Free resource · The Wellness PA
Insurance pushing back on your GLP-1?
Two medical necessity letter templates for your prescriber to fill in, sign, and send to your plan. Pick the one that fits where you are.
Two letters
First-time coverage request
For when your prescriber is asking your plan to cover the medication.
Download first-time request (Word)
Appeal / continuity of care
For a denial, or to stay on a medication that's already working for you.
Download appeal letter (Word)
Prefer a PDF? Both letters in one file →
How to use it
- Download the letter that fits your situation.
- Send it to your prescriber's office or bring it to your visit.
- They fill in your details, sign it, and submit it to your plan.
Want the full plan? The GLP-1 Success Guide + Companion Tools →
Free, no email needed. These are templates for a licensed prescriber to complete, and a letter doesn't guarantee approval. Education only, not medical or legal advice. Theresa, PA-C