Does Aetna Medicare Advantage PPO cover Zepbound?
Not covered
Aetna Medicare Advantage PPO does not cover Zepbound.
This plan does not currently cover this medication.
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
- Weight Loss (BMI 35) GIP-GLP-1 GLP-1 Agonists PA with Limit 6450-C UDR 05-2024
Aetna · Effective 2024-08-15 · v6450-C UDR 05-2024
- Wegovy (Cardiovascular) PA with Limit 6410-C UDR 03-2024
Aetna · Effective 2024-05-01 · v6410-C UDR 03-2024
- Weight Reduction Programs and Devices
Aetna · Effective 2000-02-14 · v0039
- Aetna Non-Medicare Prescription Drug Plan - Wegovy PA with Limit 4774-C UDR 08-2023 v2
Aetna · Effective 2024-05-01 · vPolicy 4774-C; UDR 08-2023 v2
- Obesity Surgery
Aetna · Effective 2026-02-26 · v0157
What to do next
Even when a plan says no, an exception or appeal is often possible — especially when there's a strong clinical case. Your prescriber can request a coverage determination.
Keep exploring
Other medications on this plan