Zepbound Insurance Coverage
I cannot provide information about Zepbound's insurance coverage status because the evidence provided does not contain any information about Zepbound as a medication or its coverage policies.
Critical Clarification Needed
The question appears to contain a significant medication name error:
- Zepbound is the brand name for tirzepatide, a GLP-1 receptor agonist used for weight management 1
- Ozanimod (brand names Zeposia®) is a sphingosine 1-phosphate receptor modulator used for multiple sclerosis and ulcerative colitis 2, 3, 4
These are completely different medications with different indications, mechanisms of action, and coverage policies.
If You Are Asking About Tirzepatide (Zepbound)
The provided evidence does not address tirzepatide/Zepbound coverage. General patterns from similar specialty medications suggest:
- Commercial insurance: Coverage varies widely by plan, often requiring prior authorization for weight management indications 5
- Medicare: Typically does not cover weight loss medications by statute
- Medicaid: Coverage varies by state
If You Are Asking About Ozanimod (Zeposia®)
Based on general insurance patterns for specialty oral medications like ozanimod:
- Commercial plans typically cover ozanimod with prior authorization for approved indications (relapsing multiple sclerosis and ulcerative colitis) 5, 2, 4
- Medicare plans generally cover FDA-approved medications but may place them in higher cost-sharing tiers 5
- Prior authorization is commonly required across all payer types for specialty medications 5
Please clarify which medication you are asking about to receive accurate coverage information.