Reverse formulary search
Pick your carrier — see which GLP-1 medications are covered
Most Aetna commercial plans cover GLP-1 medications for type 2 diabetes; coverage for weight loss varies significantly by employer plan design. Prior authorization is standard.
Coverage by drug
- Wegovy (semaglutide)Covered (prior auth required)
Aetna covers Wegovy on most commercial plans when the patient meets clinical criteria and prior authorization is approved. The obesity-drug benefit must be included in the specific employer plan.
- Zepbound (tirzepatide)Covered (prior auth required)
Aetna formulary status for Zepbound mirrors Wegovy for most commercial plans. Same prior authorization process and clinical criteria apply.
- Ozempic (semaglutide)Covered
Aetna covers Ozempic broadly for type 2 diabetes. Prior auth is standard but approval is straightforward with a T2D diagnosis. Off-label weight-loss use is NOT covered.
- Mounjaro (tirzepatide)Covered
Aetna covers Mounjaro for type 2 diabetes with prior authorization. Coverage and copay similar to Ozempic.
- Saxenda (liraglutide)Covered (prior auth required)
Aetna's Saxenda coverage has narrowed as newer GLP-1s have entered the market; many plans now require step-through to Wegovy first.
- Zoloft (sertraline)Varies by plan
- Lexapro (escitalopram)Varies by plan
- Viagra (sildenafil)Varies by plan
- Cialis (tadalafil)Varies by plan
- Propecia (finasteride)Varies by plan
Coverage data reflects general carrier policies — your specific plan within Aetna may differ. Always confirm with your plan's member services or formulary lookup before assuming coverage.
How to use this
- Select your insurance carrier from the dropdown.
- Review the summary stats (how many drugs are covered, denied, or vary).
- Scroll the per-drug list for status and notes.
- Click any drug for the full carrier × drug guide with detailed coverage rules.
- If a drug is denied or not covered, see our appeal letter generator.