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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.

5
Covered (or with PA)
0
Not covered
0
Varies / unknown

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.

    Full Wegovy (semaglutide) × Aetna guide →

  • 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.

    Full Zepbound (tirzepatide) × Aetna guide →

  • 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.

    Full Ozempic (semaglutide) × Aetna guide →

  • Mounjaro (tirzepatide)Covered

    Aetna covers Mounjaro for type 2 diabetes with prior authorization. Coverage and copay similar to Ozempic.

    Full Mounjaro (tirzepatide) × Aetna guide →

  • 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.

    Full Saxenda (liraglutide) × Aetna guide →

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

  1. Select your insurance carrier from the dropdown.
  2. Review the summary stats (how many drugs are covered, denied, or vary).
  3. Scroll the per-drug list for status and notes.
  4. Click any drug for the full carrier × drug guide with detailed coverage rules.
  5. If a drug is denied or not covered, see our appeal letter generator.

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