Does Aetna Select HMO cover Zepbound?
Excluded by the plan
Aetna Select HMO excludes Zepbound from coverage— an exception may be available with clinical justification.
This plan explicitly excludes this medication from coverage. An exception may be available.
Verbatim status from policy: Excluded
Last verified 2026-04-01.
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
- 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
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