I had to fight with my insurance company for almost 4 months before they would cover it. I had to keep going back and forth with the insurance company and my doctor’s office (who also wasn’t very helpful). Insurance had the doctor’s office do a pre-authorization for each of the first 4 months as the dosage changed. If the deductible isn’t met, then I do have to pay full price. Luckily (or unluckily) my family meets our deductible pretty quickly.
However, my best recommendation is to took for a “weight loss center” or “wellness center” in your city. Mine prescribed semaglutide which they would send out to be filled by a compounding pharmacy. I paid around $200/month total for monthly doctor visits and medication. So much less headache than dealing with insurance. I’ve lost 50 lbs so far!