National commercial insurer with broadly typical PA practices.
Type 2 diabetes coverage
Generally covered for T2D. Typical copay $25–$100/mo with PA.
Weight management coverage
Variable. Cigna commercial plans cover Wegovy/Zepbound for weight with PA; some employer plans exclude.
CV indication coverage
Coverage under March 2024 Wegovy CV indication expanding.
OSA indication coverage
Coverage of Zepbound for OSA expanding.
Prior authorization (typical)
BMI thresholds; documented lifestyle modification 3–6 months; comorbidity documentation.
How to verify
Call member services on your card and ask: (1) Is [Wegovy/Zepbound/Ozempic/Mounjaro] on my formulary? (2) What tier? (3) PA criteria? (4) Expected copay? Document the date, rep's name, and any reference number.
Cash-pay alternative
If insurance is unworkable, see our price index. Our editor's pick NexLife runs $145–$215/mo flat-rate.