Employer / Commercial Insurance
Covered (preferred drug)What you need to qualify
- Age 18 and older
Qualification pathways
You can qualify through any one of these.
Type 2 Diabetes coverage
All of:
- Diagnosis of type 2 diabetes
Documentation to bring
- Documentation of type 2 diabetes diagnosis
Not covered when
- Not covered for weight loss indication
Policy note: Document states Ozempic is FDA-approved for type 2 diabetes but not weight loss, and is covered on Independent Health's formulary only for treatment of type 2 diabetes. Detailed PA clinical criteria for diabetes indication are not specified in this document. Applies to commercial plans only; Medicare Advantage, State program, and Self-funded members should check their plan documents.
source: Pa policy