Zepbound Kwikpen

10MG/0.6ML, 12.5MG/0.6, 15MG/0.6ML, 2.5 MG/0.6, 5 MG/0.6ML, 7.5 MG/0.6 — PEN INJECTOR (ML)

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 7 hours, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 2 - Brand Formulary	✓	—	—	PA PA: TPA - LEGEND ANTI-OBESITY DRUGS REQUIRES PRIOR AUTHORIZATION