§ 04
Insurance
Coverage rules vary widely. This is a snapshot of how the major U.S. plans handle each GLP-1.
Carrier · UnitedHealthcare
UnitedHealthcare
ozempic
Conditional
Covered (Tier 2) with PA for diabetes diagnosis. Step therapy may apply.
wegovy
Not covered
Not covered for weight loss only; PA required if obesity + comorbidity.
mounjaro
Conditional
Covered (Tier 2) with PA for T2D. Step therapy required.
zepbound
Not covered
Covered with PA on select employer plans. Not on standard formulary.
⌗ Data source — Coverage data from public payer formularies and CMS datasets. Always verify with your insurance provider.
Glossary
PA — Prior authorization required. Your prescriber must justify the prescription.
Step therapy — You must try cheaper alternatives first.
Tier 2/3 — Higher copay than generics; varies by employer plan design.