eligibility
What health conditions count as comorbidities for GLP-1 qualification?
Weight-related comorbidities that qualify patients with BMI 27-29.9 for GLP-1 prescriptions include: type 2 diabetes or prediabetes with metabolic syndrome, hypertension (blood pressure >130/80 mmHg on medication or >140/90 untreated), dyslipidemia (high LDL, low HDL, or high triglycerides), obstructive sleep apnea diagnosed by sleep study, cardiovascular disease (history of heart attack, stroke, coronary artery disease), non-alcoholic fatty liver disease with elevated liver enzymes, and osteoarthritis significantly limiting mobility. Some insurance plans also recognize PCOS with insulin resistance, history of gestational diabetes, and metabolic syndrome as qualifying conditions. Documentation from your medical records typically requires diagnosis codes from the ICD-10 classification system. Your healthcare provider can assess which of your health conditions meet criteria.