Change in Medication Coverage for Patients with Caremark Pharmacy Benefits
To our Lifestyle Health patients,
As of July 1 2025, Caremark has removed Zepbound (tirzepatide) from its list of covered medications. Despite our numerous efforts to appeal this decision on behalf of our patients, all appeals have unfortunately been denied.
Caremark has identified Wegovy (semaglutide) as its preferred alternative. Therefore, we strongly recommend that patients currently prescribed Zepbound and using Caremark as their pharmacy benefit provider transition to Wegovy to ensure continued access to effective treatment without interruption in care.
While it is technically possible to obtain Zepbound through cash-pay options directly from Lilly, please note that the out-of-pocket cost is substantial (approximately $500 per month).
At this time, we will not be sending appeals to caremark as these attempts have proven to be futile. We understand how frustrating and disruptive these insurance-driven changes can be. Please know we are committed to supporting you throughout this transition. If you are currently on Zepbound and are no longer able to fill a prescription, please send us a message in MyChart so we can transition you to Wegovy, or to Zepbound cash pay option if you choose.
Thank you for trusting us with your care.
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