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
- 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
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