Do I Qualify for GLP-1 Weight Loss Medication?
Semaglutide (Wegovy, Ozempic) and tirzepatide (Zepbound) follow standard eligibility criteria: BMI 30+, or BMI 27+ with a weight-related condition. Enter your numbers to see where you stand — no email required.
On Medicare? These are not the rules that apply to you.
This checker models the criteria that cash-pay telehealth programs follow. The Medicare GLP-1 Bridge uses its own, and two of the conditions that help you qualify here will rule you out there: Medicare requires that you do not have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease. Passing this checker tells you nothing about whether Medicare will approve you. Read what Medicare actually requires, or call 1-800-MEDICARE.
GLP-1 Eligibility — Frequently Asked Questions
What BMI do you need for GLP-1 weight loss medication?
▾
The FDA-labeled criteria that most programs follow: a BMI of 30 or higher, or a BMI of 27 or higher combined with at least one weight-related condition such as type 2 diabetes, high blood pressure, high cholesterol, or sleep apnea. The prescribing clinician always makes the final decision based on your full health history.
Can I get a GLP-1 prescribed if my BMI is under 27?
▾
Standard programs will generally decline — and a provider willing to prescribe well below the labeled criteria is a warning sign rather than a convenience. Some platforms offer lower-dose ('microdose') programs or non-GLP-1 medical weight loss options with different criteria, but expect a genuine clinical evaluation.
Do these criteria apply to Medicare coverage?
▾
No, and the difference matters. This checker models the FDA-labeled criteria that cash-pay telehealth programs follow. The Medicare GLP-1 Bridge, which prices certain branded GLP-1s at $50 a month, requires that you do NOT have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease — conditions that help you qualify under the standard criteria. It also excludes people whose only Medicare coverage is a private fee-for-service plan, a cost contract plan or a PACE organization, and it covers Zepbound only in the KwikPen format. Check with Medicare or your drug plan rather than relying on this tool.
Does qualifying here mean I'll be approved?
▾
No — this checker tells you whether you meet the standard published criteria, which is the first gate. Every legitimate telehealth program then runs its own clinical evaluation covering your medication history, contraindications (like a personal or family history of medullary thyroid carcinoma or pancreatitis), and current health before prescribing.
Medical disclaimer:This tool checks your inputs against published eligibility criteria for educational purposes only — it is not medical advice, a diagnosis, or a prescribing decision. BMI is an imperfect screening measure and doesn't account for muscle mass, body composition, or your broader health. Only a licensed clinician can determine whether GLP-1 medication is appropriate and safe for you.