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When this works: Your plan covers Zepbound but places it on a high tier You have documented medical necessity (BMI over 30, or over 27 with comorbidity) You've tried and failed lower-tier weight management medications (or have contraindications) The appeal process: Call your insurance company and request a "formulary exception" or "tier exception" for Zepbound Your provider submits a letter of medical necessity documenting: Your BMI and weight-related comorbidities Prior weight-loss attempts (diet, exercise, other medications) Why Zepbound specifically is medically necessary Why lower-tier alternatives are inappropriate Insurance reviews the request (typically 72 hours for urgent, 14 days for standard) If approved, Zepbound moves to a lower tier for the remainder of the plan year Success rates: A 2023 analysis by the American Medical Association found that 42% of formulary exception requests for GLP-1 medications were approved on first submission, and 68% were approved after one appeal (Kane et al., JAMA Network Open 2023)

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EXPERT FORMULATED: Formulated By GLP-1 Experts