Does Triple S Advantage, INC. require prior authorization for Wegovy?
Triple S Advantage, INC. 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 | Status |
|---|---|---|---|
| 0.5 ML semaglutide 0.5 MG/ML Auto-Injector [Wegovy]2553506 | 22 / 22 | 22 | Prior authorization required |
| 0.5 ML semaglutide 1 MG/ML Auto-Injector [Wegovy]2553603 | 22 / 22 | 22 | Prior authorization required |
| 0.5 ML semaglutide 2 MG/ML Auto-Injector [Wegovy]2553803 | 22 / 22 | 22 | Prior authorization required |
| 0.75 ML semaglutide 2.27 MG/ML Auto-Injector [Wegovy]2553903 | 22 / 22 | 22 | Prior authorization required |
| 0.75 ML semaglutide 3.2 MG/ML Auto-Injector [Wegovy]2554104 | 22 / 22 | 22 | Prior authorization required |
| semaglutide 1.5 MG Oral Tablet [Wegovy]2730161 | 22 / 22 | 22 | Prior authorization required |
| semaglutide 25 MG Oral Tablet [Wegovy]2730165 | 22 / 22 | 22 | Prior authorization required |
| semaglutide 4 MG Oral Tablet [Wegovy]2730167 | 22 / 22 | 22 | Prior authorization required |
| semaglutide 9 MG Oral Tablet [Wegovy]2730169 | 22 / 22 | 22 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
- 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.
- Aetna (CVS Health)
- Fallon Community Health Plan
- Independent Health Association, INC.
- Amerihealth Caritas Vip Next, INC.
- South Country Health Alliance
- Vista Health Plan, INC.
- Troy Health, INC.
- Alameda Alliance For Health
- Amerihealth Caritas Louisiana, INC.
- Select Health Of South Carolina, INC.
- Contra Costa County Medical Service Dba Contra Costa Health
- Orange County Health Authority
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.