Independent Health coverage for Ozempic (Type 2 Diabetes)

What you need to qualify

• Age 18 and older

Qualification pathways

You can qualify through any one of these.

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