FillMapKP Oregon Standard Silver Plan

Does KP Oregon Standard Silver Plan cover semaglutide?

KP Oregon Standard Silver Plan
71287-71287OR0420003-0 · ACA · ACA Marketplace
semaglutide
semaglutideunder KP Oregon Standard Silver Plan
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$60per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
Tier
Preferred brand
Approval first
Required
Try another first
No
Amount limit
Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (16)

  • 0.25 MG, 0.5 MG Dose 3 ML semaglutide 0.68 MG/ML Pen Injector [Ozempic]Approval firstAmount limit
  • 0.5 ML semaglutide 0.5 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 0.5 ML semaglutide 1 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 0.5 ML semaglutide 2 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 0.75 ML semaglutide 2.27 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 0.75 ML semaglutide 3.2 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 0.75 ML semaglutide 9.6 MG/ML Auto-Injector [Wegovy]Approval firstAmount limit
  • 3 ML semaglutide 1.34 MG/ML Pen Injector [Ozempic]Approval firstAmount limit
  • 3 ML semaglutide 2.68 MG/ML Pen Injector [Ozempic]Approval firstAmount limit
  • semaglutide 1.5 MG Oral Tablet [Ozempic]Approval firstAmount limit
  • semaglutide 1.5 MG Oral Tablet [Wegovy]Approval firstAmount limit
  • semaglutide 25 MG Oral Tablet [Wegovy]Approval firstAmount limit
  • semaglutide 4 MG Oral Tablet [Ozempic]Approval firstAmount limit
  • semaglutide 4 MG Oral Tablet [Wegovy]Approval firstAmount limit
  • semaglutide 9 MG Oral Tablet [Ozempic]Approval firstAmount limit
  • semaglutide 9 MG Oral Tablet [Wegovy]Approval firstAmount limit

← All coverage for semaglutide