(Source: AAOPM, April 2026) Where GLP-1s Sit on Formulary Tiers UnitedHealthcare, the largest commercial insurer in the United States, generally places GLP-1 receptor agonists on Tier 4 (specialty) or Tier 5 (non-preferred specialty) the tiers carrying the highest copay or coinsurance amounts
The main medication page shows starting at $199 for semaglutide but doesnt mention that prices increase at higher doses
Pastore, A., Federici, G., Bertini, E., et al
doi: 10.1038/s41392-023-01452-1 36 LocatiMCurtaleGMantovaniA
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Surgery 232 (2), 199201