GLP-1 Coverage Index
A living ledger of payer prior-authorization criteria for GLP-1 medications — what we track, how current it is, and when each policy was last verified.
108
Payers covered
6
Plan types
869
Criteria records
85.7%
Re-verified in last 30 days
June 11, 2026
Last verification sweep
Payers tracked
Aetna
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
Alabama Medicaid
Medicaid
Last verified: June 03, 2026
Alaska Medicaid
Medicaid
Last verified: —
Arkansas Medicaid
Medicaid
Last verified: June 04, 2026
BCBS Alabama
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Arizona
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Medicare Advantage
Medicare Part D
Last verified: June 02, 2026
BCBS Arkansas
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Kansas
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Louisiana
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Massachusetts
Employer / Commercial Insurance
Last verified: June 02, 2026
BCBS Michigan
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Minnesota
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 05, 2026
BCBS Mississippi
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Nebraska
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS North Carolina
Employer / Commercial Insurance
Medicare Advantage
Medicare Part D
Last verified: June 02, 2026
BCBS North Dakota
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Rhode Island
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
BCBS Tennessee
Employer / Commercial Insurance
ACA Marketplace
Medicare Advantage
Last verified: June 02, 2026
BCBS Wyoming
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 04, 2026
Blue Cross of Idaho
Medicare Part D
Last verified: —
BlueCross BlueShield of South Carolina
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Medicare Advantage
Last verified: June 04, 2026
California Medicaid
Medicaid
Last verified: June 03, 2026
Capital BlueCross
Employer / Commercial Insurance
Medicare Advantage
Last verified: June 05, 2026
CareFirst
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
CareSource
ACA Marketplace
Medicaid
Last verified: —
Centene
ACA Marketplace
Last verified: June 02, 2026
Cigna
Employer / Commercial Insurance
ACA Marketplace
Medicare Advantage
Medicare Part D
Last verified: June 11, 2026
Clover Health
Medicare Advantage
Medicare Part D
Last verified: —
Colorado Medicaid
Medicaid
Last verified: June 04, 2026
Community Health Plan of Washington
ACA Marketplace
Medicaid
Medicare Advantage
Last verified: —
Connecticut Medicaid
Medicaid
Last verified: June 03, 2026
Delaware Medicaid
Medicaid
Last verified: June 04, 2026
Devoted Health
Medicare Part D
Last verified: June 05, 2026
District of Columbia Medicaid
Medicaid
Last verified: —
Elevance Health
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
EmblemHealth
Employer / Commercial Insurance
Last verified: —
Excellus BCBS
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 05, 2026
FEP Blue
Federal Employee Program
Last verified: June 05, 2026
Fallon Health Plan
Medicaid
Medicare Advantage
Medicare Part D
Last verified: —
Florida Blue
Employer / Commercial Insurance
Last verified: June 05, 2026
Florida Medicaid
Medicaid
Last verified: June 04, 2026
Geisinger Health Plan
Employer / Commercial Insurance
Medicaid
Medicare Advantage
Last verified: —
Georgia Medicaid
Medicaid
Last verified: June 04, 2026
HCSC
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
HMSA Hawaii
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Last verified: June 05, 2026
Health New England
Employer / Commercial Insurance
Medicaid
Medicare Part D
Last verified: —
Highmark
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
Horizon BCBS
Employer / Commercial Insurance
Last verified: June 05, 2026
Humana
Medicare Advantage
Medicare Part D
Last verified: June 02, 2026
Idaho Medicaid
Medicaid
Last verified: June 04, 2026
Illinois Medicaid
Medicaid
Last verified: June 04, 2026
Independence Blue Cross
Employer / Commercial Insurance
ACA Marketplace
Medicare Advantage
Last verified: —
Independent Health
Employer / Commercial Insurance
Medicare Part D
Last verified: —
Indiana Medicaid
Medicaid
Last verified: June 04, 2026
Iowa Medicaid
Medicaid
Last verified: June 04, 2026
Kaiser Permanente Colorado
Employer / Commercial Insurance
Last verified: June 05, 2026
Kaiser Permanente Mid-Atlantic
Employer / Commercial Insurance
Federal Employee Program
ACA Marketplace
Last verified: June 05, 2026
Kaiser Permanente Northern California
Employer / Commercial Insurance
Last verified: June 05, 2026
Kaiser Permanente Northwest
Employer / Commercial Insurance
Last verified: June 05, 2026
Kaiser Permanente Southern California
Employer / Commercial Insurance
Last verified: June 05, 2026
Kansas Medicaid
Medicaid
Last verified: June 04, 2026
Kentucky Medicaid
Medicaid
Last verified: June 04, 2026
Louisiana Medicaid
Medicaid
Last verified: June 02, 2026
MVP Health Care
ACA Marketplace
Medicare Advantage
Medicare Part D
Last verified: —
Maryland Medicaid
Medicaid
Last verified: June 04, 2026
Massachusetts Medicaid
Medicaid
Last verified: June 04, 2026
Medical Mutual
Employer / Commercial Insurance
Medicare Part D
Last verified: June 10, 2026
Michigan Medicaid
Medicaid
Last verified: June 04, 2026
Minnesota Medicaid
Medicaid
Last verified: June 04, 2026
Mississippi Medicaid
Medicaid
Last verified: June 04, 2026
Missouri Medicaid
Medicaid
Last verified: June 03, 2026
Molina Healthcare
ACA Marketplace
Medicaid
Medicare Part D
Last verified: June 11, 2026
Montana Medicaid
Medicaid
Last verified: —
Nebraska Medicaid
Medicaid
Last verified: June 04, 2026
Neighborhood Health Plan
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Last verified: —
Nevada Medicaid
Medicaid
Last verified: June 03, 2026
New Hampshire Medicaid
Medicaid
Last verified: June 04, 2026
New York Medicaid
Medicaid
Last verified: June 03, 2026
North Carolina Medicaid
Medicaid
Last verified: June 04, 2026
North Dakota Medicaid
Medicaid
Last verified: June 03, 2026
Ohio Medicaid
Medicaid
Last verified: June 04, 2026
Oklahoma Medicaid
Medicaid
Last verified: June 04, 2026
Oregon Medicaid
Medicaid
Last verified: June 04, 2026
Oscar Health
Employer / Commercial Insurance
ACA Marketplace
Last verified: —
PacificSource Health
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Last verified: June 10, 2026
Pennsylvania Medicaid
Medicaid
Last verified: June 04, 2026
Premera
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 03, 2026
Priority Health
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Last verified: June 10, 2026
Providence Health Plans
Employer / Commercial Insurance
Medicaid
Last verified: —
Regence
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 03, 2026
Rhode Island Medicaid
Medicaid
Last verified: —
South Carolina Medicaid
Medicaid
Last verified: June 04, 2026
South Dakota Medicaid
Medicaid
Last verified: —
Sunflower Health Plan
Medicaid
Medicare Advantage
Medicare Part D
Last verified: June 11, 2026
Tennessee Medicaid
Medicaid
Last verified: June 03, 2026
Texas Medicaid
Medicaid
Last verified: June 04, 2026
UCare
Medicaid
Last verified: —
UPMC Health Plan
Medicaid
Last verified: —
UnitedHealthcare
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 02, 2026
Utah Medicaid
Medicaid
Last verified: —
Vermont Medicaid
Medicaid
Last verified: June 04, 2026
Virginia Medicaid
Medicaid
Last verified: June 04, 2026
Washington Medicaid
Medicaid
Last verified: June 04, 2026
WellSense Health Plan
Employer / Commercial Insurance
ACA Marketplace
Medicaid
Medicare Part D
Last verified: June 10, 2026
Wellmark
Employer / Commercial Insurance
ACA Marketplace
Last verified: June 03, 2026
West Virginia Medicaid
Medicaid
Last verified: June 03, 2026
Wisconsin Medicaid
Medicaid
Last verified: June 03, 2026
Wyoming Medicaid
Medicaid
Last verified: June 04, 2026
Methodology
Sourced. Criteria are curated from payer policy documents — prior-authorization policies, formulary documents, and published medical policies.
Verified. Each record carries an explicit verification timestamp set when a reviewer confirms the policy against its source. The statistics above are computed only from these explicit stamps.
Dated. Records carry effective dates and dated source documents, and where a record derives from an earlier policy that derivation is preserved — so changes can be traced to when and where they took effect.
Request access
Full criteria detail, source citations, and change history are available to qualified market-access teams.