APWU GLP-1 coverage in 2027: 50% for 30-day and 90-day fills, and a required teladoc program
From January 1, 2027, the APWU Health Plan covers GLP-1s at 50% per prescription for 30-day and 90-day supplies. You must also take part in Teladoc Health Comprehensive Weight Care, which replaces the Omada program.
If 50% or the program is too much: cash now
Two cash programs to check.
No insurance needed.
- Check price →
- Check price →SnagRx's homepage shows its 12-month prepaid prices first
SnagRx$99 a monthBilled monthly. The 12-month plan is $69 a month, billed as $828 up front.compounded semaglutide
What the APWU brochure says
GLP-1 Drugs - The plan now covers GLP-1 drugs at 50% per prescription for 30- and 90-day supplies. Members must also participate in the Teladoc Health Comprehensive Weight program.
Source: APWU Health Plan 2027 brochure, Changes section, on opm.gov, read November 2, 2026.
- The drug tables list 50% coinsurance at both network and non-network retail pharmacies for GLP-1s for weight loss.
- Teladoc replaces Omada under the High Option and is added to the Consumer Driven Option.
- The brochure says participation is required to get an anti-obesity medication.
The brochure gives 1-800-835-2362 and teladochealth.com/smile for joining.
What cash costs today
The brochure states a share of the plan allowance. Ask the plan for your drug's allowance, then compare it with these.
Compounded semaglutide and tirzepatide are pharmacy-made versions that are not FDA-approved and are not Wegovy, Ozempic, Zepbound or Mounjaro.
| Cash route | Monthly price | Checked |
|---|---|---|
| Compounded semaglutide | From $79 | November 2, 2026 |
| Compounded tirzepatide | From $129 | November 2, 2026 |
| Wegovy pill from NovoCare | From $149 at the starter dose | November 2, 2026 |
| Zepbound vial from LillyDirect | From $299 at 2.5mg | November 2, 2026 |
All federal plans also sit under OPM's 2027 rule on GLP-1 coverage.
Frequently asked questions
What changes for GLP-1s on APWU in 2027?
Does this apply to diabetes?
When can I change plans?
Cash does not go through your plan and does not count toward its deductible. 2027 open enrollment dates.