Whether your plan pays for Wegovy, Zepbound or Foundayo comes down to your employer and the drug list your plan uses. We build each guide below from the insurer’s own drug lists and prior authorization policies, and we date every check.
Your employer decides first. Some plans cover weight-loss drugs and some leave them out entirely, and no doctor’s note changes that. If your plan does cover them, the drug list it uses decides which GLP-1s are on it, such as Wegovy, Zepbound or the Foundayo pill. Only then do the insurer’s prior authorization rules come in, usually a BMI threshold plus proof that you tried a diet and exercise program first.
GLP-1 coverage by insurer also changes during the year. Zepbound, for example, left Aetna’s Advanced Control list in July 2025 and came back to the Aetna Standard Plan in October 2026. That’s why every guide shows the date we checked.
How we build these guides
We read each insurer’s published drug lists, formulary update notices and pharmacy policy bulletins, and we link every document with its date. We don’t guess copays, because they differ from plan to plan. If you have Medicare, the GLP-1 rules come from the federal program; see Medicare’s drug coverage page. When an insurer changes its lists, we update the guide and log the change on our Corrections and Updates page.
Occasional updates on GLP-1 prices, provider changes and new reviews. No spam.
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