Standards

How coverage facts are sourced and labeled

Every coverage claim on this site comes from a document the payer, the drug maker or the government published itself. Here is what that means in practice, so you can judge how far to trust a page.

What counts as a source?

The publisher's own document: a state's preferred drug list and prior authorization criteria, an insurer's coverage policy, a pharmacy benefit manager's formulary, a federal rule on eCFR, a CMS page, a drug maker's pricing or savings terms. News stories, price-comparison sites and search results can point us to a document. They are never cited in place of it, and a copy of a document on someone else's website is not cited either.

The site currently cites 541 distinct documents.

What does every claim carry?

• The claim itself, in plain language, quoting the document where the wording matters.
• Who published it, and a link to the exact page or file it came from.
• The month we read it, and the date the document shows on its face, when it shows one.

A claim without all three does not build. The site's build checks refuse a page that is missing a source, and they refuse a price in a table or a paragraph that the cited document does not itself state.

When does a page publish?

• A state page needs at least 3 separately sourced facts from that state's own documents. 50 states meet that today.
• An answer needs at least 3 sourced facts from more than one document, and its short answer is capped at 40 words.
• A carrier page needs at least 4 facts from the carrier's own documents.

How are the state labels decided?

We don't pick a label. Each state records two answers from its own documents: does Medicaid pay for a GLP-1 prescribed for weight loss, and if not, can Wegovy or Zepbound still be approved for heart risk, MASH or sleep apnea. The label is computed from those two answers, the same way on every page.

• Covers for weight lossPay for these drugs for weight loss, with prior authorization. 10 of 50 states.
• Other diagnoses onlyWeight loss excluded; heart, liver or sleep apnea can qualify. 33 of 50 states.
• Does not coverWeight loss excluded, and no other route named. 6 of 50 states.
• Depends on your planEach health plan sets its own list. 1 of 50 states.
• Not verifiedWe could not determine. 0 of 50 states.

Diabetes prescriptions don't count toward a label. Every state pays for GLP-1s prescribed for diabetes, so counting them would put all fifty in one group and tell you nothing. Unless a state page says otherwise, the label describes fee-for-service Medicaid; a managed care plan can keep its own list. See the matrix.

What happens when we can't read a document?

We say so. "We opened the state's rules and they give no deadline" and "the state's rule site would not load for us" are different facts, and each state page states its own reason. We never fill a gap with a figure from another state or a secondary source.

How do prices work here?

A price is printed only after we read it on the seller's or drug maker's own pricing page, with the dose, the form and any conditions, and the month we read it. Promotional prices on affiliate landing pages are never used. Prices move often, so cost pages are re-read every month and every table row names the document it came from.

How often is a page re-read?

State pages are re-read at least every 90 days, because drug lists are republished after each review committee meeting. A page's byline shows the month it was last read. A rule that changes on a known date is written to read true on both sides of that date.

Who writes it, and who pays for it?

American GLP publishes the site. Nothing here is medical or legal advice. Some pages carry a labeled partner link for cash-pay care, always after the appeal routes; a partner never changes what a coverage page says. How we pay for this.

Corrections

When we get something wrong, the fix is dated and listed. 7 corrections are recorded so far. Read the corrections log · Report an error.

Last reviewed October 2026.