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Mounjaro (tirzepatide) for type 2 diabetes. Covered under Aetna.
Aetna (CVS Health subsidiary) covers GLP-1s through standard commercial formularies and Aetna Medicare Advantage. Weight-loss indication generally requires BMI documentation.
T2D diagnosis + metformin trial. A1C ≥ 7.0 typically required.
Manufacturer savings card $25/mo for commercial insurance patients.
Aetna may require step therapy through Ozempic for new starters in some plans.
Editorial summary, not legal or medical advice. Insurance formularies change quarterly. Verify with your specific plan member services before relying on any single source. Copay ranges reflect typical commercial plans; your plan may differ.