Coverage at a glance
| Indication | Coverage |
|---|---|
| Obesity / weight management | Covered with prior authorization |
| Type 2 diabetes | Covered with prior authorization |
If your plan denies coverage, two cash programs to check.
- Strut Health$149 a month, with auto-refillcompounded semaglutide, not FDA-approvedCheck price →
- Shed$199 a monthcompounded semaglutide, not FDA-approvedCheck price →
Prior authorization: the plan reviews the prescription before it pays.
Yes, on some plans. TRICARE pays for Wegovy, Zepbound and Saxenda for weight on Prime and Select, once your prescriber gets the plan to sign off. Members not on Prime or Select lost that coverage on August 31, 2025. This answer covers TRICARE Prime and TRICARE Select.
Source: TRICARE, Does TRICARE cover Wegovy, Ozempic, and Mounjaro? (Official TRICARE FAQ). Checked June 12, 2026.
What your plan says about cost. A sign-off does not always mean a low price. Weight-loss drugs are not on TRICARE's covered drug list, so some members pay the full cost even after the plan approves the drug.
What it costs once they say yes. With commercial insurance the manufacturer savings card takes Wegovy or Zepbound to as little as $25 a month. Your plan sets the copay before the card applies. What Wegovy costs with your plan. What Zepbound costs with your plan.
Coverage by indication
TRICARE pays for Wegovy, Zepbound and Saxenda for weight on Prime and Select plans, once your prescriber gets the plan to sign off. Ozempic and Mounjaro are covered for type 2 diabetes only, not for weight loss.
What the prior authorization needs:
- You meet the TRICARE clinical rules
- The prescription comes from a TRICARE network provider
- Your provider files the sign-off form and the notes showing the drug is medically necessary
Source: TRICARE, Does TRICARE cover Wegovy, Ozempic, and Mounjaro? (Official TRICARE FAQ). Official TRICARE FAQ page.
The standard type 2 diabetes coverage, for Ozempic, Mounjaro, Trulicity and Victoza. It is a separate benefit from the weight-loss one, with its own rules.
What the prior authorization needs:
- A type 2 diabetes diagnosis
- A sign-off from a TRICARE-authorized provider
- You fill it at a TRICARE network pharmacy
Source: Express Scripts TRICARE, Are GLP-1 and weight loss medications covered through the TRICARE pharmacy benefit?. Official Express Scripts FAQ page for TRICARE.
Ozempic and Mounjaro on TRICARE plans
Ozempic and Mounjaro are approved for type 2 diabetes, not weight loss.
Does TRICARE cover Ozempic?
Yes, with prior approval. TRICARE pays for Ozempic once your prescriber gets the plan to sign off.
Yes, for type 2 diabetes. TRICARE pays for Ozempic once your prescriber gets the plan to sign off. It is on the plan's GLP-1 diabetes list with Trulicity, Mounjaro and Victoza. It is not covered for weight loss. Wegovy, Zepbound and Saxenda are the weight-loss drugs, and they are a separate benefit with their own rules.
Checked August 31, 2026.
What TRICARE requires for Ozempic
| Step therapy | Not required |
What the prior authorization needs:
- Prior authorization required through the TRICARE pharmacy benefit
- Documented type 2 diabetes diagnosis (the covered indication for Ozempic)
- Use the TRICARE Formulary Search tool to confirm your plan tier and any required forms
Source: Express Scripts for TRICARE, Are GLP-1 and weight-loss medications covered through the TRICARE pharmacy benefit. The plan's own coverage policy.
Does TRICARE cover Mounjaro?
Yes, with prior approval. TRICARE pays for Mounjaro once your prescriber gets the plan to sign off.
Yes, for type 2 diabetes. TRICARE pays for Mounjaro once your prescriber gets the plan to sign off. It is on the plan's GLP-1 diabetes list with Trulicity, Ozempic and Victoza. It is not covered for weight loss. Wegovy, Zepbound and Saxenda are the weight-loss drugs, and they are a separate benefit with their own rules.
Checked August 31, 2026.
What TRICARE requires for Mounjaro
| Step therapy | Not required |
What the prior authorization needs:
- Prior authorization required through the TRICARE pharmacy benefit
- Documented type 2 diabetes diagnosis (the covered indication for Mounjaro)
- Use the TRICARE Formulary Search tool to confirm your plan tier and any required forms
Source: Express Scripts for TRICARE, Are GLP-1 and weight-loss medications covered through the TRICARE pharmacy benefit. The plan's own coverage policy.
Important exclusions
- TRICARE For Life does not cover weight-loss drugs
- Members who are not on Prime or Select lost that coverage on August 31, 2025
- The Defense Health Agency changed the sign-off rules for weight-loss drugs on August 31, 2025
What to do next
If you qualify under one of the covered indications above, prior authorization is the path. Match the documentation in the requirements list then have your prescriber submit it. Plans that approve reassess at renewal, so know your long-term maintenance dose before you start.
- Start with the TRICARE prior-authorization letter template, which cites this plan's policy and the diagnosis codes a reviewer looks for. Pick the indication that matches your clinical picture.
- Read why plans say no and the four ways to appeal in the GLP-1 insurance guide.
- Your plan may treat another GLP-1 differently. The TRICARE coverage check lists all 3, with the source for each.
- If the plan denies it, the appeal letter library has a template for each reason a plan gives. That covers the peer-to-peer call with a plan doctor, the Level 1 and Level 2 appeals inside the plan, and the outside review that follows them.
- If your plan does not cover the indication you need, compare cash prices in the cost guide or check whether a clinical trial near you fits. Neither one goes through your insurer. Clinical trials cost nothing and many pay you for your time.
What it costs without insurance
The programs below bill you directly. Prices checked every Monday.
Frequently asked questions
Does TRICARE cover Wegovy and Zepbound?
Yes, on some plans. TRICARE pays for Wegovy, Zepbound and Saxenda for weight on Prime and Select, once your prescriber gets the plan to sign off. Members not on Prime or Select lost that coverage on August 31, 2025. Policy checked June 2026.
What does TRICARE require to approve Wegovy and Zepbound?
For obesity / weight management: your plan has to sign off first. The paperwork it asks for is in the requirements list on this page.
Coverage for other payers
See the full payer coverage index for every plan we have sourced.
How we built this page
Every page here comes from the payer's own policy, a federal law, or KFF's plan research. Each row links its source and gives the date we read it. Some plan files load at the address the payer gives but will not open. We check those against a second source and mark the row lower confidence. Job-based plans also choose whether to add the weight-drug benefit at all, so those rows say varies by plan rather than a flat yes.
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.
