State guide

Hawaii state employee GLP-1 coverage

Published by Telehealth Graded · Updated October 2026

The takeaway

Hawaii's public employee benefits fund limits the first fill of every GLP-1, for diabetes or weight loss, to thirty days, naming all seven products.

Reading the state documents

Hawaii's answer to GLP-1 spending was not an exclusion but a brake. The trust fund that covers state employees limited the first fill of any GLP-1 to thirty days, and its benefit guide names which drugs it means on both sides of the line. The committee minutes behind that vote are worth reading too: the advisor's recommendation against a broader exclusion program was accepted, and the motion passed unanimously.

documents cited

sourced facts

primary sources

What changed, and what the document says

Both categories, named drug by drug
Context
The guide does not say GLP-1s and leave it there. It lists the five diabetes products and the two weight-loss ones.
“Rybelsus, Trulicity, and Victoza. Weight loss GLP-1s include Wegovy and Zepbound.”
Hawaii Employer-Union Health Benefits Trust Fund (EUTF) — EFFECTIVE JULY 1, 2026 – JUNE 30, 2027
The diabetes side of the same sentence
Context
The limit applies to the diabetes drugs identically, which is what makes it a cost brake rather than a weight policy.
“Antidiabetic GLP-1s include Ozempic, Mounjaro,”
Hawaii Employer-Union Health Benefits Trust Fund (EUTF) — EFFECTIVE JULY 1, 2026 – JUNE 30, 2027
A voluntary program with no BMI gate
Covered
Alongside the fill limit the fund added a weight management program open to any eligible adult, with no obesity threshold at all.
“There are no obesity or BMI requirements, any eligible member can enroll”
Hawaii Employer-Union Health Benefits Trust Fund (EUTF) — EFFECTIVE JULY 1, 2026 – JUNE 30, 2027
The committee moved it and passed it unanimously
Context
The minutes record the recommendation as a motion with a named effective date and no dissent.
“The motion passed unanimously.”
Hawaii Employer-Union Health Benefits Trust Fund, Benefits Committee — Tuesday, October 21, 2025
One drug was in the exclusion program, and it was Zepbound
Covered
The most revealing line in the minutes: the advisor named the single drug affected, and recommended against the broader exclusion anyway.
“The only drug currently in SEP is Zepbound, a GLP-1 for weight management.”
Hawaii Employer-Union Health Benefits Trust Fund, Benefits Committee — Tuesday, October 21, 2025
The plan year this sits in
Context
The guide governs a plan year that began in July 2026, so the thirty-day rule is in force now.
“EFFECTIVE JULY 1, 2026 – JUNE 30, 2027”
Hawaii Employer-Union Health Benefits Trust Fund (EUTF) — EFFECTIVE JULY 1, 2026 – JUNE 30, 2027

Telehealth in Hawaii

Sprout HealthPartner
BMinor gap
No verified comparable monthly GLP-1 medication price.
Price details
- See the review for plan prices and full terms.
See Sprout Health pricing (opens in a new tab)
Gala HealthPartner
CCaveat
$1,299
a month, medication only
brand Ozempic (semaglutide), cash price
Additional fees not verified.
Price details
- No separate monthly fee was found in the pages reviewed. Other charges may apply.
- Brand-name Ozempic, quoted as a cash price. Gala says insurance may reduce it and does not publish what it would reduce it to.
See Gala Health pricing (opens in a new tab)
HumeCare+Partner
CCaveat
$249Signup price
a month, medication only
compounded semaglutide, six-month plan
Additional fees not verified.
Price details
- No separate monthly fee was found in the pages reviewed. Other charges may apply.
- $179 the first month, $249 a month after; the checkout totals the six months at $1,424. The card shows the later price only once the plan is selected.
- Price shown after 40 signup steps.
See HumeCare+ pricing (opens in a new tab)

Some providers pay us a commission when you sign up through our links, at no extra cost to you.

Which of these companies serve Hawaii?

Of the 387 companies we grade, 34 publish a list of the states they are licensed in. We checked 251 more and found no such list on any page we read; 102 we have not checked either way.

20 of those lists name Hawaii: Gala Health, Care Bare Rx, Vita Bella, TelePeptide, Levity, Wisp, WePeptideRx, Ways2Well, TeleClinic, Tyde Wellness, Willow, VevaRx, Trimi, HumeCare+, Rx.com, Mojoon, Peak Wellness, Sprout Health, PCOS Sisters, and Mixx Health & Wellness. That is a licensure claim each company makes about itself, not something we checked with a state board.

A published list is a starting point, not a guarantee. If availability decides your choice, ask before you pay and get the answer in writing.

Coverage decides what you pay before cash does. See how state Medicaid programs cover GLP-1s and what a prior-authorization denial turns on.

Sources

Source dates below are the dates printed on the documents.

Employee Health Benefits Reference Guide (EUTF and HSTA VB) — Hawaii Employer-Union Health Benefits Trust Fund (EUTF). Plan-year range printed on the cover: EFFECTIVE JULY 1, 2026 – JUNE 30, 2027.
Minutes of the Benefits Committee Meeting — Hawaii Employer-Union Health Benefits Trust Fund, Benefits Committee. Meeting date printed under the committee name: Tuesday, October 21, 2025.

Nothing on this page is medical advice, and nobody here is a clinician. Coverage rules change; check the linked document before you rely on it.

If you're paying cash instead

These providers list Hawaii in their service area. Partners appear first. These are medication prices, not confirmed monthly totals. Other fees may apply; check each provider’s terms before choosing.

Some providers pay us a commission when you sign up through our links, at no extra cost to you.

Provider	Monthly price and terms	Go to the provider
Sprout HealthBMinor gap	No verified comparable monthly GLP-1 medication price. See the review for plan prices and full terms.	View pricing at Sprout Health (opens in a new tab)Partner
Gala HealthCCaveat	$1,299 a month, medication only brand Ozempic (semaglutide), cash price Brand-name Ozempic, quoted as a cash price. Gala says insurance may reduce it and does not publish what it would reduce it to. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at Gala Health (opens in a new tab)Partner
HumeCare+CCaveat	$249Signup price a month, medication only compounded semaglutide, six-month plan $179 the first month, $249 a month after; the checkout totals the six months at $1,424. The card shows the later price only once the plan is selected. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply. Price shown after 40 signup steps.	View pricing at HumeCare+ (opens in a new tab)Partner
WillowCCaveat	$299 a month, medication only compounded semaglutide injection Printed on the product page with no asterisk and no dose qualifier. The comparison page and the terms both add one. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at Willow (opens in a new tab)Partner
TeleClinicAVerified	$79 a month, medication only compounded semaglutide Billed monthly, same price at every vial strength, and the product page says the rate is locked for the life of the membership. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at TeleClinic (opens in a new tab)
TelePeptideAVerified	$229 a month, medication only compounded semaglutide Dissolvable tablet, month-to-month. TelePeptide states on the same page that it does not sell branded GLP-1s. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at TelePeptide (opens in a new tab)
Care Bare RxBMinor gap	$199 a month, medication only compounded tirzepatide Both compounded drugs are quoted at the same starting figure, on one line that also puts brand names on them. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at Care Bare Rx (opens in a new tab)
Peak WellnessBMinor gap	$249 a month, medication only compounded semaglutide $179 covers the first month only, and the page says so on the same line. Prepaying drops it: $597 once for three months, which is $199 a month, or $990 once for six, which is $165 — but a prepaid plan is not refundable. The price is the same at every dose. Additional fees not verified. Price details No separate monthly fee was found in the pages reviewed. Other charges may apply.	View pricing at Peak Wellness (opens in a new tab)

Our grading method and how we verify a price explain what those letters mean and where these figures came from.

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