Getting prescribed Wegovy requires working with a licensed healthcare provider who can evaluate whether the medication is appropriate for you. Here is the typical process:
Step 1: Determine if you qualify. Wegovy is FDA-approved for adults with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related condition (high blood pressure, type 2 diabetes, high cholesterol, or sleep apnea). If your BMI falls outside these ranges, your provider may still prescribe off-label depending on your clinical situation.
Step 2: Choose your prescribing pathway. You have three main options:
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Your primary care physician: Most familiar with your medical history but may have limited experience with GLP-1 prescribing. Wait times for appointments can be 2-4 weeks.
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An obesity medicine specialist: Board-certified in weight management. Find one through the Obesity Medicine Association directory. Typical consultation costs $200-$400 without insurance.
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A telehealth GLP-1 provider: Fastest option, often 24-48 hours from sign-up to prescription. Providers like Henry Meds, Ro, and Hims employ licensed clinicians who specialize in GLP-1 therapy. Cost includes the consultation and medication.
Step 3: Complete your health evaluation. Whether in-person or via telehealth, your provider will review your medical history, current medications, BMI, weight-loss goals, and any contraindications. Be prepared to discuss thyroid history (medullary thyroid carcinoma risk), pancreatitis history, and any eating disorders.
Step 4: Insurance prior authorization (if applicable). If using insurance for branded Wegovy, your provider submits a prior authorization request. This typically takes 3-14 business days. About 60-70% of initial PA requests are approved. If denied, your provider can appeal with additional clinical documentation.
Step 5: Fill your prescription. Once approved, your prescription is sent to a pharmacy. For branded Wegovy, check multiple pharmacies for the best price. For compound semaglutide via telehealth, the medication ships directly from the compounding pharmacy.
The entire process from initial consultation to first injection typically takes 1-3 weeks via telehealth or 2-6 weeks via traditional channels.
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