Prior authorization required

Does Aetna (CVS Health) require prior authorization for Wegovy?

Aetna (CVS Health) requires prior authorization for Wegovy on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm product	Plans covering	Require prior auth	Qty limit	Status
0.5 ML semaglutide 0.5 MG/ML Auto-Injector [Wegovy]2553506	10 / 658	10	0	Prior authorization required
0.5 ML semaglutide 1 MG/ML Auto-Injector [Wegovy]2553603	10 / 658	10	0	Prior authorization required
0.5 ML semaglutide 2 MG/ML Auto-Injector [Wegovy]2553803	10 / 658	10	0	Prior authorization required
0.75 ML semaglutide 2.27 MG/ML Auto-Injector [Wegovy]2553903	10 / 658	10	0	Prior authorization required
0.75 ML semaglutide 3.2 MG/ML Auto-Injector [Wegovy]2554104	10 / 658	10	0	Prior authorization required
semaglutide 1.5 MG Oral Tablet [Wegovy]2730161	10 / 658	10	10	Prior authorization required
semaglutide 25 MG Oral Tablet [Wegovy]2730165	10 / 658	10	10	Prior authorization required
semaglutide 4 MG Oral Tablet [Wegovy]2730167	10 / 658	10	10	Prior authorization required
semaglutide 9 MG Oral Tablet [Wegovy]2730169	10 / 658	10	10	Prior authorization required

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 0.5 ML semaglutide 0.5 MG/ML Auto-Injector [Wegovy]

Wegovy has 9 products in the corpus; this table is for 0.5 ML semaglutide 0.5 MG/ML Auto-Injector [Wegovy], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Health First Classic H1099-001 (HMO-POS)	H1099-001	4	Yes	No	No
Health First Complete Care H1099-023 (HMO)	H1099-023	4	Yes	No	No
Health First Emerald Plus H1099-024 (HMO)	H1099-024	4	Yes	No	No
Health First Emerald Plus H1099-026 (HMO)	H1099-026	4	Yes	No	No
Health First Emerald Plus H1099-028 (HMO)	H1099-028	4	Yes	No	No
Health First Premier Access H1099-025 (HMO-POS)	H1099-025	4	Yes	No	No
Health First Premier Access H1099-027 (HMO-POS)	H1099-027	4	Yes	No	No
Health First Rewards H1099-014 (HMO)	H1099-014	4	Yes	No	No
Health First SunSaver H1099-016 (HMO)	H1099-016	4	Yes	No	No
Health First Value H1099-006 (HMO)	H1099-006	4	Yes	No	No

Source

Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File

Effective: 2026-06-30
Retrieved: 2026-07-19
SHA-256: e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Wegovy at other payers

Or see Wegovy across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.