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Ozempic
semaglutide injection
Covered
Your plan covers Ozempic, but you'll need prior authorization from your doctor before the pharmacy can fill it. It's on Tier 3, which means a higher copay than generics. Expect to pay around $150 to $250 per month depending on your plan's cost sharing.
Formulary tier Tier 3 - Preferred Brand
Prior authorization Required
Step therapy Not required
Estimated cost $150 - $250/mo
This tool provides general coverage information based on publicly available formulary data. It is not a guarantee of coverage. Always check your plan documents or call member services for your exact benefits. Not medical advice.
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