How to Get Saxenda in the USA

Saxenda is an FDA-approved medication for weight loss that helps with chronic weight management in adults and children over the age of 12. It works by regulating blood sugar levels, which can reduce cravings for high-calorie foods, promote satiety and help lose body weight. It helps teens and adults with overweight and obesity lose weight and keep it off, working best when accompanied by a reduced-calorie diet and increased physical activity.

Since significant demand for weight-management medicines has impacted the availability of Novo Nordisk obesity prescription drugs, including Saxenda, the purpose of this guide is to help you navigate the process of obtaining Saxenda for weight loss and lay out your options to conveniently fill your Saxenda prescriptions, with or without insurance.

What is Saxenda?

Saxenda (liraglutide) is a daily injectable prescription medication used for adults and children aged 12 to 17 years with excess weight who also have weight-related medical problems or obesity, to help them lose weight and keep it off. Losing weight can be difficult and maintaining weight loss is often harder but with Saxenda, it can get easier.

Saxenda addresses one of the body’s natural responses to weight loss, working like GLP-1 (glucagon-like peptide 1) hormone to regulate your appetite, leading to consumption of fewer calories and significant weight loss as per clinical trials. It is one of the GLP-1 receptor agonists which is to be used with healthy lifestyle changes such as a reduced-calorie diet (healthy diet) and increased physical activity for best results.

How to Get a Saxenda Prescription

Healthcare professionals need to review your medical history and see if you are eligible and whether Saxenda aligns with your health and weight loss goals before writing you a prescription.

Eligibility and Medical Assessment 

The following are qualified for Saxenda prescription.

Patient Category	BMI Requirement	Additional Criteria
Adults	≥30 kg/m² (obese) or ≥27 kg/m² (overweight)	Must have at least one weight-related comorbid condition ( e.g., hypertension, type 2 diabetes)
Pediatrics (12+ years)	Body weight above 60 kg (132 lbs)	BMI must correspond to ≥30 kg/m² for adults (obese) based on international cut-offs

In-Person vs. Online Prescription 

Obtaining Saxenda prescriptions through in-person visits or online telehealth services through platforms such as PlushCare, Sesame, Calibrate, and LifeMD involves similar initial assessments and follow-up care. 

In-person visits allow for a more comprehensive evaluation, including physical examinations and direct lab tests, which might not be possible with online consultations, while online platforms offer convenience and accessibility and require patients to independently verify their weight, height and BMI for the prescriber to assess suitability.

How to Get Saxenda Prescribed

To get Saxenda prescribed, start with a consultation where a healthcare provider assesses your medical history and weight management goals. They’ll check your eligibility based on health factors and if appropriate, issue a prescription. Always work with reputable providers to ensure safe and effective treatment.

How to Get Saxenda Approved by Insurance 

To get Saxenda approved by insurance, you’ll need to demonstrate medical necessity and meet your provider’s eligibility criteria.

Understanding Insurance Coverage 

Saxenda may be covered under some insurance plans but approval often depends on specific medical diagnoses, such as obesity or related health conditions. Even with a prescription, coverage is not guaranteed, as insurers assess individual eligibility based on their guidelines and requirements.

Insurance Type	Coverage Details
Private/Commercial Health Insurance	Coverage varies by plan; it covers weight-loss medications for medical conditions like diabetes or hypertension, but often not for general lifestyle purposes.
Medicaid	Coverage depends on the state’s program & requires prior authorizations and other restrictions.
Medicare Part D	Generally, does not cover obesity medications; Medigap and Medicare Advantage plans may provide coverage
VA Coverage	Covers obesity management; contact your local Veterans Health Administration provider for medication options
Tricare	Provides coverage in certain situations; healthcare providers can request a coverage review to determine eligibility.

The Prior Authorization Process 

The Prior Authorization or pre-authorization for Saxenda (liraglutide) insurance coverage involves a doctor’s prescription, followed by a review of the prescription and medical records by the insurance company to determine if Saxenda is covered under their policy and meets their specific criteria for coverage or not. This is a standard procedure for certain costly medications, including Saxenda, to ensure that coverage is medically necessary and appropriate. 

The request for prior authorization for Saxenda is submitted by the doctor or the patient’s pharmacy. The common requirements include BMI, comorbidities, previous weight loss attempts, lifestyle plan adherence and more.

Tips for Approval 

1. Work with your doctor to document medical necessity and lifestyle changes. Contact your insurer for specific criteria and documentation needed.
2. Ensure that you meet the eligibility criteria, verifying that your BMI is within the approved range (30 kg/m2 or higher, or 27 kg/m2 or higher with a weight-related condition). 
3. Provide detailed medical documentation and utilize the TPA’s (Third-Party Administrator) recommended procedures. 
4. Gather all necessary medical records, including weight history and follow the TPA’s specific submission guidelines.

Saxenda Savings Programs

With manufacturer savings cards, the majority of commercially insured Saxenda prescriptions cost $30 or less for a 30-day supply. The patients paying cash for their prescriptions can save up to $200 per 28-day supply with a Saxenda savings card.

How to Get Saxenda Without Insurance 

Getting Saxenda without insurance can be costly, with a list price of approximately $1,349 per month for a 30-day supply. However, you can avail Saxenda at a reduced price through manufacturer savings programs, pharmacy discount coupons or price shopping at different pharmacies. Some telehealth services also offer competitive pricing. 

Be cautious of compounded alternatives as they may not meet FDA standards. Choose FDA-approved Saxenda sources to ensure safety and effectiveness.

How to Get Saxenda Online 

To fill your Saxenda prescription online, start by choosing a reputable telehealth provider that offers virtual consultations and pharmacy fulfillment services to prescribe Saxenda.

Reputable Online Providers

Several platforms, such as PlushCare, Sesame, Calibrate and LifeMD, offer telehealth consultations where licensed doctors evaluate your eligibility for Saxenda. If prescribed, the medication is sent to a pharmacy for fulfillment and delivered to your home.

Safety and Legitimacy

Always use licensed telehealth services and verified pharmacies to ensure you receive genuine medication to support weight loss. Be wary of suspiciously low prices or sources without proper certification as counterfeit drugs pose serious health risks.

Privacy and Security

Check that the provider protects your data and offers secure payment methods to safeguard your personal and financial information. Reliable platforms will have clear privacy policies and encryption measures, such as SSL encryption and identity theft protection, for safe transactions.

Where to Buy Saxenda

Saxenda is only available with a prescription, so you’ll need to purchase it from licensed sources. You can buy it at local pharmacies, major chains or online pharmacy partners that fulfill prescriptions. Since prices can vary, comparing costs across different pharmacies can help you find the best deal. 

Be sure to check for any manufacturer discounts or pharmacy savings programs to lower costs. Also, Saxenda is not available as an over-the-counter drug, so always use reputable providers to ensure safety and authenticity.

How to Get Saxenda in Canada 

Saxenda is available in Canada through a process similar to the U.S., but is regulated by Health Canada. Many U.S. residents turn to licensed Canadian pharmacies to get Saxenda at a lower cost as price regulations in Canada make medications significantly cheaper. Online Canadian pharmacies are especially popular for this reason, but buyers need to ensure they’re using legitimate sources that comply with safety regulations.

Saxenda Use and Storage Tips 

Saxenda is administered as a daily subcutaneous injection using a prefilled pen. It is commonly injected in the abdomen, thigh or upper arm with regular site rotation. New, unused pens are to be stored in the refrigerator between 36°F and 46°F (2°C to 8°C), while in-use pens can be stored at room temperature for up to 30 days before being discarded.

Frequently Asked Questions

Q1 – Who qualifies for Saxenda?

Adults with excess weight (BMI ≥27) with weight-related medical problems or obesity (BMI ≥30) and children aged 12-17 years with body weight above 132 pounds (60 kg) and obesity are eligible for Saxenda.

Q2 – How long does insurance approval take?

Insurance approval for Saxenda varies by provider but prior authorization can take anywhere from a few days to several weeks, depending on your insurer’s requirements and response time.

Q3 – Can I buy Saxenda without a prescription?

No, Saxenda is a prescription-only medication in the U.S.

Q4 – What if my insurance denies coverage?

If denied, you can appeal the decision, submit additional medical documentation or explore manufacturer savings programs for cost assistance.

Q5 – Are there generic versions of Saxenda?

No generic versions of Saxenda are available in the U.S.

Q6 – Where can I get more support?

You can avail Saxenda support from healthcare providers, the official Saxenda website, online support communities and pharmacy helplines.

Conclusion 

Getting Saxenda in the USA requires a prescription and ideally, insurance approval to make treatment more accessible. To manage Saxenda cost, you can explore various coverage options and compare pharmacies. 

By taking the right steps, you can integrate Saxenda into your comprehensive weight loss program and stride ahead in your fitness journey with confidence. Always consult a healthcare provider for guidance and purchase from legitimate sources to ensure safety and effectiveness.