Medicare Advantage
Not coveredExclusion Criteria states: 'The member is using for weight loss.'
Policy note: Ozempic is explicitly excluded when used for weight loss per the Exclusion Criteria of the OZEMPIC PA policy.
Policy effective July 1, 2026 · verified July 13, 2026 · source: 2026%20Super%20National%205%20MAPD-Prior%20Authorizationpdf