Wegovy (semaglutide 2.4mg) is FDA-approved for chronic weight management and is increasingly covered by insurance plans, though coverage remains inconsistent. As of 2026, more employers and insurers are adding anti-obesity medication coverage, but Medicare still does not cover weight loss drugs. Wegovy costs approximately
Key Facts
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Open Formulary CheckerFrequently Asked Questions
No. Federal law currently prohibits Medicare Part D from covering drugs used for weight loss. Even though Wegovy received an additional FDA indication for cardiovascular risk reduction in 2024, Medicare coverage for the weight loss indication remains excluded. Legislative efforts to change this are ongoing but have not passed as of 2026.
Check if your plan covers anti-obesity medications. If so, your doctor must submit prior authorization documenting your BMI, weight-related conditions, and any failed lifestyle interventions. If your plan does not cover weight loss drugs, ask HR (for employer plans) about adding coverage, or consider plans that include it during open enrollment.
Ozempic and Wegovy both contain semaglutide but have different FDA approvals. Ozempic is approved for type 2 diabetes and is widely covered by insurance for that use. Wegovy is approved for weight management and has more limited coverage. They cannot be substituted for each other at the pharmacy, and insurance will only cover the one matching your diagnosis.
Related Resources
- UnitedHealthcare Formulary 2026
- Blue Cross Blue Shield Formulary 2026
- Aetna Formulary 2026
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