Key takeaways
- Major commercial insurance carriers, such as Blue Cross Blue Shield, UnitedHealthcare, and Aetna, may cover the cost of Wegovy for weight loss and other conditions.
- The insurance plan your employer chooses will determine which drugs, including Wegovy, are covered.
- Your insurance may require prior authorization before it covers the cost of Wegovy.
Wegovy is a brand-name drug prescribed for weight loss, lowering the risk of certain cardiovascular problems, and treating a liver condition called metabolic dysfunction-associated steatohepatitis (MASH). It comes in the form of a subcutaneous injection given under the the skin and an oral tablet.
Many health insurance plans, such as Blue Cross Blue Shield, UnitedHealthcare, and Aetna, may cover the cost of Wegovy. In this article, we’ll take a look at some of the ins and outs of Wegovy and insurance coverage.
Wegovy’s website indicates the drug is covered by many insurance plans. Some common commercial insurance companies may include Blue Cross Blue Shield, UnitedHealthcare, Aetna, and Cigna. With commercial insurance, you may be eligible for lower co-pays with Wegovy Saving Offers.
Coverage for Wegovy depends on the type of plan your employer offers and whether it is on the list of covered drugs (or formulary). For details on whether your insurance covers the cost of Wegovy, you can visit the Check My Benefits page on Wegovy’s website. There, you will be prompted to input your insurance information to check the coverage of your plan.
You can also speak with a representative with your insurance carrier or your pharmacist to learn whether Wegovy or other weight loss drugs may be covered by your plan.
Medical Perspective“A pharmacist can help determine if your insurance covers GLP-1 medications by checking your insurance company’s formulary (covered drug list) or by contacting the insurance company directly to ask about covered drugs.”
— Kristina D. Carter, PharmD, MBA, MHA
Read our guide to deciding if GLP-1s are right for you.
Quotes represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.
What insurance covers the Wegovy pill?
Whether your insurance covers the Wegovy pill or the injection depends on your specific plan.
For details on what your plan covers, visit the Check My Benefits page on Wegovy’s website, speak with an insurance representative, or talk with your pharmacist.
In some cases, you may need a prior authorization before your insurance covers the cost of Wegovy. Prior authorization requirements can vary from one insurance to another.
With prior authorizations, the insurance company and your doctor will discuss Wegovy and your treatment plan. Then, the insurance company will determine whether it will cover the cost of the drug and notify you.
If a drug requires prior authorization but you begin it without having that prior approval, you might be responsible for paying the full cost of the medication. If you have questions about whether Wegovy requires prior authorization, ask your insurance provider for more information.
To find out whether your insurance covers the cost of Wegovy, you may visit the Check My Benefits page on Wegovy’s website. You may also speak with an insurance representative or your local pharmacist.
Note that you may need a prior authorization before your insurance will cover the cost.