Zepbound. Keep that first record.
• Ask which request your plan needs. Your prescriber needs the right baseline and progress records. A new plan or product may need an initial request, even if you already take Saxenda. HCSC's policy requires an initial review if that plan has not previously approved one of the medicines named in this policy. Our guide on how initial approval differs from renewal walks through it.

The label rule is for your clinician to apply. Teens have a different check (BMI, not weight), so don't use adult numbers for a child.

What to send so paperwork doesn't sink you

Here's a real, public example. In a New York external appeal, a woman with a BMI of 38.9 was denied Saxenda. Her plan required proof of at least three months in a weight program with monthly participation. She sent receipts from a weight program. The independent reviewer upheld the denial because receipts didn't show she actually took part (NY DFS case 202302-159101).

The lesson: send records that show participation, like visit notes, attendance logs, or a clinician's notes, not just payment receipts.

A strong request usually includes:

• Your starting weight, height, and BMI, with dates
• Any weight-related condition the plan's rule requires
• Records of the diet, activity, or weight program the plan asks for
• Past weight-loss treatments, if the plan asks
• If the plan prefers the generic and you need the brand, your clinician's written reason

Our checklist of documents a GLP-1 approval needs has the full list, and our prior authorization rules by insurer tracker covers other plans.

How much does Saxenda cost with insurance and without it?

With coverage, your cost depends on your plan's deductible, copay, or coinsurance for the brand or the generic. Novo posts a $1,349.02 list price for Saxenda; that is not a pharmacy quote. When we checked, GoodRx showed generic liraglutide as low as $372.45 for a 5-pen carton. Novo's Saxenda savings offer has ended.

A 5-pen carton lasts 30 days at the labeled adult maintenance dose of 3 mg daily. Each pen holds 18 mg, so 5 pens hold 90 mg (FDA label). GoodRx prices change by pharmacy and ZIP code, so call your pharmacy for a real quote.

Is there still a Saxenda savings card?

No. Novo Nordisk's Saxenda savings offer closed to new enrollees on June 30, 2023, and ended for everyone on December 31, 2023 (NovoCare). You'll still find "$25 Saxenda coupon" claims online, and one older Novo page still shows that expired offer.

Teva lists a separate copay program for its generic of Saxenda on its generic copay programs page. Its current card terms advertise as little as $20 per prescription through December 31, 2026, for eligible people whose commercial insurance already covers Teva's product. Uninsured cash-pay patients and people eligible for government drug coverage do not qualify. Per-prescription and annual savings caps apply, but Teva does not publish their dollar amounts in these terms. Ask your pharmacy which maker's generic you'll get, since programs are tied to the maker.

Cost at the counter: what else to confirm

The sticker price isn't the whole receipt. Before you fill, ask:

• How many days does this fill cover?
• Does my deductible apply first?
• Is it a flat copay or a percentage (coinsurance)?
• Are pen needles or other supplies extra?
• What will next month's refill and next year's plan cost?

No web page, this one included, can tell you your exact copay. Ask your plan for a quote, then have your pharmacy confirm the amount before you fill.

A safety note: if you have MEN 2 (a rare inherited condition), or you or a family member has had medullary thyroid cancer, Saxenda's label says not to use it (FDA label). If you're pregnant or planning to be, have type 1 diabetes, or have a history of an eating disorder, talk with your clinician before starting or switching any GLP-1.

If your plan won't cover Saxenda and you're thinking of switching

If your plan includes weight-loss drugs but not Saxenda, or you'd rather switch before January, the next question is whether it covers a weekly shot. Ro's free coverage checker looks at Wegovy, Zepbound, and Ozempic pens. You fill in a short form from your insurance card, Ro contacts your plan, and it emails you a report (Ro). It doesn't check Saxenda, and it isn't an approval. If you join Ro Body and a Ro-affiliated clinician prescribes an eligible medicine, Ro's insurance team can handle the prior authorization paperwork. Ro says its broader insurance-coordination process typically takes 1 to 3 weeks (Ro).

This is for adults with work or Marketplace coverage. If you're on Medicare or Medicaid, skip to those sections below.

Check if your plan covers Wegovy or Zepbound with Ro

Why was Saxenda denied, and what should you do?

Get the exact written reason before you decide what to do. Missing paperwork, a plan that prefers another product, and a plan that excludes weight-loss drugs are three different problems with three different fixes. "Not covered" isn't an answer until you know which one it is.

Say you're 52, on a Blue Cross work plan, and your renewal just got denied at month four. Before anything else, ask the plan which rule you missed and what starting weight they used. If they used the wrong baseline, that's a records fix. If you didn't reach their bar, that's a conversation with your clinician.

How to appeal

An appeal answers the specific reason in your denial, using the plan's own rule and your records. Follow the deadline in your denial notice, since plan types use different steps (HealthCare.gov).

Bring these:

• The written denial and the plan rule it cites
• Your original request
• The missing or corrected records
• A note from your clinician that speaks to the rule
• Proof you submitted it, and a log of every call (date, name, reference number)

If the plan's own appeal fails, you may be able to ask for an independent outside review, like the New York case above (HealthCare.gov). An outside review can overturn a wrong decision; it does not by itself create a missing weight-loss benefit.

Our free GLP-1 appeal letter template keeps your appeal focused. If the plan wants a different product, see how to request a formulary exception.

Does Medicare cover Saxenda?

Basic Medicare Part D does not cover Saxenda when used for weight loss. The $50-a-month Medicare GLP-1 Bridge covers only Foundayo, Wegovy injections or tablets, and Zepbound KwikPen. Saxenda and generic liraglutide aren't on that list.

The rule comes from the Social Security Act, which excludes from basic Part D "agents when used for anorexia, weight loss, or weight gain" (SSA §1927, applied to Part D by §1860D-2).

The law allows separate supplemental coverage, so ask your plan whether it offers any benefit beyond basic Part D.

The Medicare GLP-1 Bridge started July 1, 2026 (Medicare.gov):

• Cost: $50 for a one-month supply (28 or 30 days, depending on the drug). It doesn't count toward your Part D deductible or yearly out-of-pocket limit.
• Who qualifies: adults 18+ with eligible Part D coverage who cannot get a GLP-1 covered through their regular Part D benefit and meet the Bridge rules. The BMI rule is 35 or higher; 30 or higher with heart failure with preserved ejection fraction, uncontrolled high blood pressure (above 140 systolic or 90 diastolic despite two medicines), or chronic kidney disease stage 3a or worse; or 27 or higher with prediabetes, a past heart attack or stroke, or symptomatic peripheral artery disease (poor blood flow to the limbs that causes symptoms). CMS uses the criteria from when you first started GLP-1 therapy. The prescription must be for weight management with ongoing nutrition and activity support. Certain Medicare plan types are excluded; your prescriber can check the full CMS rules.
• Who should check their regular plan instead: people with type 2 diabetes, moderate to severe obstructive sleep apnea, or noncirrhotic MASH (a form of fatty liver disease with inflammation but without cirrhosis) do not qualify for the Bridge; a GLP-1 may be covered through their regular plan for an approved use. People already getting a GLP-1 covered through Part D keep using that benefit (CMS).
• Approval: a prior authorization, good through December 31, 2027, unless you change GLP-1 drugs.

If you're on Medicare and taking Saxenda, ask your doctor whether one of the Bridge drugs fits you. Our guides explain how the Medicare GLP-1 Bridge works, who qualifies, and what to do if you don't.

Does Medicaid cover Saxenda?

It depends on your state. Federal law lets states leave out weight-loss drugs, so some Medicaid programs cover Saxenda or its generic with prior authorization and others don't. Age can matter too.

California shows how much detail matters. Medi-Cal stopped covering Saxenda and other GLP-1s for weight loss only on January 1, 2026. Members under 21 can still get coverage if a prior authorization is approved, under Medicaid's EPSDT benefit (Early and Periodic Screening, Diagnostic, and Treatment), the federal benefit for members under 21 (Medi-Cal Rx).

The federal BALANCE Model can expand access to selected GLP-1 drugs in participating Medicaid states, but CMS's current drug list does not include Saxenda or liraglutide (CMS). Which drugs each state covers still varies.

Check your state in our GLP-1 Medicaid coverage by state tracker. Then call the member number on your Medicaid card and ask about liraglutide by name.

Will insurance cover Saxenda for a teenager?

It can. Saxenda and its generic are FDA-approved for teens 12 and older who weigh more than 60 kg (about 132 pounds) and have obesity. Plans use teen BMI rules, including the 95th percentile for age and sex. Some renewal rules require a 1% drop in BMI; FEP instead asks for maintained clinically significant weight loss.

Cigna and FEP Blue use the 95th-percentile rule in the documents we read. HCSC includes that entry route and other policy routes; its teen renewal rule also requires a current BMI at or above the 85th percentile. CVS Caremark's form asks for a weight over 60 kg and a BMI that matches adult obesity.

A pediatric clinician decides whether this medicine fits your child. Start there, and bring the plan's teen rule to that visit. These guides help with the coverage side: teen GLP-1 insurance coverage and does CHIP cover GLP-1s for teens.

What to do before January 2027

If you're covered, line up the generic and your renewal now. If you're denied, work from the written reason. If you're switching, compare options your plan covers before your Saxenda runs low.

If your plan covers Saxenda:

1. Ask your pharmacist whether your next fill can be the generic, and what it costs.
2. Ask your plan whether your approval covers the generic.
3. Write down your approval end date and the renewal rule.
4. Talk with your clinician about what happens after January.

If you were denied: use the denial table above, then appeal with the exact proof your plan asked for.

If you're switching: compare options your plan covers. Our guide to the best Saxenda alternatives covers weekly shots and pills, and Saxenda vs. Wegovy vs. Zepbound compares them head to head. Switching medicines and doses is your clinician's call.

If your plan won't cover any of them

Some plans exclude weight-loss drugs completely. If that's you, cash pay may be an option for adults; your clinician can also discuss other covered treatments. Ro lists these cash prices for FDA-approved shots and pills, which Ro says match LillyDirect, NovoCare, and TrumpRx (Ro pricing, checked Oct 22, 2026):

The Wegovy pen offer has two sets of deadlines. At retail, a new patient has not used a Wegovy injection savings offer in the past 365 days; eligible fills must be redeemed and filled by December 31, 2026 (retail terms). Through NovoCare Pharmacy, a new patient has never filled through NovoCare or NovoCare Legacy; the prescription must be written and received by December 31, 2026, and ship by January 31, 2027 (delivery terms). Signing up with Ro alone does not secure the offer. Lilly's Zepbound self-pay card expires December 31, 2026; confirm the next year's terms before a January fill.

Ro's membership is separate from the medicine:

• First month: $39; Ro's terms say it is refunded if no prescription is issued.
• After that: $149 a month on the month-to-month plan, or a lower monthly equivalent with a prepaid plan.
• The $74 rate: $888 paid up front for 12 months after the intro period. It is not a $74 monthly bill.

Paid membership renewals are nonrefundable. Ro says to cancel at least 48 hours before renewal to avoid the next charge (Ro terms).

Here's how the membership charge and one eligible Wegovy pen fill add up on Ro's month-to-month plan:

• First membership charge + first eligible fill: $238 ($39 + $199)
• Ongoing membership charge + second eligible fill: $348 ($149 + $199)
• Ongoing membership charge + a 1 mg to 2.4 mg fill: $498 ($149 + $349)

Doses move up on your clinician's schedule, not by the calendar. A pen fill covers 28 days; membership is billed monthly, so these are charge examples, not calendar-month or annual totals. Any extra charges must be added: Ro's terms allow extra lab charges and a $15 charge for each consult beyond 24 in a year.

Using a manufacturer pharmacy can avoid a separate Ro membership fee. You still need a prescription; any prescribing or clinical-care fees are separate. If you already have a prescriber, ask about that route first.

For a side-by-side, see our guide to GLP-1 costs without insurance.

If you want care and insurance support through Ro, review its program and the full price before you enroll. Ro says people with Medicaid are not eligible for its treatment program; use your Medicaid plan and clinician instead (Ro insurance).

Explore Ro's cash-pay GLP-1 options

Compounded GLP-1 drugs are not FDA-approved and are not the FDA-approved generic for Saxenda (FDA). Read where compounded GLP-1s stand before considering one.

How we checked this page

We checked the primary documents behind this page's coverage rules, prices, and next steps on October 22, 2026.

What we actually verified (October 22, 2026)

• Read directly:
• Novo Nordisk's Saxenda discontinuation notice, savings-card terms, and list price
• The FDA's first-generic approval list and the Saxenda label (revised February 2026)
• FDA labels for the brand-name alternatives listed here, Novo's Victoza label, and FDA's explanation of compounded drugs
• Express Scripts' 2027 exclusions list
• Cigna's national liraglutide policy (reviewed June 17, 2026) and its separate liraglutide option
• CVS Caremark's Saxenda form, FEP Blue's policy effective October 1, 2026 and its request form, and HCSC's program summary
• One employer's 2027 OptumRx drug list
• Medicare.gov's Bridge pages and the Social Security Act
• Medi-Cal Rx's GLP-1 notice and CMS's current BALANCE Model page
• A New York external appeal decision and HealthCare.gov's appeal and review pages
• GoodRx's Saxenda price page
• Teva's May 2026 generic copay-card terms
• Ro's pricing, coverage-checker, insurance pages, and membership terms; Novo's Wegovy offer terms and Lilly's Zepbound offer terms
• Company-stated, not tested by us: Ro's price match with NovoCare, LillyDirect, and TrumpRx; Ro's 1 to 3 week insurance-coordination timeline; Novo's shipment timeline.
• What we couldn't confirm: the dollar caps on Teva's savings offer (not published in the terms we read); local pharmacy stock; your personal coverage or final checkout price.
• What we didn't do: submit an insurance check, file a claim, buy medicine, or test personalized quiz results.

See how we evaluate treatment paths.

Saxenda insurance coverage FAQ

Does insurance cover Saxenda?

Some plans cover Saxenda or its FDA-approved generic with prior authorization, but only if your plan includes weight-loss drugs. Some plans exclude them entirely, and some prefer the generic. Basic Medicare Part D excludes Saxenda when used for weight loss.

How much does Saxenda cost with and without insurance?

With insurance, your cost depends on your plan's deductible, copay, or coinsurance. Novo posts a $1,349.02 list price, not a pharmacy quote. On October 22, 2026, GoodRx advertised brand Saxenda as low as $1,322.35 and its generic as low as $372.45 per 5-pen carton. That is 30 days at the labeled adult maintenance dose; ask your pharmacy for your price.

What is prior authorization for Saxenda?

It's a permission slip from your insurer. Your prescriber sends records showing your BMI, any required health condition, and your diet or weight-program history. Most initial adult approvals in the policies we read last 4 to 6 months; specified HCSC groups get 12 months. Your plan sets its renewal rule.

Does Blue Cross Blue Shield cover Saxenda?

It depends on which Blue plan you have, because each Blue company and employer sets its own rules. FEP Blue and HCSC publish approval rules, but your plan must include the benefit. Blue Focus lists brand Saxenda as nonformulary and prefers the generic. See our guide to what GLP-1s Blue Cross covers.

Does insurance cover generic liraglutide?

Some plans do. Express Scripts' 2027 National Preferred Formulary covers the generic and excludes brand Saxenda, subject to your plan's benefit. One Cigna option requires a generic trial plus a qualifying ingredient problem before employer plans using it approve the brand. Ask your plan whether your current approval covers the generic.

Is Saxenda being discontinued?

Yes, in the U.S. Novo Nordisk plans its last shipments to wholesalers in late January 2027 and says the reason is business, not safety or quality. An FDA-approved generic remains available, so talk with your clinician before your supply runs low.

Do I need diabetes to get Saxenda covered?

No. Saxenda is approved for weight management, and plans like Cigna and CVS Caremark list several qualifying conditions, such as high blood pressure. Diabetes is one option, not a requirement. Your plan still has to include weight-loss drugs.

Why did insurance stop paying after Saxenda was working?

The approval may have expired, records may be missing, or the plan's benefit or product rules may have changed. The adult policies we read use 4% or 5% progress rules, but baseline and renewal rules differ. Ask for the written reason and whether this plan needs an initial or continuation request.

Can I still get Saxenda for $25?

Not with Novo's old savings card, which ended for everyone on December 31, 2023. Your plan copay may be low if your plan covers it. Teva has a separate program for eligible people whose commercial insurance covers its generic; it is not a cash-pay coupon.

Does the Medicare $50 GLP-1 Bridge cover Saxenda?

No. The Bridge covers Foundayo, Wegovy, and Zepbound KwikPen only. Ask your doctor whether one of those fits you.

Does Medicaid cover Saxenda?

It depends on your state, and sometimes your age. California's Medi-Cal, for example, stopped covering it for weight loss only on January 1, 2026, except an approval path for members under 21. Check our state tracker and call the number on your card.

Will my Saxenda approval transfer to the generic?

Don't assume it will. Ask your plan to check the generic before your pharmacy fills it, and ask your pharmacist what it will cost.

What if I don't know my plan type or starting BMI?

Your insurance card lists the number for prescriptions, and often the company that runs them. Your clinician has your dated starting weight and height. Leave anything you don't know marked "unknown." It doesn't mean you're approved or denied.

Is Victoza the same as Saxenda for insurance?

No. Both contain liraglutide, but Victoza is approved for type 2 diabetes at lower doses. A listing under diabetes benefits does not establish weight-management coverage. Ask your pharmacist to confirm which product your prescription is for.

Still not sure which GLP-1 path fits you? Take The RX Index's free Find My GLP-1 Path quiz — about 2 minutes, no signup.

Sources

All checked October 22, 2026.

• Novo Nordisk, Saxenda discontinuation notice (NovoMedLink) and NovoCare coverage page
• NovoCare, Saxenda savings card terms and Saxenda list price
• FDA, 2025 First Generic Drug Approvals
• Saxenda prescribing information, revised February 2026 (FDA label)
• FDA prescribing information: Foundayo tablets, Wegovy tablets and injection, and Zepbound, including KwikPen
• Novo Nordisk, Victoza prescribing information (revised October 2025)
• FDA, Compounding and the FDA: Questions and Answers
• Express Scripts, 2027 National Preferred Formulary Exclusions (document dated Aug 1, 2026)
• Cigna, Liraglutide prior authorization policy CNF1008 (reviewed Jun 17, 2026) and Liraglutide BMI ≥32 policy (effective Sep 1, 2026)
• CVS Caremark, Saxenda prior authorization form 1227-C
• FEP Blue, Saxenda policy 5.99.030 (effective Oct 1, 2026; reviewed Sep 17, 2026) and request form (revised Jan 12, 2026)
• Prime Therapeutics, HCSC Weight Management program summary (effective Jun 15, 2026)
• OptumRx, 2027 Premium Standard Formulary (one employer)
• Medicare.gov, weight-loss drug coverage and GLP-1 Bridge fact sheet
• Social Security Act §1860D-2 and §1927
• Medi-Cal Rx, GLP-1 coverage changes
• CMS, BALANCE Model and Medicare GLP-1 Bridge provider rules
• New York DFS, external appeal case 202302-159101
• HealthCare.gov, internal appeals and external review
• GoodRx, Saxenda price page (updated Oct 5, 2026)
• Teva, generic copay programs and liraglutide copay-card terms (May 2026 version; offer expires Dec 31, 2026)
• Ro, pricing, GLP-1 insurance checker, insurance, and membership terms
• NovoCare, Wegovy retail savings terms, pharmacy offer terms, and pharmacy services
• Eli Lilly, Zepbound savings and purchase-offer terms