What BMI do you need to qualify for a GLP-1?

The standard threshold: BMI of 30 or higher (obesity), or BMI of 27 or higher with at least one weight-related condition — hypertension, type 2 diabetes/prediabetes, high cholesterol, sleep apnea, or fatty liver disease. These are the FDA label criteria for Wegovy and Zepbound; telehealth providers apply the same cutoffs for compounded versions.

What conditions automatically disqualify you?

Hard disqualifiers: personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia type 2 (MEN2), pregnancy or breastfeeding, and active pancreatitis. Most providers also screen out history of severe gastroparesis and certain eating disorders. These are label contraindications, not provider preferences.

Can you get a GLP-1 with a BMI under 27?

Not through legitimate channels — the 27+ with comorbidity threshold is the minimum on the drug labels. Providers offering GLP-1 to BMI-under-27 patients for 'vanity weight loss' are operating outside FDA labeling, which is a legitimacy red flag. Microdosing trends online don't change the prescribing criteria.

Does age affect GLP-1 eligibility?

Minimum age is 18 for weight-management indications (Wegovy is approved for 12+ in specific pediatric obesity cases, but telehealth providers treat adults only). There's no upper age limit in the label — older adults are assessed on medication interactions, kidney function, and sarcopenia risk rather than age alone.

How does the telehealth eligibility check work?

A 5-10 minute online questionnaire: height, weight, medical history, current medications, contraindication screening. A licensed clinician reviews and either approves, requests more info (sometimes labs), or declines. The check is free at most providers — you only pay if approved and you choose to proceed.

Do you need lab work to qualify?

Depends on the provider — many approve on questionnaire alone for straightforward cases; others require baseline labs (kidney function, lipids, A1C) especially for higher-BMI or comorbid patients. Some providers include lab ordering; others accept recent results from your own doctor.

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GLP-1 Eligibility: Who Qualifies for Semaglutide & Tirzepatide (2026)

BMI 30+ or 27+ with a weight-related condition — the exact qualifying criteria, hard disqualifiers, and the free 5-minute check.

October 21, 2026Healthy-Weight Editorial7 min read

Medically reviewed by Dr. Sarah Chen, MD

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GLP-1 Eligibility: Who Qualifies for Semaglutide & Tirzepatide (2026)

Short answer

You qualify with BMI 30+, or BMI 27+ with one weight-related condition (hypertension, prediabetes, high cholesterol, sleep apnea, fatty liver). Hard disqualifiers: personal/family history of medullary thyroid carcinoma, MEN2, pregnancy, active pancreatitis. The telehealth eligibility check is a free 5-10 minute questionnaire — you only pay if approved.

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The qualifying criteria

Criterion	Threshold
BMI alone	30 or higher
BMI + comorbidity	27+ with hypertension, T2D/prediabetes, dyslipidemia, sleep apnea, NAFLD
Age	18+ (telehealth adult programs)

These are the FDA label cutoffs for Wegovy and Zepbound — compounded telehealth providers apply the same thresholds. There's no legitimate pathway below BMI 27.

Hard disqualifiers

Medullary thyroid carcinoma — personal or family history (boxed warning)
MEN2 — Multiple Endocrine Neoplasia type 2
Pregnancy / breastfeeding — and planning pregnancy (washout required)
Active pancreatitis — or history of severe recurrent episodes
Severe gastroparesis — GLP-1s slow gastric emptying further

The gray zone — screened case-by-case

Eating disorder history — most providers screen this carefully
Thyroid issues (non-MTC) — usually fine, sometimes needs labs
Kidney disease — depends on severity; dehydration risk matters
Multiple medications — interaction review, especially insulin/sulfonylureas

How the online check works

The intake asks height/weight (auto-calculates BMI), medical history, medications, and the contraindication screen above. Clinician review follows — async at most providers, video in a few states. Approval takes hours, not weeks, and the check itself is free. If you don't qualify, legitimate providers decline without charging.

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Related guides

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Doctor-backed GLP-1 weight loss from $119/month

Compounded semaglutide & tirzepatide. Online consultation with a US-licensed provider. No insurance needed.

⚡ Limited spots this month — 50,000+ patients already started

See if I qualify — Free consultation

Paid partnership · Prescription product · Not everyone qualifies · Results vary

Real patients. Real results.

Join 50,000+ patients who transformed their lives with GLP-1 medications

"I tried everything — keto, intermittent fasting, gym memberships. Nothing worked long-term. GLP-1 changed everything. I lost 47 pounds in 8 months and finally feel like myself again. The online process was so easy — I had my prescription in 2 days."

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"At 52, my doctor said I was heading toward diabetes. I started tirzepatide through a telehealth program and lost 62 pounds. My A1C is back to normal, my blood pressure dropped, and I'm off two medications. Wish I'd done this years ago."

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Results vary. These testimonials reflect individual experiences and are not typical. Weight loss depends on diet, activity, and adherence to medication.

How it works — 3 simple steps

Take the 60-second quiz

Answer a few questions about your health, weight goals, and medical history. It's free and confidential.

1 min

Meet your US-licensed provider

A board-certified clinician reviews your profile and prescribes the right GLP-1 medication for you — entirely online.

24-48 hrs

Get medication shipped to your door

Your prescription is filled by a US pharmacy and delivered in discreet packaging in 3-5 business days.

3-5 days

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