Does Cigna cover Ozempic?
From published formulary and policy documents for the plan type below. Not a decision for your member ID.
Sources last checked October 24, 2026
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Covered with restrictions. Cigna coverage policy IP0701 (effective 06/15/2026) requires prior authorization for Ozempic and approves 1 year for a documented type 2 diabetes diagnosis, with no metformin step and no quantity limit language in the policy. The policy states these agents are not FDA-approved for weight loss without type 2 diabetes. Cigna's National Preferred 3-tier drug list (updated 05/01/2026) shows Ozempic with PA and QL flags.
Applies to: Employer plans on Cigna coverage policies; type 2 diabetes indication only
Source: Cigna Coverage Policy IP0701 Diabetes GLP-1 Agonists, 2026-06-15 (effective)
Policy details
Sources last checked October 11, 2026
Approval criteria
- Documented diagnosis of type 2 diabetes mellitus.
Source: Cigna Coverage Policy IP0701, GLP-1 agonists for diabetes
Approval length
1 year
Source: Cigna Coverage Policy IP0701
Exclusions and limits
- Weight loss alone is not an approved use under this policy.
- Prediabetes and metabolic syndrome without type 2 diabetes are not covered.
- Use together with another GLP-1 or GLP-1/GIP medicine is not covered.
Source: Cigna Coverage Policy IP0701
Policy
IP0701, reviewed 06/04/2026, effective 06/15/2026
Source: Cigna Coverage Policy IP0701
Effective June 15, 2026
Source: Cigna Coverage Policy IP0701
What this means
The published policy lists approval criteria, an initial approval of 1 year, and uses that are not covered.
This reflects the insurer's published formulary and policy for the plan type above. Your employer or plan may exclude weight-loss drugs or differ. Confirm with the number on your ID card.