Does Anthem Traditional Open Access Ohio cover Zepbound?
Covered with prior authorization
Anthem Traditional Open Access Ohio 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
- Not required
- Formulary tier
- Tier 2
- Quantity limit
- 4 pens per 28 days
Sources
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem · Effective 2025-11-06 · vCG-SURG-83
- CG-SURG-83 Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem Blue Cross and Blue Shield (Ohio Medicaid) · vCG-SURG-83 (Revised 12-18-2025); CC-0188 (Revised 07-01-2024)
- Anthem — Transparency-in-Coverage Index (in_network rates, all plans)
Anthem Blue Cross · Effective 2026-06-01 · v2026-06 · commercial
- Medical Drug Clinical Criteria: Agents for Obesity; Wegovy (semaglutide) Clinical Criteria
Anthem / CarelonRx · Effective 2024-07-01 · vCC-0188; Pub-07-01-2024
- Anthem Blue Cross and Blue Shield Medicaid Ohio Medicaid Managed Care Provider Manual
Anthem Blue Cross and Blue Shield Medicaid (Ohio) · Effective 2025-10-01 · vOHBCBS-CD-PM-093342-25
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.
Keep exploring
Other medications on this plan