Do I qualify for Zepbound with a BMI of 28 and sleep apnea, and who prescribes it online?

You likely do not qualify for Zepbound specifically for sleep apnea with a BMI of 28, because most insurance plans covering Zepbound for obstructive sleep apnea (OSA) require a BMI of ≥30 kg/m² (indicating obesity), whereas your BMI of 28 falls into the "overweight" category [3][4]. While Zepbound is FDA-approved for adults with obesity and moderate-to-severe OSA, and some baseline criteria for weight management start at BMI ≥27, the specific coverage criteria for OSA treatment typically mandate a higher BMI threshold [1][3][4].

Additionally, you must have moderate-to-severe obstructive sleep apnea confirmed by a sleep study (AHI ≥15) and be adherent to positive airway pressure (PAP) therapy unless intolerant [1][2]. Even if you technically meet the FDA approval definition for weight loss (which starts at BMI ≥27), insurance coverage for the OSA indication almost universally requires BMI ≥30 [3][4].

Who prescribes it online? Zepbound is a prescription medication that must be prescribed by a licensed healthcare professional. While you can consult with doctors via online telehealth platforms (such as GoodRx, Lemonboard, or specialized weight-loss clinics), these services require you to:

1. Provide proof of your moderate-to-severe sleep apnea diagnosis (via sleep study records) [2].
2. Meet the BMI criteria (typically ≥30 for OSA claims) [3][4].
3. Often undergo a consultation with or in consultation with a sleep specialist, as required by some insurers [3].

Specific Recommendation: You should contact your primary care physician or a sleep specialist to verify your exact BMI and OSA severity. If your BMI is indeed 28, you may be eligible for Zepbound for chronic weight management (if you have other weight-related conditions) but not specifically for the OSA indication under most insurance plans. For online access, use reputable telehealth platforms like GoodRx or Lemonboard, but ensure you have your sleep study results ready before applying [2]. Do not rely on "online prescriptions" from non-medical websites; they are illegal and unsafe.