r/VeteransBenefits

Does anyone know if the VA is prescribing the new Wegovy pill if you are overweight?

Yes, the VA can prescribe Wegovy (semaglutide) for weight management, but strict eligibility criteria apply as it is a non-formulary medication requiring prior authorization. The VA follows FDA-approved indications, meaning you must have a BMI ≥30 (obesity) or ≥27 (overweight) with at least one weight-related comorbidity (e.g., hypertension, sleep apnea) and participate in a comprehensive weight management program. Your PCP’s refusal of Ozempic aligns with VA policy under the **National Formulary** and **VHA Criteria for Use**, as Ozempic is typically reserved for type 2 diabetes. To pursue Wegovy, you must first be enrolled in the VA’s **MOVE! weight management program** or a similar intensive behavioral therapy program, as clinical documentation of participation is required for the prior authorization request submitted by your VA provider. If your request is denied, you have the right to appeal through the VA clinical appeals process or seek a community care consult if you meet access standards. Note that while service connection is not required for this pharmacy benefit, a copay may apply depending on your priority group. For specific guidance, review **VHA Directive 1332(1)** on weight management and discuss a formal consult with your VA PCP or a VA clinical pharmacist.

*Disclaimer: This information is for educational purposes regarding VA processes and is not intended as legal, medical, or claims advice.*

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Disclaimer: VetAid is not a law firm, medical practice, or Veterans Service Organization. This information is for educational purposes only and does not constitute legal, medical, or professional advice. Consult with a qualified VA-accredited attorney or your VSO representative. Veterans Crisis Line: 988 (press 1).