Is ozempic covered by insurance in Canada?
My pharmacist told me the only way this gets paid is a diabetes indication and I'm not diabetic. I've got a prediabetic A1C and a BMI in the range they use and the walk in doctor wrote the script anyway
I called the insurer twice. The first rep said weight management is excluded. The second rep said it depends on the drug plan my employer bought and whether there's a prior auth on file. It's the same company and I got two answers ten minutes apart.
So if you're in Canada and you got a claim paid with weight loss as the reason on file what did the paperwork look like? Was it a special authorization form from the prescriber or did you just submit and hope? And if you got denied did appealing get you anywhere?
I'm mostly trying to work out whether I spend another week on this or just budget for out of pocket
Posted Aug 21, 2026, 2:19 AM UTC