For off-label use
Off-label use is defined as uses not supported in FDA-approved labeling or recognized in clinical compendia or evidence-based guidelines.
GLP-1s and weight-loss resources
Glucagon-like peptide-1 (GLP-1) agonists have been in the spotlight as demand has grown to support type 2 diabetes and weight loss. Have questions about coverage and costs? We’re here to support your benefit strategy and your employees’ health goals.
An integrated approach to coverage
Explore a personalized approach to help you manage your GLP-1 benefit strategy.
Coverage options
We negotiate pricing through our formulary design to lower the net cost of products. You can choose to customize your benefits to include or exclude GLP-1 drug coverage for weight management.
Cost management
Through prior authorization, we help ensure clinically appropriate coverage. We also take steps to prevent off-label use* of GLP-1 drugs with as little disruption to members’ needs.
Care and support
Making healthy lifestyle changes while taking GLP-1s can lead to sustained weight loss.* You can choose to add the CVS Weight Management™ program to support your employee’s journey.
For sustained weight loss source
Mayo Clinic. Considering GLP-1 medications? What they are and why lifestyle change is key to sustained weight loss. 2024. Accessed May 31, 2024.
If you continue, you’ll leave Aetna®. Other websites may have different terms and privacy practices.
CVS Weight Management program
Supporting members for long-term success
The CVS Weight Management program helps promote healthy behavior change which may even improve the effectiveness of GLP-1 drugs.
The program offers:
-
One-on-one lifestyle counseling and personalized nutrition planning from a dedicated registered dietician.
-
Oversight from board-certified providers to adjust or prescribe medicine and address members’ concerns.
-
Digital app for clinically precise AI-driven support and coaching, plus tools to help with meal planning, calorie tracking and more.
-
Connected devices, including a scale and other devices, as needed, to help support and track progress.
-
Option to support members currently taking a weight management drug and those who qualify, but don’t have a prescription yet.
(Music starts)
Jason: I've always had an issue with weight management. I've had a lot of ups and downs over the course of my life. Started off in high school, was a big kid, played football. Got up to about 280 pounds. But then, you know, met my wife, had some kids, and Dad weight packed on a little bit. And I found myself around 320 pounds and tried a lot of different diets, and I got myself down to about 215 pounds. It was tough to maintain.
I met with my doctor, and he introduced me to a medicine, Saxenda. And that was really helpful because part of the issue that I had and was really tough to control was the portions. And Saxenda really helped there.
And around the same time, I was introduced to the CVS Weight Management program. And so I got introduced to Frankie. And it was really helpful because Saxenda winded up not being available. And so I was kind of freaking out because I had made some decent progress. It was about 20 or 30 pounds at the time. And it was approaching a really tough time through the holidays. And she gave me some really good advice about how to continue to maintain portion control.
And now I haven't had the medicine at all since October and about 60 pounds loss overall. So I've managed to double what I've lost without medicine at all. It just felt good to have somebody to talk to, somebody that was encouraging and supportive and really giving me successful tips.
(Music ends)
Want to learn more?
GLP-1 management: A multifaceted approach
Learn how our clinical data on metabolic health can help build a blueprint for improved outcomes.
We’re here for you as a helpful resource
Interested in learning how clinical and nutritional support can build clinical efficacy? We can help.
Legal notices
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Aetna® is part of the CVS Health® family of companies.
Health benefits and health insurance plans contain exclusions and limitations.