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Does Humana cover Mounjaro for Type 2 Diabetes?

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

Policy documents

  • Medicare Part D: Covered with requirements. See the qualification pathways below.
  • 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: Mounjaro for Type 2 Diabetes (2 plan types)

Applies to Medicare Part D plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

Type 2 Diabetes Mellitus

All of:

  • Diagnosis of type 2 diabetes mellitus

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis

Approval and renewal

  • Initial approval: 12 months
  • Renewal: every 12 months

Not covered when

  • Use for weight loss is excluded

Policy note: Coverage duration is plan year. Prescriber restriction is licensed practitioner. Part B prerequisite is listed as 0. The document states the off-label use for weight loss is excluded. Only required medical information stated is a type 2 diabetes mellitus diagnosis; no A1C threshold, metformin step therapy, or other detailed criteria are specified.

Policy effective June 1, 2026 · verified June 2, 2026 · source: 2026%20 Super%20 National%205%20 Mapd Prior%20 Authorizationpdf · View policy document (PDF)

Applies to Medicare Advantage plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

Type 2 Diabetes Mellitus

All of:

  • Diagnosis of type 2 diabetes mellitus

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis

Not covered when

  • Use for weight loss is explicitly excluded

Policy note: Policy states only 'The member has a diagnosis of type 2 diabetes mellitus.' No additional criteria specified. Explicit exclusion: 'The member is using for weight loss.' Coverage duration is Plan Year Duration. Prescriber restriction: Licensed Practitioner.

Policy effective July 1, 2026 · verified July 13, 2026 · source: 2026%20 Super%20 National%205%20 Mapd Prior%20 Authorizationpdf · View policy document (PDF)

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Questions people ask
Does Humana cover Mounjaro?
Yes. Humana covers Mounjaro for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.
How long does a Mounjaro approval last with Humana?
Type 2 Diabetes — Applies to Medicare Part D plans. Initial approval: 12 months. Renewal: every 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 Humana: Ozempic

Mounjaro under other plans: Aetna, Centene, Cigna, UnitedHealthcare, Alabama Medicaid, Arkansas Medicaid, BCBS Alabama, BCBS Arizona

All insurance plans · All medications

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