Commercial coverage
Does Cigna cover Saxenda?
Saxenda (liraglutide) for weight loss / obesity — the Cigna prior-authorization rule, source-cited.
Cigna Saxenda PA criteria
Weight-loss drugs are specifically excluded under many benefit plans (Employer Groups and Individual/Family).
Where covered (policy IP0206 'BMI >= 30'; covers Foundayo/orforglipron, Saxenda, Wegovy, Wegovy HD, Zepbound): adult initial requires age >=18; trial of behavioral modification AND dietary restriction >=3 months; baseline BMI >=30 OR >=27 with >=1 weight-related comorbidity (HTN, T2DM, dyslipidemia, OSA, CVD, knee OA, asthma, COPD, MASLD/NAFLD, PCOS, CAD); concomitant behavioral modification + reduced-calorie diet.
Pediatric (>=12 to <18): BMI >=95th percentile.
Initial: Saxenda 4mo; Foundayo/Wegovy/Zepbound 8mo.
Continuation: Saxenda >=4% loss, Foundayo/Wegovy/Zepbound >=5% (Zepbound after >=1 year requires >=10%); pediatric Saxenda >=1% BMI reduction.
Brand Saxenda requires tried-generic-cannot-tolerate.
Source: Cigna Coverage Policies IP0206 (Weight Loss GLP-1) & IP0701 (Diabetes GLP-1 Employer Plans). View cited GLP-1 policy reference →
Frequently asked
- Does Cigna cover Saxenda for weight loss / obesity?
- Varies by plan — PA required where covered. Weight-loss drugs are specifically excluded under many benefit plans (Employer Groups and Individual/Family). See the full source-cited criteria above. Per Cigna Coverage Policies IP0206 (Weight Loss GLP-1) & IP0701 (Diabetes GLP-1 Employer Plans), as of 2026 (IP0206 eff. 06/01/2026; IP0701 eff. 06/15/2026) — confirm the member's current plan policy.
d3rx does not hold plan-specific pharmacy formularies or PBM prior-auth grids, so it cannot confirm a particular plan's GLP-1 coverage, tier, or PA criteria. The guidance below is the general, source-cited rule; confirm the specific plan's pharmacy formulary / PA policy for a binding answer.
Check Saxenda for another payer — or draft the PA
Run Saxenda + any payer in the GLP-1 PA lookup, or have Ask D3 draft a Cigna-ready prior-authorization request with the right criteria and codes — free, no signup.