Which GLP-1s does Anthem cover? 4 checked
Anthem publishes a policy on 4 GLP-1s we track. Of those, 3 are covered with prior approval and 1 depends on your plan. Each answer below names the conditions it covers and cites the document it came from.
Does Anthem cover Wegovy and Zepbound?
On some plans, yes. Each employer picks whether Anthem covers Wegovy and Zepbound, so two people with the same card can get different answers.
On some plans, yes, and Anthem flags this on the drug list itself. Wegovy and Zepbound both sit at Tier 2 on Anthem's commercial drug lists carrying three codes: PA, QL and BE. Anthem defines BE as "benefit exclusion. This drug may not be covered depending on your plans design." Anthem does not publish its commercial prior-authorization criteria for these drugs, so we cannot show you a sourced BMI threshold.
Source: Anthem Blue Cross, GLP-1 Coverage Considerations, November 14, 2025 (Medi-Cal Rx), document CA-BC-CD-001363-25-S604. Read August 15, 2026.
The full Anthem policy on Wegovy and Zepbound has the BMI bar, the step-therapy rule and what happens at renewal.
Does Anthem cover Mounjaro?
Yes, with prior approval. Anthem pays for Mounjaro once your prescriber gets the plan to sign off.
Anthem covers Mounjaro for type 2 diabetes, but the plan requires prior authorization first and applies a quantity limit. On one 2025 Anthem drug list the medicine sits on Tier 2, a higher cost share than a generic, but the tier varies by employer plan. Anthem will not cover Mounjaro for weight loss, because Mounjaro is FDA-approved only for type 2 diabetes. The weight-loss version of the same drug, tirzepatide, is Zepbound, which Anthem reviews under a separate weight-loss policy.
Source: Anthem 2025 Select Drug List (Four Tier), Maine, effective 12/01/2025. Read August 27, 2026.
The full Anthem policy on Mounjaro has the BMI bar, the step-therapy rule and what happens at renewal.
Does Anthem cover Ozempic?
Yes, with prior approval. Anthem pays for Ozempic once your prescriber gets the plan to sign off.
Anthem commercial plans cover Ozempic for type 2 diabetes, but prior authorization is required. One published Anthem prescribing policy asks for a documented type 2 diabetes diagnosis plus either a trial of metformin (or a contraindication to it) or a history of atherosclerotic cardiovascular disease, though the exact criteria and drug list vary by employer plan. Anthem will not cover Ozempic for weight loss, because its member benefits generally exclude weight-loss drugs and Ozempic is FDA-approved for type 2 diabetes only. Wegovy is the same medicine, semaglutide, at a higher dose approved for weight loss, and it sits under separate weight-loss coverage rules.
Source: Network alert: Prescribing glucagon-like peptide-1 (GLP-1) receptor agonists (Anthem Blue Cross and Blue Shield, Commercial), policy KYBCBS-CM-025647-23. Read August 27, 2026.
The full Anthem policy on Ozempic has the BMI bar, the step-therapy rule and what happens at renewal.
Does Anthem cover Rybelsus?
Yes, with prior approval. Anthem pays for Rybelsus once your prescriber gets the plan to sign off.
Anthem commercial plans cover Rybelsus for type 2 diabetes, but prior authorization is required. Anthem's published commercial prescribing policy asks for a documented type 2 diabetes diagnosis plus either a trial of metformin (or a contraindication to it) or a history of atherosclerotic cardiovascular disease, though the exact criteria and covered drug list vary by employer plan. Anthem will not cover Rybelsus for weight loss, because its member benefits generally exclude weight-loss drugs and Rybelsus is FDA-approved for type 2 diabetes only. Wegovy is the semaglutide approved for weight loss, and it falls under separate weight-loss coverage rules.
Source: Network alert: Prescribing glucagon-like peptide-1 (GLP-1) receptor agonists (Anthem Blue Cross and Blue Shield, Commercial), policy KYBCBS-CM-025647-23. Read August 28, 2026.
The full Anthem policy on Rybelsus has the BMI bar, the step-therapy rule and what happens at renewal.
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This is reference information, not medical or legal advice, and not a guarantee of coverage. GLP-1 coverage policies change often. Always confirm the current policy with your insurer using the number on your card before you rely on this page. If your experience differs from what is shown here, email hello@glpchart.com with the details and we will re-verify.