Does CareSource Marketplace Ohio cover Wegovy?
Excluded by the plan
CareSource Marketplace Ohio excludes Wegovy 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 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
- Metabolic and Bariatric Surgery in Adults 20 and Older
CareSource · Effective 2021-11-01 · vMM-0791
- Metabolic and Bariatric Surgery-Revision-OH MCD-MM-1061
CareSource · Effective 2025-06-01 · vOH MCD-MM-1061
- CareSource MyCare Ohio Pharmacy Coverage and 2025 Formulary
CareSource · Effective 2025-01-01 · v2025 Plan Year; AD-11421
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.