Does Aetna PPO Commercial Standard Plan cover Zepbound?
Covered with prior authorization
Aetna PPO Commercial Standard Plan covers Zepboundwith prior authorization required.
This plan covers this medication, but requires prior authorization before it will pay.
Verbatim status from policy: Covered with PA
Last verified 2026-04-30.
Requirements
- Prior authorization
- Required
- Step therapy
- Required
- Formulary tier
- Non-preferred
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
Your prescriber will need to submit a prior authorization request to your plan. Our guides walk through what they typically need to include.
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