Important Update: GLP-1 Medications, Insurance Coverage, and Self-Pay Options (2026)

Dear Patient,

We want to share an important 2026 update regarding GLP-1 medications (Ozempic®, Wegovy®, Mounjaro®, and Zepbound®). Insurance carriers are requiring significantly more prior authorizations (PA)—and we are seeing more denials than in prior years.

Current insurance coverage trends (2026):

• Ozempic® and Mounjaro® are typically covered for Type 2 Diabetes (often requiring an A1c ≥ 6.0).

• Wegovy® is typically covered for Obesity or Fatty Liver Disease.

• Zepbound® is typically covered for Obesity or Obstructive Sleep Apnea.

• Most PA requests are being denied when these diagnoses are not documented.

Self-pay pharmacy option (quality-controlled U.S. sourcing):
We have partnered with a San Antonio-based pharmacy that provides quality-controlled and tested compounded GLP-1 injectables (semaglutide and tirzepatide) sourced from reputable U.S.-based suppliers (no overseas sources).

• Shipping: typically 2–3 days to your home/office

• Supplies: included

• Pricing: you pay the pharmacy directly; we do not upcharge.

Important note: Due to insurance regulations and our pharmacy agreement, Innovative Primary Care does not prescribe or dispense the compounded peptides listed below.

How to schedule a peptide consultation

To schedule a consultation for compounded peptide therapy, please visit our sister company, Sana Vida Wellness Center: www.sanavidawellness.com

Sana Vida Wellness Center (key facts):

• Care is provided by Dr. Peter John Schanen, APRN, FNP-C, ENP-C and RN Krizza (continuity of care; no additional clinicians).

• Insurance is not accepted (low-cost, cash, membership-based). Unlimited monthly consults if needed.

• 100% virtual care for patients in Texas, Wyoming, New Mexico, Arizona, Florida, Virginia, and Colorado.

• Refill requests are typically approved within 1–4 hours via our text app.

• Membership invoices can be submitted to your insurer for possible direct reimbursement.

• Labs can be ordered near you through CPL, Quest, or Labcorp (you may use insurance for labs).

• You may keep your PCP for routine medical care.

• Services include Weight Loss Management, Hormone Replacement Therapy, and Thyroid Optimization.

Pharmacy formulas and starting prices (paid directly to the pharmacy)

Injectable peptides:

• Tirzepatide + B12 (20 mg / 0.2 mL) — starting at $120

  • 60 mg vial + B12 (3 mL)

  • 50 mg vial + B12 (2.5 mL)

  • 40 mg vial + B12 (2 mL)

  • 30 mg vial + B12 (1.5 mL)

  • 20 mg vial + B12 (1 mL)

  • 10 mg vial + B12 (0.5 mL)

• Semaglutide + B12 (5 mg / 0.2 mL) — starting at $90

  • 15 mg vial + B12 (3 mL)

  • 10 mg vial + B12 (2 mL)

  • 5 mg vial + B12 (1 mL)

  • 2.5 mg vial + B12 (0.5 mL)

• Semaglutide + B12 (2.5 mg / 0.2 mL) — starting at $75

  • 7.5 mg vial + B12 (3 mL)

  • 5 mg vial + B12 (2 mL)

  • 2.5 mg vial + B12 (1 mL)

Sublingual peptides (examples):

• Performance combo: CJC-1295 / Ipamorelin / MOTS-C / AOD (various strengths)

• Recovery & healing agents: BPC-157 (and related blends), TB-500, TB-500/BPC-157, BPC-157 + SNAC capsule

• Energy & longevity: NAD (100–200 mg)

• Cognitive blend: Semax/Selnak (0.5–1 mg each)

• Glow stack: BPC-157/GHK-CU/TB-500; Epithalon/GHK-CU/CJC-1257

• Fat burner: AOD/MOTS-C/Tesamorelin/Ipamorelin

Thank you for your understanding as insurance rules continue to evolve. Our priority is to keep you informed and help you access safe, reputable options that match your goals and medical needs.

Warmly,
Dr. Peter John Schanen, APRN, FNP-C, ENP-C