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The food and drug administration (fda) approved zepbound in december 2024 for treating obstructive sleep apnea (osa) Medicare drug plans are now allowed to cover eli lilly’s blockbuster obesity drug zepbound for obstructive sleep apnea, the centers for medicare & medicaid services confirmed to cnbc on. Medicare part d may cover zepbound, but only when a doctor prescribes it for.
As of 2025, original medicare does not consistently cover zepbound, especially under part b Private plans from companies like blue cross or aetna may cover zepbound. However, medicare part d and medicare advantage plans may offer partial coverage depending on the plan provider, tier placement, and individual eligibility.
Medicare generally does not cover zepbound for weight loss as of 2025, though limited exceptions may exist for obstructive sleep apnea (osa) depending on individual plan formulary and medical indication.
Medicare coverage and pricing details for zepbound Learn more about medicare prescription drug plans and savings with goodrx. Coverage for zepbound under medicare plans is strictly limited to those diagnosed with moderate to severe osa, confirmed by a documented sleep study This policy reflects both the fda approval parameters and medicare’s historical stance on prescription drug limitations.
Medicare drug plans can now cover eli lilly 's blockbuster obesity drug zepbound for obstructive sleep apnea, cnbc confirmed on wednesday. Some medicare part d plans may cover the costs of both drugs when a doctor prescribes them for reasons other than weight loss Medicare may cover zepbound for people with moderate to severe obstructive sleep apnea (osa), with zepbound becoming the first osa drug to receive fda approval. Insurance coverage for zepbound depends on your plan type and the reason for prescription
Not all plans treat it the same way
Some cover it for weight loss, while others only if it’s for conditions like diabetes or sleep apnea Let’s look at the main categories
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