2027 · Queens County · Exact prescription comparison
2027 Wegovy 2.4 mg coverage in Queens County, NY
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 · 27 general-enrollment MA-PD listings
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
27 plans report prior authorization for at least one selected product; 0 report step therapy; 27 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 27 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.
| Plan and identifier | Wegovy 2.4 mg/0.75 mL auto-injector |
|---|---|
| AARP Medicare Advantage from UHC NY-0005 (HMO-POS)H3379-001-0 · UnitedHealthcare · HMO-POS | Listed
|
| AARP Medicare Advantage from UHC NY-0012 (PPO)H3418-001-0 · UnitedHealthcare · PPO | Listed
|
| Aetna Medicare Elite (PPO)H5521-120-0 · Aetna Medicare · PPO | Listed
|
| Aetna Medicare Elite Extra (PPO)H5521-698-0 · Aetna Medicare · PPO | Listed
|
| Aetna Medicare Enhanced (HMO)H3312-081-0 · Aetna Medicare · HMO | Listed
|
| Aetna Medicare Enhanced (PPO)H5521-661-0 · Aetna Medicare · PPO | Listed
|
| Aetna Medicare Signature Care (HMO)H3312-074-0 · Aetna Medicare · HMO | Listed
|
| Anthem Medicare Advantage (HMO-POS)H8432-040-0 · Anthem Blue Cross and Blue Shield HP · HMO-POS | Listed
|
| Anthem Medicare Advantage 2 (HMO-POS)H6988-009-0 · Anthem Blue Cross and Blue Shield HP · HMO-POS | Listed
|
| DEVOTED CHOICE 007 NY (PPO)H5334-007-0 · Devoted Health · PPO | Listed
|
| DEVOTED CHOICE GIVEBACK 008 NY (PPO)H5334-008-0 · Devoted Health · PPO | Listed
|
| DEVOTED CHOICE GIVEBACK EXTRAS 031 NY (PPO)H5334-031-0 · Devoted Health · PPO | Listed
|
| EmblemHealth VIP Gold Plus (HMO)H3330-038-0 · EmblemHealth · HMO | Listed
|
| EmblemHealth VIP Saver (HMO)H3330-051-0 · EmblemHealth · HMO | Listed
|
| EmblemHealth VIP Value (HMO)H3330-049-0 · EmblemHealth · HMO | Listed
|
| Healthfirst 65 Plus Plan (HMO)H3359-001-0 · Healthfirst Medicare Plan · HMO | Listed
|
| Healthfirst Increased Benefits Plan (HMO)H3359-019-0 · Healthfirst Medicare Plan · HMO | Listed
|
| Healthfirst Signature (HMO)H5989-011-0 · Healthfirst Medicare Plan · HMO | Listed
|
| Healthfirst Signature (PPO)H9678-002-0 · Healthfirst Medicare Plan · PPO | Listed
|
| Humana Gold Plus H3533-033 (HMO)H3533-033-0 · Humana · HMO | Listed
|
| Humana Gold Plus H3533-035 (HMO)H3533-035-0 · Humana · HMO | Listed
|
| MetroPlus Platinum Plan (HMO)H0423-004-0 · MetroPlus Health Plan · HMO | Listed
|
| VillageCareMAX Medicare Select Advantage Plan (HMO)H2168-004-0 · VillageCareMAX · HMO | Listed
|
| VNS Health EasyCare (HMO)H5549-012-0 · VNS Health Medicare · HMO | Listed
|
| Wellcare Assist Open (PPO)H2775-113-0 · Wellcare · PPO | Listed
|
| Wellcare Giveback Open (PPO)H2775-111-0 · Wellcare · PPO | Listed
|
| Wellcare Simple Open (PPO)H2775-106-0 · Wellcare · PPO | Listed
|
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 Queens 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.