r/Zepbound•
sandie5111

How to find a Medicare part D that has Zep in their formulary

Insurance/PA

My husband will be going on Medicare in February or sooner (he's 66) if the math works out less to add him to Medicare and if part D covers it now (he's currently on my work insurance and my plan does not cover zepbound) but I'm having a heck of a time finding out which part D insurance companies covers zepbound with severe OSA. When I check on the gov dot com site it doesn't give exception to cover zepbound with OSA (just flat out states not covered). So I'm kind of stuck in a loop. We're paying out of pocket but he's going to need to go up to 7.5 and it's too expensive. However, if I can find which part D companies cover it I can take him off my insurance and he can go on Medicare. I apologize if I have any Medicare terminology wrong as I'm still learning about all the different parts e.g A, B and G etc.

Not sure if it matters but we live in Illinois.

Posted Jun 13, 2025, 10:41 PM UTC

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