2027 · Maricopa County · Exact prescription comparison

2027 Wegovy 2.4 mg coverage in Maricopa County, AZ

Compare exact Wegovy 2.4 mg/0.75 mL auto-injector listings and restrictions across 2027 general-enrollment Medicare Advantage plans with Part D.

CMS coverage checked October 15, 2026 · 45 general-enrollment MA-PD listings

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45plans list this exact product
0do not list this product
0plans with unavailable data

Exact prescription checked

Coverage below applies to the following RxNorm product. Other strengths, forms, brands and combination products require a separate check.

  • Wegovy 2.4 mg/0.75 mL auto-injector0.75 ML semaglutide 3.2 MG/ML Auto-Injector [Wegovy]RxNorm product identifier: 2554104

45 plans report prior authorization for at least one selected product; 0 report step therapy; 45 report a quantity limit. These counts can overlap and do not establish approval for an individual.

Plan-by-plan coverage

Listed coverage, tiers and restrictions

All 45 local plans in this comparison appear below. Plans listing every selected product appear first, followed by other results. The order and tier numbers are not a comparison of total costs.

Prior authorization means plan approval may be required. Step therapy can require another treatment first. Quantity limits describe the reported amount and supply period.

2027 Wegovy 2.4 mg/0.75 mL · Maricopa County · CMS checked October 15, 2026
Plan and identifierWegovy 2.4 mg/0.75 mL auto-injector
AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS)H0609-026-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS)H0609-046-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
AARP Medicare Advantage from UHC AZ-0003 (HMO-POS)H0609-044-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
AARP Medicare Advantage from UHC AZ-002P (HMO-POS)H0609-027-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Aetna Medicare Prime (HMO)H8332-008-0 · Aetna Medicare · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Aetna Medicare Signature (HMO)H4835-002-0 · Aetna Medicare · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Aetna Medicare Signature (PPO)H5521-554-0 · Aetna Medicare · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Aetna Medicare Value Care (PPO)H5521-649-0 · Aetna Medicare · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Alignment Health ONE + Walgreens 001 (HMO)H3443-001-0 · Alignment Health Plan · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Alignment Health Smart 005 (HMO)H3443-005-0 · Alignment Health Plan · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Banner Medicare Advantage Prime (HMO)H5843-001-0 · Banner Medicare Advantage · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Blue Best Life Classic (HMO)H0302-006-0 · Blue Cross Blue Shield of Arizona (AZ Blue) · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Blue Best Life Plus (HMO)H0302-001-0 · Blue Cross Blue Shield of Arizona (AZ Blue) · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Blue Best Life Select (HMO)H0302-010-0 · Blue Cross Blue Shield of Arizona (AZ Blue) · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED CHOICE 001 AZ (PPO)H6586-001-0 · Devoted Health · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED CORE 001 AZ (HMO)H8173-001-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED CORE 020 AZ (HMO)H8173-020-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED CORE 021 AZ (HMO)H8173-021-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED CORE 090 AZ (HMO)H7993-090-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED GIVEBACK 019 AZ (HMO)H8173-019-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED GIVEBACK 091 AZ (HMO)H7993-091-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
DEVOTED GIVEBACK EXTRAS 105 AZ (HMO)H7993-105-0 · Devoted Health · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
eternalHealth Harmony (HMO)H3551-004-0 · eternalHealth · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
eternalHealth Horizon (HMO)H3551-001-0 · eternalHealth · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HealthSpring Preferred (HMO)H0354-028-0 · HealthSpring · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HealthSpring Preferred Extra Savings (HMO)H0354-030-0 · HealthSpring · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HealthSpring Preferred Savings (HMO)H0354-029-0 · HealthSpring · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HealthSpring True Choice (PPO)H7849-065-0 · HealthSpring · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Essentials Plus Giveback (PPO)H5216-435-1 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Essentials Plus Giveback (PPO)H7617-051-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Gold Plus H0028-028 (HMO)H0028-028-0 · Humana · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Gold Plus H0028-074 (HMO)H0028-074-1 · Humana · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Total Complete (HMO)H4461-056-0 · Humana · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Humana Value Choice (PPO)H7617-124-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HumanaChoice Giveback H5216-371 (PPO)H5216-371-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HumanaChoice H5216-034 (PPO)H5216-034-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HumanaChoice H5216-224 (PPO)H5216-224-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HumanaChoice H5216-265 (PPO)H5216-265-0 · Humana · PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
HumanaChoice R7220-002 (Regional PPO)R7220-002-0 · Humana · Regional PPO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
SCAN Classic (HMO)H1822-001-0 · SCAN Health Plan · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
SCAN MyChoice (HMO)H1822-007-0 · SCAN Health Plan · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
SCAN Walmart Medicare Advantage (HMO)H1822-009-0 · SCAN Health Plan · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Verda Noble Care (HMO)H2630-001-0 · Verda Health Plan of Arizona · HMO Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days
Wellcare Simple (HMO)H0351-063-0 · Wellcare · HMO Listed
  • Tier 2Prior authorization · Quantity limit: 3 per 28 days
Wellpoint Medicare Advantage (HMO-POS)H1423-009-0 · Wellpoint · HMO-POS Listed
  • Tier 3Prior authorization · Quantity limit: 3 per 28 days

Continue your prescription review

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How to read these coverage results

Listed
The exact product appears in the available CMS formulary, indication-based or supplemental coverage data. Prior authorization, step therapy, quantity limits or covered-use conditions can still apply.
Not listed in this CMS snapshot
The exact product was not found after checking the available source tables for that plan. Other strengths, forms or brands are separate products. This status is not an individual coverage denial.
Unable to determine
A plan mapping or source detail is missing, suppressed or unavailable. Unavailable data is never treated as proof that a drug is excluded.

Tier numbers and tier structures vary by plan. A lower tier is not a comparison of total spending. Supplemental drug coverage is labeled separately from basic formulary entries; reported indication-specific coverage must be confirmed for the intended use.

These tables cover general-enrollment Medicare Advantage plans with Part D listed for Maricopa County. SNPs, standalone Part D plans and plans without Part D are outside this comparison. Use the county lookup’s plan-group selector for other categories.

Formulary and plan information were checked October 15, 2026. Local plan listings use the September landscape checked September 30, 2026; drug names use the October 5, 2026 RxNorm release. These are published snapshots, not live carrier coverage or verified enrollment availability. A listing does not guarantee approval or coverage for every use. Pharmacy networks and medication cost estimates are not included.

Before making a coverage decision, confirm the exact prescription, covered use, current restrictions and plan availability in Medicare Plan Finder or the plan’s current documents.

Sources and field definitions