Centene coverage for Zepbound (Weight Loss)

Use of Zepbound for the treatment of weight management is a benefit exclusion and will not be authorized.

Policy note: The policy explicitly states that use of Zepbound for weight management is a benefit exclusion and will not be authorized, for both initial approval and continued therapy. This applies to HIM/ICHRA and Medicaid lines of business.

Policy effective December 20, 2024 · verified June 2, 2026 · source: CP.PMN.298.pdf