GLP-1 Agonist Changes

NEW! Search CPT Codes in the Main Search Bar: To check prior authorization requirements, please use the Search Bar at the very top of the page. It's always available, so you can check codes from anywhere on the site!

Published Date: Wed, Jan 21, 2026

GLP-1 Agonist Changes

Highmark Wholecare encourages providers to review the Pennsylvania Department of Human Services Bulletin regarding coverage and benefit changes for glucagon-like peptide-1 (GLP-1) receptor agonists for the treatment of overweight and obesity for Medical Assistance beneficiaries.

By carefully reviewing the Medical Assistance Bulletin, distributed November 24, 2025, providers can ensure continued compliance with the updated requirements.