Coverage ยท by treatment
Tirzepatide (Zepbound) for OSA
The only FDA-approved medication for obstructive sleep apnea. Of the 37 payers we checked, 9 publish a policy a member can read.
5 of the published policies require another treatment first. For this treatment that often means documented PAP therapy failure or intolerance. Open the payer record for the exact published language.
Every payer we checked
- Aetna (CVS Health) Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Not required
- California Medicaid (Medi-Cal) Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Not researched
- Centene Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Required
- Cigna Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Not required
- Highmark Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Required
- Kaiser Permanente Policy publishedPrior authorization Not researchedInitial qualification Not researchedContinued coverage Not researchedUtilization management Required
- Medicare Policy publishedPrior authorization Not researchedInitial qualification Not researchedContinued coverage Not researchedUtilization management Not researched
- Oscar Health Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Required
- UnitedHealthcare Policy publishedPrior authorization RequiredInitial qualification Not researchedContinued coverage Not researchedUtilization management Required
- Blue Shield of California Policy not publicly readablePrior authorization Not researchedInitial qualification Not researchedContinued coverage Not researchedUtilization management Not researched
- Horizon Blue Cross Blue Shield of New Jersey Policy not publicly readablePrior authorization Not researchedInitial qualification Not researchedContinued coverage Not researchedUtilization management Not researched
- UPMC Health Plan Policy not publicly readablePrior authorization Not researchedInitial qualification Not researchedContinued coverage Not researchedUtilization management Not researched
- Blue Cross Blue Shield of Massachusetts Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Blue Cross Blue Shield of Michigan Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Blue Cross NC Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- BlueCross BlueShield of Tennessee Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- CareFirst BCBS Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Elevance Health (Anthem BCBS) Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- EmblemHealth Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Federal Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Florida Blue (GuideWell) Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Florida Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Georgia Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Health Care Service Corporation (HCSC) Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Humana Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Illinois Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Independence Blue Cross Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Michigan Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Molina Healthcare Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- New York Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- North Carolina Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Ohio Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Pennsylvania Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Point32Health Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Premera Blue Cross Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Regence Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
- Texas Medicaid Not publishedPrior authorization Not publishedInitial qualification Not publishedContinued coverage Not publishedUtilization management Not published
Last verified 2026-08-15. Open a payer for the source policy, detailed requirements and appeal route.
Other treatments
A payer's general policy may not match your specific plan, particularly through an employer. Nothing here is a guarantee of coverage.