Do You Qualify for a GLP-1? The 2026 Eligibility Breakdown
GLP-1 medications are FDA-approved for treating obesity as a chronic medical condition — not for cosmetic weight loss. Understanding the actual eligibility criteria can save you time, money, and frustration.
The FDA's Two-Tier Eligibility Model
Tier 1: BMI ≥ 30 (Obesity)
Adults with a BMI of 30 or higher qualify based on BMI alone. No additional conditions required. This applies to both Wegovy (semaglutide) and Zepbound (tirzepatide) prescriptions for chronic weight management.
Tier 2: BMI 27–29.9 (Overweight) + Weight-Related Condition
Adults with a BMI between 27 and 29.9 qualify if they have at least one of these weight-related comorbidities:
- Type 2 diabetes or prediabetes (A1C 5.7–6.4%)
- Hypertension (high blood pressure)
- Dyslipidemia (high cholesterol or triglycerides)
- Cardiovascular disease
- Obstructive sleep apnea
- Polycystic ovary syndrome (PCOS)
- Metabolic dysfunction-associated steatotic liver disease (MASLD)
Key Takeaway: BMI isn't a perfect measure — your doctor considers it alongside your overall health picture. But for prescription eligibility, these are the documented thresholds the FDA uses.
Who Does NOT Qualify
- BMI below 27 — You don't meet current FDA criteria for weight-management GLP-1s
- Personal or family history of medullary thyroid carcinoma (MTC) — Absolute contraindication
- Multiple endocrine neoplasia syndrome type 2 (MEN2) — Absolute contraindication
- History of pancreatitis — Relative contraindication; requires careful evaluation
- Pregnant or planning pregnancy — GLP-1s should be stopped at least 2 months before conception
What the Consultation Actually Evaluates
A legitimate GLP-1 prescriber evaluates more than just your BMI:
- Medical history: Current conditions, medications, allergies, surgeries
- Lab work: Some providers require baseline labs (A1C, thyroid function, lipid panel, metabolic panel)
- Weight history: Previous attempts at weight loss, including structured programs
- Behavioral assessment: Eating patterns, relationship with food, mental health history
- Expectations: What GLP-1s can and cannot accomplish
Check Your Eligibility Now
Most telehealth providers offer a free eligibility screening before you commit to a consultation fee.