The Ultimate Guide to GLP-1 Qualification

Who telehealth programs typically consider, what the numbers mean, and what happens after you apply.

The BMI thresholds

Most GLP-1 programs follow the FDA labeling for weight-management medications. That means two common paths:

• BMI 30 or higher, with no other condition required.
• BMI 27 or higher plus at least one weight-related condition.

BMI is a screening number, not a diagnosis. It is the first thing a program checks because it is the first thing the label mentions. Calculate yours here.

Conditions that count at BMI 27+

Programs generally accept: pre-diabetes or type 2 diabetes, high blood pressure, high cholesterol, obstructive sleep apnea, and PCOS. Some also consider fatty liver disease and osteoarthritis. You'll usually be asked whether a doctor has told you about the condition, not for proof at intake.

What can disqualify you

Clinicians typically will not prescribe if you are pregnant, breastfeeding, or planning pregnancy; have a personal or family history of medullary thyroid cancer or MEN2; have a history of pancreatitis; or have an active eating disorder. Type 1 diabetes and certain GI conditions also lead to a decline in many programs.

The actual process

1. Online intake: height, weight, history, current medications (10–15 minutes).
2. Clinician review, sometimes with a video or async message exchange. Some states require a synchronous visit.
3. Lab work, if the program requires it (many don't at the start).
4. Prescription sent to the program's pharmacy; first shipment typically arrives within a week.

This article is informational and not medical advice. A licensed clinician makes every prescribing decision. Medical disclaimer