GLP-1 Formulary Tier Cost (2026)
Published 2026-07-01 · Updated 2026-07-08 · MetaDose Research
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GLP-1 drugs usually sit on Tier 3 (preferred brand) or Tier 4 (non-preferred brand) — copays of $75–$150/month before savings cards. Tier 2 generic GLP-1 does not exist yet for semaglutide/tirzepatide in 2026.
Typical tier copays
- Tier 2: rare for GLP-1 — $40–$75 if listed
- Tier 3: $75–$125 common
- Tier 4: $100–$200+
- Specialty tier: coinsurance 20–40%
Lowering tier copay
GLP-1 cost by state
Frequently Asked Questions
Why is my GLP-1 Tier 4?
Plan prefers a different GLP-1 — ask about formulary exception.
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