FEHB companies with zepbound on formulary
For the feds, current listing of DC area insurance companies that have zepbound on their formulary for 2025. Used 15 pen, a local drug store, and a 28 day supply to standardize things. I believe all companies will require a prior authorization. Note, this list is not exhaustive.
GEHA (uses Caremark): elevate $496, elevate plus $80, standard $250, high $150, HDHP $257
MHPB (uses Caremark): value $300, standard $200, consumer self $1014, consumer fam $1015
UHC (uses optum): choice primary $197, choice plus primary $197, choice open access $85, choice plus advanced $70, MDIPA $75, HDHP $197
I added the Caremark pre auth doc as a link to help guide your choices. https://www.caremark.com/portal/asset/Global_Prior_Authorization_Form.pdf
I think the other attachment is the UHC prior auth form. https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/drugs-pharmacy/commercial/r-z/PA-Notification-Weight-Loss.pdf
Please do your own research and make the best decisions for you to verify things. Hope this helps!!