VA Weight Loss Medication: Does the VA Cover Wegovy or Zepbound?

VA and weight loss medication · checked 8 November 2026

Short answer: yes, if you meet the VA's Criteria for Use. Wegovy and Zepbound are non-formulary at the VA but can be prescribed when the criteria are met. They include taking part in a lifestyle program such as MOVE! in the past year, and a BMI of 27 or more with at least one weight-related condition.

Checked against VA Formulary Advisor documents (revised April and June 2026) on 8 November 2026. Rules change; ask your VA care team.

The VA criteria

  • Lifestyle program: documented participation in a program covering diet, physical activity and behavior at least once in the past year. MOVE! is one example; non-VA programs count, and ongoing participation isn't required for refills.
  • Weight and health: a BMI of 27 or more with at least one weight-related condition, such as high blood pressure, type 2 diabetes, prediabetes, high cholesterol, sleep apnea, osteoarthritis, fatty liver disease, or a previous heart attack or stroke. The VA's guidance also mentions a BMI over 30; ask your provider how it's applied to you.
  • Exclusions include pregnancy, type 1 diabetes, a personal or family history of medullary thyroid cancer or MEN 2, and a history of pancreatitis.
  • Other options: Saxenda is also non-formulary. Qsymia, Contrave and orlistat need facility-level prior authorization.

What it costs at the VA

VA lists an $11 copay for a 30-day supply of a brand-name medication in 2026, with a $700 yearly cap. Veterans in priority group 1 (50% or more service-connected) pay nothing. Your own copay depends on your priority group.

Testosterone therapy at the VA

The VA covers testosterone replacement under its own criteria. They require symptoms plus two clearly low fasting morning total testosterone levels, taken at least a week apart; the VA cites a cutoff of roughly 264–275 ng/dL. Active prostate or breast cancer and a hematocrit above 48% are among the exclusions.

A cash option for veterans

If you don't meet the criteria, are waiting to start a lifestyle program, or want care you can do entirely online, Goprolean offers compounded semaglutide and tirzepatide as a cash-pay service. They're prescribed only if a licensed physician decides treatment is appropriate after reviewing your intake. Compounded medications are not FDA-approved and are not Wegovy or Zepbound. Goprolean isn't affiliated with the VA and doesn't bill it.

Veterans and retirees can verify with VerifyPass for 10% off their first order and every refill. Retirees on TRICARE: see what TRICARE covers.

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Common questions

Does the VA cover Wegovy or Zepbound?
Yes, under the VA's Criteria for Use. Both are non-formulary, so your VA provider must show you meet the criteria, including taking part in a lifestyle program within the past year and having a BMI of 27 or more with at least one weight-related condition.
Do I have to do MOVE! to get a weight loss medication from the VA?
The VA criteria require documented participation in a lifestyle program covering diet, activity and behavior at least once in the past year. MOVE! is one option, and non-VA programs count.
How much is the VA copay for Wegovy or Zepbound?
VA lists an $11 copay for a 30-day supply of a brand-name medication in 2026, with a $700 yearly cap. Veterans in priority group 1 pay nothing.
Does the VA cover testosterone therapy?
Yes, under VA criteria that require symptoms plus two clearly low morning testosterone levels, among other conditions.
Does Goprolean bill the VA?
No. Goprolean is cash-pay and isn't affiliated with the VA. Veterans can verify for 10% off Goprolean's own prices.