Does Oscar Health cover Zepbound?

Covered (prior auth required)

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Reviewed by the WeighedHealth Editorial Team against primary clinical sources — FDA labeling, peer-reviewed trials, and specialty-society guidelines.

Content current as of July 2026; updated when guidance or availability changes.

Coverage depends on your employer plan. Some formularies exclude Zepbound and prefer Wegovy; CVS Caremark, for example, removed Zepbound from its formulary on July 1, 2025.

What Oscar Health specifically requires

We have not found a Oscar Health document specific to Zepbound. The points below are sourced facts about Oscar coverage in general.

Sources: Massachusetts GIC: CVS Caremark removes Zepbound from its formulary (Jun 10, 2025)

Where to get Zepbound

Telehealth services that handle Zepbound, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.

Ro
from $149/mo
- Best for insured patients
- Best for clinical oversight
Ro Body, branded GLP-1 weight care program
Visit Ro →Read review
Hims
from $149/mo
- Best for cash-pay
- Best for speed
Hims Weight Loss, branded GLP-1 on a monthly membership
Visit Hims →Read review

Oscar not the right plan?

Coverage varies between carriers and even between plans at the same carrier. Compare GLP-1 coverage across 20 US insurers and programs, or run the insurance pre-check to estimate your specific plan's odds.

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More Oscar coverage

Frequently asked

Does Oscar Health cover Zepbound?+

Coverage depends on your employer plan. Some formularies exclude Zepbound and prefer Wegovy; CVS Caremark, for example, removed Zepbound from its formulary on July 1, 2025.