Reviewed against FDA prescribing information

Am I a GLP-1 candidate?

Walk down the 5 questions below. Each one either rules you out, flags a caveat, or moves you to the next. By the end, you have a specific recommended provider path — insurance route, cash-pay route, or alternative.

  1. Question · Step 1

    Is your BMI ≥30, or ≥27 with a comorbidity?

    Comorbidities that qualify: type 2 diabetes, hypertension, dyslipidemia, obstructive sleep apnea, NAFLD/MASH.

  2. Ruled out · Step 2

    If NO — GLP-1s are not FDA-approved at your BMI

    Off-label prescribing is technically possible but most telehealth providers won't fulfill below the FDA-label threshold. Look at lifestyle interventions first.

  3. Question · Step 3

    Do you have any of these contraindications?

    Personal or family history of MTC (medullary thyroid cancer) · MEN-2 syndrome · prior pancreatitis · severe GI motility disorder.

  4. Ruled out · Step 4

    If YES — GLP-1s are contraindicated

    These are boxed warnings. No telehealth provider will prescribe in these cases. Consider alternatives — non-GLP-1 options like phentermine, Contrave, or bariatric surgery (consult with your PCP).

  5. Question · Step 5

    Are you actively trying to conceive or pregnant?

    GLP-1s are not safe in pregnancy and the recommended washout before conception is 2 months for semaglutide, 1 month for tirzepatide.

  6. Conditional · Step 6

    If YES — pause GLP-1 plans, talk to OB/GYN

    You can revisit GLP-1s after delivery (and after breastfeeding if applicable). Our PCOS guide covers the fertility-improving angle of GLP-1s before conception.

  7. Question · Step 7

    Do you have commercial insurance covering weight management?

    Use our 4-step insurance checker to estimate coverage. ~50-60% of large-employer plans cover Wegovy/Zepbound in 2026; ~20% of small-employer plans do.

  8. You qualify · Step 8

    If YES — go the insurance route

    Ro handles the prior auth in 48 hours and pivots between drugs if your plan denies the first one. Best path: cheapest copay + fastest start.

  9. You qualify · Step 9

    If NO — go the cash-pay route

    Hims & Hers oral Wegovy at $149/mo is the cheapest brand-name FDA-approved path. Or Foundayo via LillyDirect if you want a daily pill, no injections.

Reached the end?

Your next 3 steps

  1. Run our insurance checker to confirm what your plan covers before you pick a provider — 4 questions, 60 seconds.
  2. Take the 60-second provider quiz to get matched — 6 questions. Result includes provider, drug, and cost path.
  3. Print the 30-question doctor checklist for your prescriber visit — printable checklist.
Or browse the 8 persona presets