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Zepbound (tirzepatide) for chronic weight management, OSA with obesity. Step therapy required under Cigna.
Cigna covers GLP-1s through Express Scripts pharmacy benefits. Step therapy is more common than other major insurers.
BMI ≥ 30 + Wegovy or Saxenda failure. OSA pathway softens this.
Wegovy first-line; Zepbound second-line unless OSA documented.
LillyDirect $349-499/mo.
OSA pathway bypasses step therapy. Sleep study with AHI ≥ 15 is the cleanest route.
Editorial summary, not legal or medical advice. Insurance formularies change quarterly. Verify with your specific plan member services before relying on any single source. Copay ranges reflect typical commercial plans; your plan may differ.