Effective October 1, 2026, Gordon Food Service will discontinue insurance coverage for GLP-1 medications for weight loss.
We know this news may impact your personal health routine. If you are currently taking a GLP-1 medication, we encourage you to talk with your primary care physician about the many FDA-approved direct-to-consumer alternatives now available.
Coverage of GLP-1 medications for weight-loss will end on October 1, 2026.
Existing weight loss GLP-1 PA’s will be allowed until September 30, 2026.
The GLP-1 exclusion does not apply to GLP-1 medications prescribed for Type 2 diabetes.
Over the past few years we have seen an explosion in the utilization of GLP-1 weight loss medications. The cost of these medications, if purchased through an insurance program such as the GFS plan, has continued to increase, while high quality direct-to-consumer programs are now able to sell these medications at a relatively low cost. As the availability of weight loss GLP-1 medications and direct-to-consumer alternatives continues to expand, we have evolved our benefits strategy.
The process to implement any third party, including Virta, is a multi-month ordeal. During the roughly four months utilized to implement and communicate the Virta program, as well as the two months since launch, the weight loss GLP-1 landscape has changed dramatically. We recognize the inconvenience of changing the process for obtaining weight loss GLP-1 medication in such a short period of time, however we feel it is necessary to continue to adapt as quickly as possible.
No. You will be able to refill your prescription as normal until September 30, 2026.
HSA contributions can be changed as often as desired for any reason. FSA contributions can’t be adjusted due to changes in medication coverage.
No. A change in formulary does not qualify as a special enrollment event.
September 30, 2026
No. Only dollars that run through the medical and pharmacy benefit will count toward your deductible or annual maximum.
Yes. GLP-1s for weight loss and related conditions are excluded from coverage.
No. There is no change to our pharmacy plan regarding GLP-1s for diabetes management.
Wegovy, Zepbound and Saxenda will no longer be covered even if you are currently using them. New GLP-1s that become available for the treatment of weight loss and related conditions will also be excluded.
No. GLP-1s for weight loss are now a benefit exclusion.
The cost depends on several factors, including which GLP-1 medication you take. Check with your doctor or pharmacist about pricing. Additionally:
We know this news may impact your personal health routine. If you are currently taking a GLP-1 medication, we encourage you to talk with your primary care physician about the many safe, FDA-approved direct-to-consumer alternatives now available.
Additionally, we want to remind you of the fully covered resources still available to you and your family through the Gordon Food Service health plan:
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