New Guidance for General Practice to prescribe Mounjaro (tirzepatide)
As outlined in NICE guidelines, some people with obesity may be eligible to access tirzepatide (Mounjaro®), for weight loss purposes.
This will be introduced through a phased approach focused on those with the greatest clinical need. The number of people who are eligible will be small initially.
Eligibility is determined by BMI of 40 or more, or 37.5 for those from minority ethnic backgrounds, and with at least four of the following conditions:
type 2 diabetes
high blood pressure
heart and vascular disease
high cholesterol
obstructive sleep apnea
There will be a phased approach which is detailed below:
- Cohort I (2025-26 ):4 or more comorbidities and BMI ≥40
- Cohort II (2026-27):4 or more comorbidities and BMI 35-39.9
- Cohort III (2026-2028):3 or more comorbidities and BMI ≥40
If you do not satisfy this criteria you will not be eligible.
There is very little funding available and we are still to receive further guidance from our ICB.
