Insurance coverage

Does your insurance cover GLP‑1s in 2026?

Verified coverage details for 12 major US insurers — covering ~471M Americans.

On Medicare? The $50/month GLP-1 Bridge is live (July 1, 2026 – Dec 31, 2027).

It covers Wegovy (shot or pill), Foundayo, and the Zepbound KwikPen — but the eligibility rules run backwards from what you would expect. Who qualifies and the covered-forms trap →

Coverage checker

Will your plan cover it?

Pick your drug and insurer to see coverage status, prior-auth criteria, typical copay, the BMI threshold, and the strongest appeal angle if you are denied. Add your state for the Medicaid pathway.

Check your GLP-1 coverage

DrugInsurerState (optional · Medicaid)

We cross-check every entry against the insurer’s public formulary.

Coverage changes quarterly. Verification dates shown on each insurer page. If your formulary differs, your specific plan may have variants — always confirm with member services.

Every insurer × every GLP-1

Each cell links to the prior-auth criteria, copay range, common denial reasons and appeal strategy for that exact combination. Coverage rules change quarterly.

GLP-1 coverage status by insurer and drug. Each cell links to the full prior-authorization criteria, copay range and appeal strategy for that combination.
Insurer	Wegovy semaglutide	Zepbound tirzepatide	Ozempic semaglutide	Mounjaro tirzepatide	Saxenda liraglutide
Aetna 2/5 covered outright	PA req.$80-150/mo (commercial), $50-90/mo (HSA)	PA req.$80-150/mo (commercial)	Covered$40-80/mo	Covered$60-120/mo	PA req.$150-300/mo
Blue Cross Blue Shield 2/5 covered outright	PA req.$70-180/mo (varies by state plan)	PA req.$70-180/mo	Covered$30-70/mo	Covered$50-120/mo	PA req.$130-280/mo
Cigna 2/5 covered outright	Step Rx$90-160/mo	Step Rx$90-160/mo	Covered$45-90/mo	Step Rx$60-130/mo	Covered$140-260/mo
UnitedHealthcare 2/5 covered outright	PA req.$60-150/mo	PA req.$60-150/mo	Covered$30-70/mo	Covered$50-110/mo	PA req.$140-280/mo
Humana 2/5 covered outright	Not coveredNot covered	Not coveredNot covered (Medicare)	Covered$45-100/mo	Covered$60-120/mo	Not coveredNot covered
Kaiser Permanente 1/5 covered outright	PA req.$50-100/mo	PA req.$50-100/mo	Covered$30-60/mo	PA req.$50-100/mo	Not coveredNot covered
Anthem 2/5 covered outright	PA req.$70-160/mo	PA req.$70-160/mo	Covered$35-75/mo	Covered$55-115/mo	PA req.$135-275/mo
Medicare 2/5 covered outright	PA req.$80-200/mo (Part D)	Not coveredNot covered for weight loss	Covered$45-100/mo	Covered$60-120/mo	Not coveredNot covered

Legend

CoveredPA req.Step RxNot covered

“PA req.” means the drug is on formulary but your prescriber must justify it first — that is the single most common reason a GLP-1 claim is refused, and it is appealable. Copay ranges are typical; your specific plan can differ. Always confirm against your member portal.