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Author: Admin | 2025-04-28
You, whether that was due to lack of effectiveness, an allergy, side effects or interactions. Will Aetna cover Ozempic if you don’t have diabetes? It’s possible that Aetna could cover Ozempic if you don’t have diabetes, but it’s unlikely. Ozempic has two FDA-approved indications: to improve blood sugar control in people with type 2 diabetes, and/or to reduce the risk of experiencing a serious cardiovascular event (such as stroke, heart attack, or death) in people with type 2 diabetes and heart disease. While Ozempic can lead to weight loss, it is not specifically FDA-approved for weight loss. So, when healthcare providers prescribe Ozempic for weight loss, it is considered an off-label prescription. Off-label prescribing allows healthcare providers to use their discretion and expertise in prescribing the best treatment for their patients, even if that includes a condition outside of the FDA-approved indications. Your healthcare provider can submit a coverage request to Aetna requesting that they cover Ozempic as a weight loss treatment, but, in general, health insurance companies are less likely to cover off-label prescriptions.Novo Nordisk, the maker of Ozempic, does make another medication called Wegovy that contains the same active ingredient (semaglutide) as Ozempic, but in higher dosage strengths. Wegovy is FDA-approved for weight loss, so it’s possible that your insurance plan may be more likely to cover Wegovy for weight loss. However, you’ll still want to review your drug formulary and check with Aetna, as some Aetna insurance plans specifically exclude weight loss medications from their prescription drug
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