Does Aetna Cover Zepbound

Aetna covers Zepbound (tirzepatide) for weight management, but coverage depends on your specific plan and meeting medical criteria. Most Aetna plans require prior authorization and documentation of a BMI ≥30 or BMI ≥27 with weight-related comorbidities like diabetes or hypertension. You'll typically need to demonstrate previous weight loss attempts and have the prescription from an approved provider. Coverage may include step therapy requirements, meaning you might need to try other weight loss medications first. Copays range from $25-$200 monthly depending on your plan's formulary tier placement.