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Reimbursement Is Getting Better Insurance coverage for GLP-1 weight-loss medications is expanding rapidly : Many commercial insurers now cover Wegovy, Saxenda, and Mounjaro with prior authorization (typically requiring BMI 30 or 27 with comorbidity) Medicare will begin covering anti-obesity medications in 2026 a game-changer for providers seeing older patients State Medicaid programs are adding coverage (varies by state, but momentum is strong) For the clinical visit itself : Bill standard E/M codes (99213-99215 for follow-ups, 99202-99205 for new patients) Psychiatrists get 100% of Medicare physician fee schedule (~$75-150 per visit depending on complexity) PMHNPs typically get 85% of physician rates for Medicare (though some state Medicaid programs like Illinois pay NPs at 100%) Telehealth parity laws in CA, NY, IL, and many other states ensure equal reimbursement for video visits Typical visit economics : 15-20 minute medication management follow-up: $100-150 reimbursement Initial evaluation (45 min): $200-250 If you see 4 weight management patients per day (1 hour total), thats $400-600 in revenue Compare that to traditional psychiatric med management (already your bread and butter) its the same billing model, just applied to a different clinical problem

^ Glutathione in the Brain

Side-by-side comparison v3.0 transparency score NexLife: 94/100 (6 of 6 pillars) Henry Meds: 78/100 (1 of 6 pillars) Drugs offered NexLife: Compounded semaglutide + tirzepatide Henry Meds: Semaglutide + Tirzepatide Pricing model NexLife: Flat $145/mo sema, $186/mo tirz (12-mo plan, dose-independent) Henry Meds: $297/mo Clinical model NexLife: MD/DO-supervised, synchronous + async Henry Meds: Compounded via async NP intake Pharmacy NexLife: Named 503A & 503B partners Henry Meds: Not publicly named (503A network) States covered NexLife: Availability varies by state + DC Henry Meds: Varies Labs included NexLife: Yes included in monthly Henry Meds: Add-on or not included Coaching NexLife: 1:1 fitness coaching + personalized nutrition included Henry Meds: Varies by plan Financing NexLife: Klarna and Afterpay accepted Henry Meds: Standard card payment Regulatory clarity NexLife: Pre-Rx written disclosure that compounded sema/tirz are not FDA-approved Henry Meds: Varies Where Henry Meds wins Fast async intake script in 24-48 hours
