Is Zepbound covered by insurance?

Medically reviewed by Leslie GreenbergMD
Board-Certified Family Physician
Written by Kristi C. TorresPharm.D.
Licensed Pharmacist
Updated Oct 23, 2025  •  Published Oct 23, 2025
Fact Checked

Employer-provided or commercial health insurance plans do not usually cover Zepbound. When it is, it’s sometimes placed in a non-formulary tier, so getting reimbursement may be difficult. When an insurance company does cover Zepbound, it usually covers it in select premium insurance plans or only for sleep apnea treatment. These health plans typically require prior authorization before paying for a prescription.

Medicare plans do not cover weight loss medications. Medicaid coverage will vary by state.

Medically reviewed by Leslie GreenbergMD
Board-Certified Family Physician

Leslie Greenberg, MD, is a board-certified practicing family physician with more than 25 years of doctoring experience. She was a psychology major at Northwestern University near Chicago, then graduated with an MD from the University of Nevada School of Medicine. She completed her family medicine residency at St. Joseph Hospital in Wichita, Kansas. She has trained more than 350 family medicine resident-physicians, been in private practice, and delivered babies for 22 years.

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Written by Kristi C. TorresPharm.D.
Licensed Pharmacist

Kristi C. Torres, Pharm.D., is a 2005 graduate of The University of Texas at Austin. Her professional background includes academic teaching roles, district-level management for a nationwide pharmacy chain, and clinic-based pharmacy management. Dr. Torres has a wide range of experience in pharmacy operations and has traveled to many states to open and convert clinic-based pharmacies for one of the largest healthcare systems in the nation.

Currently, she works for Tarrytown Expocare Pharmacy in Austin, Texas, serving the intellectual and developmental disability community. There, she leads the order entry team, overseeing orders from across the country.

Dr. Torres began working in pharmacy at the age of 16 in a small East Texas town. She currently resides in Round Rock, Texas, with her daughter and a Shih-Tzu puppy.

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