Does Centene Ambetter Marketplace Ohio cover Saxenda?

Requirements

Prior authorization

Not required

Step therapy

Not required

Sources

• Clinical Payment Policies | Ambetter from Buckeye Health Plan (including Centene Pharmacy Policies CP.PMN.295, CP.PCH.12, CP.PCH.13)

  Ambetter from Buckeye Health Plan / Centene Corporation · Effective 2024-06-01 (Wegovy), 2025-01-01 (Plan EOC) · vCP.PMN.295 (rev 02-2026); CP.PCH.12 (rev 2017); CP.PCH.13 (rev 2017); CP.MP.37; CP.MP.40

• WellCare of Kentucky Medicaid Provider Manual; Kentucky Medicaid Prior Authorization Criteria (Wegovy/Zepbound)

  WellCare of Kentucky (Centene) · Effective 2025-10-10 (Manual); 2026-01-03 (Wegovy PA); 2025-07-01 (Zepbound PA) · vEffective Oct 10, 2025 (Manual); Effective Jan 3, 2026 (Wegovy); Effective July 1, 2025 (Zepbound)

• 2025 FORMULARY (Ambetter from Buckeye Health Plan)

  Ambetter from Buckeye Health Plan (Centene) · Effective 2025-01-01

• Bariatric Surgery; Medicare Coverage of Anti-Obesity Medications

  Wellcare (Centene Corporation) · Effective 2025-05-01 (Policy WA.CP.MP.37); Last Revised 2024-03-24 (General CP.MP.37) · vCP.MP.37; WA.CP.MP.37; MI.CP.MP.37

• Clinical Policy: Bariatric Surgery

  Centene Corporation (Buckeye Health Plan) · Effective 2026-02-26 · vCP.MP.37; rev 02/26

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