Do you have to be a certain weight or BMI to even qualify for a GLP-1 medication?

Generally yes. Clinical guidelines typically use a BMI of 30+ on its own, or a BMI of 27+ combined with at least one weight-related health condition (like high blood pressure or type 2 diabetes), as the general eligibility threshold for weight-management-focused GLP-1 medication. It's not available purely on request regardless of BMI; it's tied to these clinical criteria. References: https://obesitycanada.ca/healthcare-professionals/adult-clinical-practice-guideline/