Weight loss medication not covered by insurance? Your options in 2026

Weight loss medication isn't covered — now what?

If you want to lose weight with medical support in the Netherlands in 2026, you hit a wall: most branded medications are not covered by your health insurance. A decision on inclusion in the basic package is not expected until late 2026 or early 2027.

That means: paying everything out of pocket. And that adds up fast.

What does branded medication cost in 2026?

Source: overstappen.nl, zorgverzekeringwijzer.nl (2026)

Per year, you're paying €3,000-6,000 out of pocket. For many Dutch women, that's simply not feasible.

The alternative: compounding

There is an option many people don't know about: compounding via a licensed compounding pharmacy.

What is it?

A BIG-registered pharmacist creates a personalised treatment, specifically for your body. The same active ingredients as branded products, but without the brand markup.

What does it cost?

From €155 per month. That's up to 70% cheaper than some branded products.

The comparison

Is compounding safe?

Yes. Compounding is fully legal under the Dutch Medicines Act and EU Directive 2001/83/EC. Every compounding pharmacy:

Is **BIG-registered**

Is inspected by the **IGJ** (Health and Youth Care Inspectorate)

Works according to **KNMP standards**

Uses raw materials that meet **European Pharmacopoeia** standards

How do you get started?

Through Magistra, the process is straightforward:

Complete a short questionnaire at magistra.health (takes 5 minutes)

An independent doctor assesses your profile — no GP referral needed

You're matched with a licensed compounding pharmacy

Your treatment is delivered to your door in 2-3 working days

No long waiting lists. No referral needed. Just get started.

Frequently asked questions

Is it the same quality as branded products?

The active ingredients are identical. The difference is in the production (individual vs. mass) and the brand (no brand markup).

Do I need a referral from my GP?

No. Magistra works with independent BIG-registered doctors who assess your profile directly.

Can I stop whenever I want?

Yes. There are no long-term contracts or obligations.

Is my data stored securely?

Yes. All data is processed GDPR-compliantly and exclusively within the EU.

How long before I can start?

After assessment by the doctor and matching with a pharmacy: 2-3 working days.

Take action now

Waiting for reimbursement from your health insurance? That could take until 2027. Or you can start today with an affordable, personalised alternative.

Start the free questionnaire: magistra.health/nl/patient/start

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Magistra is a technology platform. All medical services are provided by independent, registered healthcare professionals and pharmacies. Results may vary.