BCBS Arizona coverage for Zepbound (Weight Loss)

This PCG covers Zepbound only for the OSA indication. For use in weight loss, the document explicitly states 'please refer to the member's benefit plan book.' Weight loss coverage is not adjudicated under this PCG.

Policy note: This PCG explicitly defers Zepbound weight loss coverage to the member's benefit plan book. No PA criteria for the weight loss indication are established in this document.

Policy effective February 20, 2025 · verified June 2, 2026 · source: Download

This PCG covers Zepbound only for the OSA indication. For use in weight loss, the document explicitly states 'please refer to the member's benefit plan book.' Weight loss coverage is not adjudicated under this PCG.

Policy note: This PCG explicitly defers Zepbound weight loss coverage to the member's benefit plan book. No PA criteria for the weight loss indication are established in this document.

Policy effective February 20, 2025 · verified June 2, 2026 · source: Download