UnitedHealthcare
Coverage guide
UnitedHealthcare commercial plans typically cover Wegovy and Zepbound with prior authorization and BMI criteria (≥30, or ≥27 with …
Insurance-by-insurance breakdown of Wegovy, Zepbound, Ozempic, and compounded GLP-1 coverage. Prior authorization, denials, and what to do next.
UnitedHealthcare commercial plans typically cover Wegovy and Zepbound with prior authorization and BMI criteria (≥30, or ≥27 with …
Anthem BCBS plans generally cover GLP-1s for FDA-approved indications with prior authorization. Coverage varies significantly by e…
Aetna commercial plans cover Wegovy and Zepbound with prior authorization. CVS Caremark formulary status is a key signal for Aetna…
Cigna covers Wegovy with prior authorization. Zepbound coverage varies significantly across Cigna and Express Scripts plans.…
Kaiser members access GLP-1s through Kaiser physicians and pharmacies. Coverage requires meeting Kaiser's clinical criteria and go…
Medicare historically excluded weight-loss drugs by statute. CMS guidance has expanded coverage when GLP-1s are prescribed for FDA…
TRICARE covers Wegovy and Zepbound for active duty, retirees, and dependents who meet BMI and comorbidity criteria. Express Script…
Humana coverage varies significantly between Medicare Advantage and commercial plans. Check the plan-specific formulary.…
Blue Shield of California commercial plans cover Wegovy and Zepbound with prior authorization. Coverage varies by employer group.…
Molina is a Medicaid-focused payer. Coverage for weight-loss GLP-1s varies by state Medicaid program. Some state Medicaid programs…
If your plan excludes weight-loss drugs or denies prior authorization, compounded GLP-1s through telehealth are typically $199–$499/month, vs $1,000+ for brand-name. See our provider rankings or our insurance checker tool.