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If not, who decides our formulary?" Make the business case: Obesity treatment reduces long-term healthcare costs (diabetes, heart disease, joint problems) Gather support: If coworkers also want coverage, a group request carries more weight Time it right: Benefits are often reviewed in Q3-Q4 for the following year Be patient: Formulary changes typically take effect at the next plan year FOR PLANS THAT COVER ZEPBOUND Prior Authorization Requirements Prior Authorization Requirements Who These Requirements Apply To From October 1, 2026, Zepbound is a preferred option again on standard Aetna/CVS Caremark commercial plans, so these prior-authorization requirements apply broadly

CMSnot unlike other payersappears put off by the potential upfront costs

Related Reading Hers Vs Ro Hers Vs Hers Noom Vs Hers Medvi Vs Hers Medical and Editorial Standards Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims

Specialty medication travel coverage Some insurers offer riders or specialty policies that cover medication replacement during travel