Employer / Commercial Insurance
Depends on your plan's benefitCoverage requires that the member benefit contract allows for coverage of medications for weight loss in obesity/overweight; weight loss must NOT be excluded from the pharmacy benefit
What you need to qualify
- Age 18 and older
- BMI of 30 or higher
- BMI of 27 or higher with a weight-related condition (HTN, dyslipidemia, T2DM, pre-diabetes, insulin_resistance, OSA, CVD, and symptomatic_arthritis_lower_extremities)
- 6 months of a documented diet and exercise program
Qualification pathways
You can qualify through any one of these.
Adults with obesity
All of:
- Member benefit contract allows coverage of medications for weight loss in obesity/overweight
- Age >= 18 years
- BMI >= 30 kg/m2
- Attestation medication will be used with lifestyle modification
Adults with overweight and comorbidity
All of:
- Member benefit contract allows coverage of medications for weight loss in obesity/overweight
- Age >= 18 years
- BMI >= 27 kg/m2
- Attestation medication will be used with lifestyle modification
Plus any one of:
- Hypertension
- Dyslipidemia
- Type 2 diabetes mellitus
- Pre-diabetes
- Insulin resistance
- Obstructive sleep apnea
- Cardiovascular disease
- Symptomatic arthritis of lower extremities
Continuation of therapy - established on therapy prior to current health plan membership
All of:
- Patient was established on therapy prior to current health plan membership
- Documentation that medication was covered by another health plan
- Clinical benefit such as disease stability
- Member benefit contract allows coverage of medications for weight loss in obesity/overweight
Documentation to bring
- Clinical documentation (e.g., chart notes) confirming BMI >= 30 kg/m2 (obesity) OR BMI >= 27 kg/m2 with at least one weight-related comorbid condition (overweight)
- Attestation that medication will be used concomitantly with lifestyle modification
- For continuation: attestation of >= 5% body weight reduction from pretreatment baseline OR documentation that dose is currently being titrated upwards
Quantity limits
- all strengths — 4 pens per 28 days
Approval and renewal
- Initial approval: 12 months
- Renewal: every 12 months
- To renew, the plan looks for at least 5% weight loss from the starting weight and Adults (>=18 years): >= 5% body weight reduction from pretreatment baseline OR dose currently being titrated upwards. Attestation required that medication continues to be used with lifestyle modification. Benefit contract coverage eligibility re-verified at each renewal. Make sure your starting weight and date are in the chart now — renewal is measured against it.
Not covered when
- Co-administration with other weight loss medications (Contrave, Qsymia, or other GLP-1 agents in this policy) considered investigational
- Used for type 2 diabetes without obesity or overweight — considered not medically necessary
- Diabetic ketoacidosis (DKA)
- Type 1 diabetes
Policy note: Policy covers Zepbound for weight loss in adults only (age >= 18); pediatric use of Zepbound is not included (only liraglutide/Saxenda and Wegovy are coverable for obesity in pediatrics per policy note). Coverage is gated on member benefit contract allowing weight loss medication coverage. Zepbound is NOT listed as a covered option for pediatric obesity in this policy.
Policy effective July 15, 2026 · verified July 16, 2026 · source: dru787reg.pdf