Does Humana Gold Plus HMO cover Ozempic?
Covered with prior authorization
Humana Gold Plus HMO covers Ozempicwith 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 2026-04-01.
Requirements
- Prior authorization
- Required
- Step therapy
- Not required
- Formulary tier
- Tier 3
Sources
- Nutritional counseling
Humana Military (TRICARE) · Effective 2024-04-24 · vMP21-003E
- Does Medicare cover medical nutrition therapy (MNT)?
Humana · Effective 2025-11-18 · vY0040_GHHMLD5EN_C
- Bariatric Surgery
Humana · Effective 2026-02-02 · vHUM-1020-004
- Wegovy (semaglutide) Pharmacy Coverage Policy; Bariatric Surgery Medical Coverage Policy (HUM-0423-033)
Humana · vWegovy (Rev 01-2026); Bariatric (Rev 08-2024)
- Wegovy (semaglutide) Pharmacy Coverage Policy; Bariatric Surgery Medical Coverage Policy (HUM-0423-033)
Humana · vWegovy (Rev 01-2026); Bariatric (Rev 08-2024)
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
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