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Cigna

Does Cigna cover Ozempic?

Yes. Cigna covers Ozempic for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.

Policy documents

  • Employer and ACA Marketplace: Covered with requirements. See the qualification pathways below.
  • Medicare Part D and Medicare Advantage: Covered with requirements. See the qualification pathways below.

Earliest policy review June 2, 2026. How we verify · Check your exact plan

Full requirements: Ozempic for Type 2 Diabetes (4 plan types)

Applies to Employer and ACA Marketplace plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

Type 2 Diabetes Mellitus – age-based approval (injection and tablets)

All of:

  • Diagnosis of type 2 diabetes mellitus
  • Patient is ≥ 18 years of age

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis
  • Patient age ≥ 18 years

Approval and renewal

  • Initial approval: 12 months

Not covered when

  • Weight loss without type 2 diabetes diagnosis
  • Prediabetes/diabetes prevention
  • Metabolic syndrome without type 2 diabetes
  • Concomitant use with other GLP-1 agonists or GLP-1/GIP agonists
  • Type 1 diabetes

Policy note: Covers both Ozempic subcutaneous injection and Ozempic tablets (semaglutide tablets; formerly Rybelsus 1.5 mg, 4 mg, 9 mg rebranded as of January 30, 2026). Automation exists for Ozempic tablets added effective 05/06/2026. Policy also notes Ozempic has labeled CV risk reduction and CKD indications but this policy only addresses the diabetes indication; those indications are not separately covered under this diabetes-specific PA policy.

Policy effective May 6, 2026 · verified June 2, 2026 · source: Cigna — GLP-1 coverage criteria (Policy 360) · View policy document (PDF)

Applies to Medicare Part D and Medicare Advantage plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

All FDA-approved indications with diagnosis

All of:

  • Diagnosis documented
  • FDA-approved indication

Documentation to bring

  • Diagnosis documentation

Approval and renewal

  • Initial approval: 12 months

Policy note: Policy allows all FDA-approved indications with no prerequisite therapy required. Only required medical information is a diagnosis. No prescriber restrictions, no age restrictions, no exclusion criteria listed. Authorization duration is 1 year. No Part B prerequisite. Document lists Ozempic with specific strengths: 0.25 mg or 0.5 mg (2 MG/3 ML), 1 MG/DOSE (4 MG/3 ML), 2 MG/DOSE (8 MG/3 ML).

Policy effective July 1, 2026 · verified June 11, 2026 · source: Prior Authorization Crosswalked · View policy document (PDF)

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Questions people ask
Does Cigna cover Ozempic?
Yes. Cigna covers Ozempic for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.
How long does a Ozempic approval last with Cigna?
Type 2 Diabetes — Applies to Employer and ACA Marketplace plans. Initial approval: 12 months. Type 2 Diabetes — Applies to Medicare Part D and Medicare Advantage plans. Initial approval: 12 months.
How current is this information?
The oldest review date among the policies on this page is June 2, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under Cigna: Mounjaro, Wegovy, Zepbound

Ozempic under other plans: Aetna, Centene, Humana, UnitedHealthcare, Alabama Medicaid, Arkansas Medicaid, BCBS Alabama, BCBS Arizona

All insurance plans · All medications

Summary of Cigna's written policy, not a guarantee of coverage. Plans vary by employer and benefit design.