u/Extra-Experience-751

I am 29F, 5’0”, around 190 lbs, and I have been diagnosed with PCOS.
I’ve been struggling with weight loss for the last 2–3 years despite trying to make lifestyle changes, and my doctor recently suggested trying Zepbound.

I called Cigna's Express Scripts, and they said it might be covered if my doctor submits a prior authorization with detailed reasoning for why I need it because it is indeed covered for diabetes but not for weight loss I’m a little confused about the process though.

Do I ask my doctor to prescribe it first and then wait to see if the prior authorization gets approved? Or is there another step I should take before that? Just trying to understand how this usually works and whether people have had success getting it approved for PCOS/weight management.

Would appreciate any advice or experiences.

I am 29F, 5’0”, around 190 lbs, and I have been diagnosed with PCOS.
I’ve been struggling with weight loss for the last 2–3 years despite trying to make lifestyle changes, and my doctor recently suggested trying Zepbound.

I called Cigna's Express Scripts, and they said it might be covered if my doctor submits a prior authorization with detailed reasoning for why I need it because it is indeed covered for diabetes but not for weight loss I’m a little confused about the process though.

Do I ask my doctor to prescribe it first and then wait to see if the prior authorization gets approved? Or is there another step I should take before that? Just trying to understand how this usually works and whether people have had success getting it approved for PCOS/weight management.

Would appreciate any advice or experiences.