Does Aetna Open Access PPO cover Wegovy (oral)?
Pending formulary review
Aetna Open Access PPO — coverage for Wegovy (oral) is under reviewthe plan has not yet finalized this medication's status.
Coverage for this medication is under formulary review. The status may change soon.
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
- Wegovy Cardiovascular and Zepbound OSA
Aetna Better Health · Effective 2025-09-24 · vrev 09-2025
- Saxenda PA Policy 1227-A 08-2022
Aetna · Effective 2022-12-10 · v1227-A 08-2022
- 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
- Prior Authorization Criteria Kentucky Medicaid (Version: April 2026); Zepbound PA Criteria (Effective 7.1.2025)
Aetna Better Health of Kentucky (Kentucky Department for Medicaid Services) · Effective 2026-04-01 · vVersion: April 2026
- Nutritional Counseling
Aetna · Effective 1995-08-03 · v0049
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.
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