Cash Prices for GLP-1s for Weight Loss Result in Same or Lower Cost to Participants
Board of Trustees ends Health Plan coverage for GLP-1s for weight loss effective March 1, 2025. Changes do not impact participants taking a GLP-1 medication to treat type 2 diabetes.
As utilization and interest in GLP-1s for weight loss continue to climb, manufacturers have begun offering discounted, cash prices for these products that are the same as or lower than the Health Plan’s Lifestyle Drugs co-payment tier and do not require prior authorization or enrollment in a weight management program. These direct-to-consumer discounts, while not available to the Health Plan, are accessible for GLP-1 patients who are paying out-of-pocket. Over the past year, the Health Plan’s Board of Trustees has made several changes to its coverage of GLP-1 medications in an effort to manage the continuously increasing costs of covering these popular and expensive drugs.
Coverage of GLP-1s Terminated Effective March 1, 2025
The Health Plan’s Board of Trustees determined to end coverage of GLP-1s prescribed for weight management effective March 1, 2025 and grandfathered participants currently taking a covered GLP-1 for weight loss. Health Plan participants whose coverage for GLP-1s solely for weight loss was previously grandfathered will continue to have their medications covered until July 9, 2025.
Non-GLP-1 weight loss medications will continue to be covered, subject to the Health Plan’s Lifestyle Drugs co-payment tier and other prescription drug coverage rules.
Partnership with Flyte Terminated as of July 9, 2025
Effective July 9, 2025, the Health Plan will terminate its partnership with Flyte Medical. On that date, all current Flyte enrollments will be canceled, and any services received from Flyte will no longer be covered under the Health Plan. If you wish to continue your Flyte enrollment after July 9, 2025, you may do so at your own cost.
Additionally, effective immediately, enrollment in the Flyte weight management program will no longer be required to obtain prescriptions for weight loss medications. You may obtain prescriptions for covered weight loss medications (non-GLP-1s) from your own, non-Flyte physician, subject to Health Plan rules.
Where to Save on GLP-1s and Other Weight Loss Medications
To help lower medication costs, certain manufacturer’s coupons and savings card programs are available for GLP-1s and other weight loss medications. For a list of various discount savings, visit www.dgaplans.org/saveonweightloss.
