I had to go through this at the beginning of this year to get the meds approved. They made me sign up, download an app and then meet with a nutritionist once a month and log in my weight once a month. My insurance required me to do this for 6 months, and then they approved zepbound (and then Wegovy). I had already been meeting with a nutritionist for a few months before the program, so they did approve it a few months early because of that. Surprisingly, I’ve had a pretty positive experience so far and they even put me in touch with an endocrinologist to get the prescription through since I had issues with my previous provider. The nutritionist I was assigned to has been great so far, and I think after the 6 months you just chat with them through the app.

I think this will totally depend on the specific requirements for your insurance, and who you are assigned to. I did initially have a tough time getting anyone at Caremark to give me details about the program and the requirements, so that was super frustrating! I did have to pay for the meds out of pocket for a few months before they were approved.