Does Aetna Open Access PPO cover Alli?
Covered
Aetna Open Access PPO covers Alli.
This plan covers this medication, subject to standard cost-sharing.
Last verified 2026-05-15.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
- Formulary tier
- Tier 1
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
- Zepbound PA with Limit Policy 6192-C UDR 11-2023 v2
Aetna · Effective 2024-05-30 · v6192-C UDR 11-2023 v2
- Wegovy (Cardiovascular) PA with Limit 6410-C UDR 03-2024
Aetna · Effective 2024-05-01 · v6410-C UDR 03-2024
- 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
- Saxenda PA Policy 1227-A 08-2022
Aetna · Effective 2022-12-10 · v1227-A 08-2022
What to do next
Bring this page to your appointment. Your prescriber can confirm the exact tier and any cost-sharing on your benefits summary.
Keep exploring
Other medications on this plan