How to Get Insurance Coverage for Ozempic, Wegovy, or Zepbound
GLP-1 medications like Ozempic®, Wegovy®, and Zepbound™ can be highly effective tools for weight management, but understanding insurance coverage is key to keeping costs manageable.
Step 1: Call Your Pharmacy Benefits Manager
Your pharmacy benefits manager (PBM) is the best place to start. You’ll find their phone number on the back of your insurance card. Ask them directly if your plan covers Ozempic, Wegovy, or Zepbound for weight loss treatment.
Step 2: Check for Prior Authorization
Some insurance plans require prior authorization before approving these medications. This means your provider must submit documentation showing medical necessity.
- Don’t worry — we help with this. Our providers will complete and submit the required paperwork on your behalf if your plan requires it.
Step 3: Understand the Costs
If your insurance covers the medication, co-pays may be as low as $25 per month. Without insurance, or if your plan doesn’t cover GLP-1s, out-of-pocket costs typically range from $499–$1000+ per month.
The Bottom Line
- Call your PBM to confirm coverage
- Be prepared for prior authorization (we’ll assist)
- Know your potential costs ahead of time
With the right coverage, these powerful medications can be far more affordable and accessible. Our team is here to guide you through every step of the process.