PA criteria

Zepbound prior authorization: 2026 criteria & approval checklist

Zepbound prior authorizations are approved on the first try about 60% of the time — and almost always denied for procedural reasons, not clinical ones. Here's exactly what insurers look for and how to submit a packet that gets approved.

Key takeaways
  • BMI ≥ 30, or ≥ 27 with weight-related comorbidity (obesity indication)
  • BMI ≥ 30 plus AHI ≥ 15 on a sleep study (OSA indication)
  • Documented step therapy or contraindication usually required
  • Correct ICD-10 codes prevent the majority of procedural denials

Which indication to submit under

Zepbound has two FDA-approved indications, and your plan may cover one but not the other. Submitting under the wrong indication is the single most common cause of denials on plans that exclude weight-loss drugs.

Obesity: BMI ≥ 30, or ≥ 27 with at least one weight-related comorbidity. Submit under E66.01/E66.9 plus comorbidity codes.

Moderate-to-severe OSA (added Dec 2024): BMI ≥ 30 plus AHI ≥ 15 on a recent sleep study. Submit under G47.33 plus E66.01. Many plans that exclude anti-obesity drugs cover Zepbound under the OSA indication.

Clinical criteria most plans require

Adult age (18+), with adolescent extension on some plans.

BMI measured and documented within the last 6 months.

Comorbidity diagnosis confirmed by chart notes (T2D with A1c, HTN with BP readings, OSA with sleep study, dyslipidemia with lipid panel).

Documented prior weight-management interventions: ≥ 3–6 months of lifestyle modification plus prior anti-obesity medication trials (or documented contraindication).

Prescriber attestation that the patient will continue lifestyle modification alongside Zepbound.

Documentation checklist

Most recent height, weight, BMI with date of measurement.

ICD-10 codes for obesity and all qualifying comorbidities.

Sleep study report (for OSA submissions) with AHI ≥ 15.

Chart notes from at least two visits showing weight history.

Prescription records or chart notes documenting prior anti-obesity drug trials (phentermine, orlistat, Contrave, Qsymia) with dates and outcomes.

Letter of medical necessity from the prescriber.

Lab results: A1c, lipid panel, liver function (last 12 months).

ICD-10 codes that prevent procedural denials

E66.01 — morbid (severe) obesity due to excess calories. Use for BMI ≥ 40, or ≥ 35 with comorbidity.

E66.9 — obesity, unspecified. Use for BMI 30–39.9 without the severe modifier.

Z68.30–Z68.45 — BMI category codes. Always pair with E66.xx.

G47.33 — obstructive sleep apnea (adult). Required for the OSA indication.

E11.x — type 2 diabetes (as comorbidity).

I10 — essential hypertension (as comorbidity).

E78.5 — hyperlipidemia (as comorbidity).

Step therapy: what counts and what doesn't

Most plans accept any of the following as satisfying step therapy: ≥ 3 months of documented phentermine; ≥ 3 months of orlistat; ≥ 3 months of Contrave (naltrexone/bupropion); ≥ 3 months of Qsymia (phentermine/topiramate); documented contraindication to all of the above (e.g., uncontrolled HTN for phentermine, pregnancy plans for Qsymia). A documented intolerance or treatment failure is equivalent to a completed trial — the patient does not need to be currently taking the prior drug.

Re-authorization at month 6

Almost all plans require a re-authorization at 6 months. The standard threshold is ≥ 5% reduction from baseline body weight. If you have not reached 5%, the appeal options are: document dose titration history (Zepbound is titrated over 4–5 months, so a slow titration leaves limited time at therapeutic dose), document adherence, and identify clinical factors slowing weight loss (other medications, hypothyroidism, etc.) that warrant continued treatment.

Frequently asked questions

Get a Zepbound PA checklist for your plan

Answer a few questions about your plan and clinical profile — receive a personalized prior-authorization checklist and approval-likelihood score.

Educational guidance only — not medical or legal advice.