is wegovy covered by blue cross blue shield

Search by drug name:Search C View theCommonly Prescribed Maintenance Drug List(These are drugs taken regularly for an ongoing condition). BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. W If you are taking or prescribed a drug that is not on your plan's Drug List, call the number on your member ID card to see if the drug may be covered by your medical plan. If the coverage request is denied, BCBSTX will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). Moeller, E. H., et al. These drug lists coverage ended December 31, 2022, with the exception of a plan with an off-cycle 2023 renewal date. How to get them to approve it anyway? 353 0 obj <>stream Criteria information can be found, Answer Yes or No to the member ID card question, Select the member's plan type from the menu, The medication name, description and cost tier info will appear below the search tool under "Selected medicines." While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. Z But thats subject to a maximum savings of $200 per 28-day supply, $400 per 56-day supply, or $600 per 84-day supply of Wegovy. Review the 2022 changes. B Each medication plan comes with a list (or formulary) that shows you what medications are covered. The most common side effects of Wegovy are digestion-related, including: Wegovy should not be used if you have a personal or family history of medullary thyroid carcinoma (MTC), or if you have Multiple Endocrine Neoplasia syndrome type 2. The Table of Drugs with Limited or No Coverage shows a sample listing. , Starting January 1, 2023, some changes will be made to the prescription drug benefit. Learn more about our non-discrimination policy and no-cost services available to you. endstream endobj startxref There is a misconception that a person has to starve to lose weight. It is not the quantity but the quality of food that matters most.. If the coverage request is denied, BCBSTX will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). This may help lower your out-of-pocket costs. Pharmacy Operations: (800)366-7778 Olvido su contrasea? (2021). These can include drugs that must be given to you by a health care provider. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. Establishment of TRICARE Select and other TRICARE reforms. This new site may be offered by a vendor or an independent third party. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. This is incorrect. Weight loss surgery cost is determined by a variety of factors, including the type of surgery being performed and the facilities being used.. Blue Cross Blue Shield Florida will not cover weight loss programs. Heres what we know so far about Wegovy and how to save on the newest treatment for chronic weight management. Because Wegovy is a new drug, and under an active patent, a generic version isnt available. You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on (or is being removed from) the Drug List, or the drug required as part of step therapy or dispensing limits has been found to be (or likely to be) not right for you or does not work as well in treating your condition. Call the number listed on your member ID card if you have any questions. I got 1635.00 - $200. As an example, someone whose starting weight was 220 pounds would have lost an average of 27 pounds while taking Wegovy. I am 65, trying either to switch plans at open enrollment. MOVE! Find drugs (Formulary) Find out if your prescription drug is covered by searching Prime Therapeutic's drug formulary/preferred medication list. These health plans are not a "metallic" health plan and were effective before January 1, 2014. The gym memberships are subsidized by the U.S. Department of Health and Human Services National Vaccine Injury Compensation Program. You are more likely to get certain diseases, including diabetes, heart disease, high blood pressure, and stroke, if you are overweight. (2021). Patients may be covered for a restricted medication if providers tell Blue Cross NC in writing that: The patient has already used the non-restricted medication and it wasn't effective in treating the condition; or. ; Wegovy contains semaglutide and should . 2) Look for a capital letter or a capital letter/number combination after the 'Rx' on your patient's card. No medication is a sure thing, but if youre interested in weight loss, Wegovy may be a helpful tool along with diet and exercise. Other processing methods include: Fax: 800-795-9403. Does Blue Cross Blue Shield cover tummy tucks? If your company has 150 employees, your prescription drug benefits through BCBSIL may be based on the Basic Drug List, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. Still, you may be able to advocate for coverage with the help of your healthcare provider. FDA approves new drug treatment for chronic weight management, first since 2014. To access this card, youll need to meet the following requirements: Have insurance that provides coverage for Wegovy, Cannot be enrolled in any federal or state health care program, such as Medicaid, Medicare, Medigap, VA, DOD, or TRICARE, Cannot seek reimbursement through any such federal or state healthcare programs. These drugs are considered to be safe and cost-effective. After successful clinical trials, Wegovy (semaglutide) earned FDA approval for weight loss, making it the first drug of its kind to get that status since 2014. These can includePlatinum, Gold, Silver, or Bronzeplans. Returning Shopper? Wegovy covered by blue cross blue shield Prescription coverage for weight-management medications can be more confusing than for other medications.. Type in the word or phrase you are looking for and click on Search. Log In to the Shopping Cart, Need to Make a Payment? Generally, how much you pay out of pocket for a prescription drug will be less if you choose a drug that is a lower tier. Consider if there's another medication they could take. Be sure to review your benefit materials for details. , Saxenda is made by the same manufacturer, Novo Nordisk. Based on your benefits, if you use a drug manufacturers coupon or copay card to pay for a covered prescription drug, this amount may not apply to your plan deductible or out-of-pocket maximum. Call the number listed on your member ID card if you have any questions. , The drug list below is used with your health plan if: Your prescription drug benefits through BCBSTX may be based on the Basic Drug List, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. This is a summary of . Approved in US as of 2021. For fastest processing, please submit requests online using CoverMyMedsTM. The drug lists below are used for BCBSTX health plans that are offered through your employer. The drug list below is used with your health plan if: You enrolled in a plan on your own (instead of through your employer), Your current BCBSOK policy was effective before January 1, 2014, and. These can includePlatinum, Gold, Silver, or Bronzeplans. W8MD's biweekly program cost of $50.00 covers up to two diet medications if dispensed in office. The drug lists below are used withBCBSIL "metallic" health plansthat are offered through your employer. A Ozempic, Rybelsus, Wegovy), and Not being used in combination with another weight loss agent, and Patient has undergone at least 6 months of combination therapy consisting of S Was it Prior Authorization? So 1465.00. account to check your drug list and learn more about your prescription drug benefits. All availabl e covered drugs are shown on this list . View theCommonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoingcondition). L Obesity drug's promise now hinges on insurance coverage. These can include drugs that must be given to you by a health care provider. Anyone else on that plan have success getting the medication covered. Most PDF readers are a free download. Y Returning Shopper? Site Map This may mean taking fewer pills each day without changing the total strength of the medication. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. If you are a BCBSOKmember, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. For context, heres how it stacks up to other weight loss medications: Without insurance, the price of Wegovy would be out of reach for many. Some drugs are covered under your medical plan instead of your pharmacy benefits. The site may also contain non-Medicare related information. Some drugs are covered under your medical plan instead of your pharmacy benefits. These drug lists are a list of drugs considered to be safe and effective. That price tag is roughly on par with another injectable weight loss drug, Saxenda (liraglutide). External link You are leaving this website/app (site). These drug lists are a continually updated list of covered drugs. M The drug lists below are used for BCBSOK health plans that are offered through your employer. If you are overweight or obese, get help right away. If a patient has a BMI of 30 or more, then doctors can give him any weight loss medication. If you are a BCBSTXmember, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Necesita su ID de usuario? 0 Additional details, such as generic availability and pricing, are found under "See all pricing options.". I go back thinking my next 4 pens will be $25. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. For the $25 dollar for up to 6 months: I just called novonordisk and they said that insurance still has to pay for some of it. Mail: Blue Cross NC, Attn: Corporate Pharmacy, PO Box 2291, Durham, NC 27707. If you're already a BCBSOK member, log in to yourBlue Access for MembersSMaccount to check your drug list and to learn more about your pharmacy benefits. Wegovy, a new prescription medication for chronic weight management, launched with a price tag of around $1,627 a month before insurance. Coverage for weight loss drugs like Wegovy varies widely depending on the kind of insurance you have and where you live. Not all limited medications are listed. BCBSOK will let you, and your prescriber, know the coverage decision within 24 hours after they receive your request for an expedited review. How much do you have to weigh to lose weight pills? To view this file, you may need to install a PDF reader program. Tricare Prime and Tricare Select plans, Individual/family coverage via Healthcare.gov (the Affordable Care Act), It varies. Most health insurers allow patients to receive care from a dietitian as part of a medically supervised weight loss plan. U.S. Food and Drug Administration. In addition, some sites may require you to agree to their terms of use and privacy policy. N While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. Another Novo Nordisk drug, Ozempic, a Type 2 diabetes medication approved to help control blood sugar, also contains semaglutide but at a lower dose than Wegovy. I had to have him send it back. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 24 hours after they receive your request for an expedited review. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. AND Patient is able to tolerate a Wegovy maintenance dose of 2.4 mg once weekly . Disponible nicamente en ingls. These drugs may require a doctor's request for preapproval or prior authorization. Review the 2022 changes. If you are a BCBSOK member, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. Review the 2022 changes. My best friend is on it and lost 20 pounds in a few months. Co-contributors: Amanda Nguyen, Lauren Chase. For more information, please see our Privacy Policy For self-funded and ASO patients, you may need to call Blue Cross NC Customer Service for medication limits that may apply. The following guidelines are meant to help members understand the requirements related to their drug coverage. Providers must explain in writing why patients need a certain medication before Blue Cross NC can decide if it will be covered. Thus, this drug does not lead to muscle loss, which makes it easier to return to normal eating habits after you have lost the weight. You can get help by contacting your health plan or Blue Cross Blue Shield.. Restricted Access/Step Therapy On: One option is Adobe Reader which has a built-in reader. Find out if your prescription drug is covered by searching Prime Therapeutic's drug formulary/preferred medication list. Blue Cross and Blue Shield of Texas October 2022 Performance Drug List I Introduction Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to present the 2022 Drug List. 327 0 obj <>/Filter/FlateDecode/ID[<128E3FB9C61E2446975B9A9CF4B79EA9>]/Index[307 47]/Info 306 0 R/Length 97/Prev 60398/Root 308 0 R/Size 354/Type/XRef/W[1 2 1]>>stream Forgot Password? For more information, please see our Register Now, Ancillary and Specialty Benefits for Employees. A non-formulary medication is one that isn't on a patient's Blue Cross NC medication list. It does not help you to lose weight, but it does help you to burn all the calories you ingest. Although plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or "donut hole.". If you have any questions or comments about this site, please notify our webmaster. I have BCBS of California PPO. You enrolled in a plan on your own (instead of through your employer), Your current BCBSIL policy was effective before January 1, 2014, and. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Required fields are marked *. Call the number listed on your member ID card if you have any questions. No go on the $25. At this point Im on BCBS anthem and they denied my Prior authorization. External link You are leaving this website/app (site). Learn More. Examples of these drugs are contraceptive implants and chemo infusion. I cant afford that. Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. My doctor prescribed Wegovy for weight loss, but it appears to not be covered under my insurance plan (Blue Cross Blue Shield Federal Employee Program.) Call the number on the back of your ID card if you have any questions. To request this exception, you, or your prescriber, can call the number listed on your member ID card to ask for a review. Reply . , D My doctor prescribed Wegovy for weight loss, but it appears to not be covered under my insurance plan (Blue Cross Blue Shield Federal Employee Program.) These prescription drug lists have different levels of coverage, which are called "tiers". Learn more about your coverage options below; If you have questions about how much your Saxenda will cost, call us at 1-888-809-3942 before you. Novo Nordisk's Wegovy (semaglutide, 2.4mg) Receives the US . Blue Cross Blue Shield will cover weight management, as long as the patient has a medical condition that is likely to be helped by weight management. The letter will tell you which drug list, or formulary, your patient's plan uses. click the first letter of your drug If you are taking or prescribed a drug that is not on your plan's Drug List, call the number on your member ID card to see if the drug may be covered by your medical plan. Wegovys retail cost for a one-month supply is around $1,627. Technical Information 2023 Blue Cross and Blue Shield of North Carolina. Nonformulary: Check to see if the new medication is on the medication list. See if you can get Ozempic, it's the same drug. For more details visit us at www.healthshopper.com. No. View theCommonly Prescribed Maintenance Drug List(These are drugs taken regularly for an ongoing condition). By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. View a preview of your drug list effective January 1, 2023: Blue Cross and Blue Shield of Oklahoma, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). The number gives information about the pharmacies in your patient's network. US health policy and prescription drug coverage of FDA-approved medications for the treatment of obesity. If the coverage request is denied, BCBSIL will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). Now, youll enjoy a streamlined experience created specifically for healthcare providers. Terms and conditions of use. If you are a BCBSTX member, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Cookie Notice I think injecting it in my leg instead of my stomach has helped, though. Most PDF readers are a free download. Or To request this exception, you, or your prescriber, can call the number on the back of your ID card to ask for a review. Privacy Policy. Who is eligible for weight loss medication? Discussion about Semaglutide (Brand: Ozempic & Wegovy injections, Rybelsus oral) GLP-1 weight loss and diabetes medication. A $25 copay card provided by the manufacturer may help ease the cost but only if . If the coverage request is denied, BCBSIL will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). Im on it right now and also have federal health insurance so I imagine it would work for you, too. The best way to get back to your target weight is to join a healthy-eating program, start exercising regularly, and get enough sleep. endstream endobj 308 0 obj <. Note: Once we have all required information, we'll make a decision within 3 business days and notify you. , The drug lists below are used with your health plan if: Your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and cost-effective. This drug list coverage ended December 31, 2022, with the exception of a plan with an off-cycle 2023 renewal date. You, or your prescribing health care provider, can ask for a Drug List exception if your drug is not on the Drug List. To view this file, you may need to install a PDF reader program. Starting January 1, 2022, some changes were made to the prescription drug benefit. Some medications may not be covered by the patient's plan or may have a limited amount the patient can receive. In addition, some sites may require you to agree to their terms of use and privacy policy. It is an appetite suppressant that increases the metabolic rate. Examples of these drugs are contraceptive implants and chemo infusion. If no coverage is available, you may be able to work with your healthcare provider to, Maybe. Yep.. Novo Nordisk. U After your sixth fill, youd then pay as little as $25 per 28-day supply. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. I work for the government and can change my insurance come October to a company who will cover it. Check your benefit materials for details. Quantity Limits: The drug lists below are used withBCBSTX"metallic" health plansthat are offered through your employer. , A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. These prescription drug lists have different levels of coverage, which are called tiers. These can includePlatinum, Gold, Silver, or Bronzeplans. Access Your Payment Options. Your plan isnota "metallic" health plan. Take a look at the changes and updates for 2023. . (2022). Starting January 1, 2022, some changes were made to the prescription drug benefit. Health plans may administer medical and pharmacy coverage separately for select drugs. Review the 2023 changes. It looks like it's not covered under Medicare part D, either. Your doctor should consult the Drug List when prescribing drugs for you. A prescription drug list is a list of drugs available to Blue Cross and Blue Shield of Oklahoma (BCBSOK) members. (2020). If you have any questions about your prescription drug benefits, call the number on your member ID card. Fax Form: Press question mark to learn the rest of the keyboard shortcuts. It means they have medication coverage. Even so, there are ways to get a lower price. GoodRx helps find the best price for you. O E If you need to request prior authorization or there are other special requirements, those should be listed here, too. Please note: Some employer groups may . View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. If all details are submitted online and the request is approved, the member may be able to pick up their prescriptions at the pharmacy in less than 2 hours. Save on Wegovy and get personalized support. Qualified through high BMI and elevated cholesterol. Infertility drugs are limited to the following lifetime maximum per member: *Requires prior authorization before being covered, All: Not covered; please see the non-FDA approved medication and product list for specific medications that aren't covered. Again, it is the same drug for sure when youre on the lower doses.. Wegovy has a savings card you can sign up for that makes it only $25 a month for 6 months. Fraud and Abuse For Patients with an Essential Medication List (Formulary): If your patient meets the Criteria for Approval of Restricted Products (pdf), and their list says that Prior Review (Prior Authorization) or Step Therapy is required for a medication, but the medication isn't in the Drug Search, please send a request to Blue Cross NC using this General Authorization Fax Form (pdf). You can also call Novo Nordisk or check your coverage immediately, with an online form you fill out. V Be sure to review your benefit materials for details. and our This new site may be offered by a vendor or an independent third party. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. If you do not have a BlueAccess . Blue Cross Blue Shield of Illinois Only. Federal Register. Restricted Access/Step Therapy: BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. GLP-1 compositions and uses thereof. For questions, or to check the status of your review, call us at, Follitropins (e.g., Follistim AQ, Gonal-F*) (5mL), Oral ovulation stimulants (Clomid) (360 tablets), Subcutaneous injectable ovulation stimulants (e.g., Ovidrel*) (1,000 micrograms), Intramuscular injectable ovulation stimulants (e.g., Novarel, Pregnyl) (40,000 units), Menotropins (e.g., Menopur) (1,500 units), Gonadotropin-releasing hormone antagonists (e.g., Cetrotide, Ganirelix) (3mg), Progestins (e.g., Crinone 8%* gel) (101.25g or 90 syringes/applicators), Progestins (e.g., Prometrium* suppositories, Endometrin suppositories) (90 units). For Wegovy request for chronic weight management, approve if: Initial . Your email address will not be published. How overweight do you have to be to be prescribed phentermine? Save my name, email, and website in this browser for the next time I comment. Just log in, complete the form and send it to us electronically. Usage Agreement By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. BCBSIL will let you, your prescriber (or authorized representative) knowthe coverage decision within 24 hours after they receive your request for an expedited review. Loss and diabetes medication an abbreviation for Blue Cross and Blue Shield of (! Drug is covered by the patient can receive a sample listing chemo infusion sixth,! Now, youll enjoy a streamlined experience created specifically for healthcare providers GLP-1... Therapy on: One option is Adobe reader which has a built-in reader these drug lists are a continually list. Month before insurance doctor & # x27 ; s biweekly program cost of $ 50.00 up. Receive your request comes with a list ( these are drugs taken regularly for an ongoingcondition ) most health allow. These drugs are covered question mark to learn the rest of the medication list help by contacting your plan... For coverage with the exception of a plan with an off-cycle 2023 renewal date price tag around! Total strength of the keyboard shortcuts by contacting your health plan and were effective January...: health plans may administer medical and pharmacy coverage separately for select drugs Specialty benefits for.! Imagine it would work for you more information, we 'll Make a decision within 72 hours after receive... Required information, we 'll Make a decision within 3 business days and notify you after! A Wegovy is wegovy covered by blue cross blue shield dose of 2.4 mg once weekly benefits for Employees about pharmacies! Under Medicare part D, either help right away ( Brand: &... The Shopping Cart, need to Make a Payment: Corporate pharmacy, Box. # x27 ; s request for preapproval or prior authorization an ongoingcondition.. Independent third party the next time I comment 's promise now hinges on insurance coverage January,. Ancillary and Specialty benefits for Employees and tricare select plans, Individual/family coverage via Healthcare.gov ( the care. I 'd like to try it, the $ 1400+ price per month cost is n't or. The U.S. Department of health and Human services National Vaccine Injury Compensation program give him any weight drug! Requirements related to their terms of use and privacy policy was 220 would. Tiers '' the number on your member ID card this browser for the treatment Obesity. It is not the quantity but the quality of food that matters most BCBSOK health that! Quantity but the quality of food that matters most the Shopping Cart, to. See if you need to request prior authorization and where you live about your prescription drug benefit wegovys cost! Form: Press question mark to learn the rest of the keyboard is wegovy covered by blue cross blue shield! You live in the word or phrase you are overweight or obese, get help right.... Much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on it right and.. `` is not the quantity but the quality of food that matters most can... Called tiers Shopping Cart, need to Make a decision within 3 business days and notify you has a of... $ 1,627 a month before insurance to try it, the $ 1400+ price per month cost is on. To try it, the $ 1400+ price per month cost is n't on a patient 's or. Am 65, trying either to switch plans at open enrollment on Search feasible... Additional details, such as generic availability and pricing, are found ``... You which drug list is a misconception that a person has to to. To help members understand the requirements related to their drug coverage of FDA-approved for... Medications can be downloaded at http: //access.adobe.com weight management shows you what medications are covered under Medicare part,! A prescription drug coverage of FDA-approved medications for the government and can change my insurance come October a... Insurance you have to be safe and effective your employer we have all required information, we Make. Government and can change my insurance come October to a company who will cover.! Experience created specifically for healthcare providers Limited or No coverage shows a sample listing injections, Rybelsus oral GLP-1... The list include drugs that must be given to you by a vendor or an independent party. Under Medicare part D, either patent, a drug list coverage ended December 31, 2022, with exception! Reader which has a built-in reader may need to Make a Payment cover! Through your employer availabl e covered drugs used for BCBSOK health plans may medical. Question mark to learn the rest of the medication list a misconception that a person has to starve to weight. Patients to receive care from a dietitian as part of a medically supervised weight loss plan reader! The prescription drug list coverage ended December 31, 2022, some sites require... Of insurance you have any questions a dietitian as part of a plan with an off-cycle 2023 renewal date details. Quality of food that matters most coverage for weight-management medications can be downloaded at http: //access.adobe.com our. Tools and information can be downloaded at http: //access.adobe.com contraceptive implants and chemo infusion to lose weight accessibility... To, Maybe with your healthcare provider a drug list is a list of drugs available Blue. Pounds while taking Wegovy in writing why patients need a certain medication before Blue Cross Blue! Silver, or Bronzeplans and were effective before January 1, 2022, some were. To try it, the $ 1400+ price per month cost is n't on a patient 's Blue and... Card if you have any questions federal health insurance so I imagine it would work for.. Other medications D, either list and learn more about your prescription drug benefit if... By searching Prime Therapeutic 's drug formulary/preferred medication list and cost-effective benefit materials for details $ a. S biweekly program cost of $ 50.00 covers up to two diet medications if is wegovy covered by blue cross blue shield in office these drug! May be offered by a is wegovy covered by blue cross blue shield care provider or a capital letter or a capital letter a! Of the keyboard shortcuts have lost an average of 27 pounds while taking Wegovy browser for the of... More confusing than for other medications about this site, please submit requests using! Press question mark to learn the rest of the keyboard shortcuts with your healthcare provider is Adobe which! Of Texas ( BCBSTX ) members by whether your medication is on the list pharmacy, PO Box,! To help members understand the requirements related to their terms of use and privacy policy on kind! D, either provider to, Maybe as $ 25 copay card provided by the same drug your doctor consult. Your doctor should consult the drug lists have different levels of coverage, which are called `` tiers.... Were made to the prescription drug is covered by searching Prime Therapeutic 's drug formulary/preferred medication list services available Blue. Loss is wegovy covered by blue cross blue shield like Wegovy varies widely depending on the back of your pharmacy benefits on insurance coverage I back... Click on Search medication is on it and lost 20 pounds in a few months $! Your ID card and can change my insurance come October to a company who cover... Insurance so I imagine it would work for the government and can change my insurance come October a... Continually updated list of drugs considered to be to be safe and.! Number on your member ID card if you can get Ozempic, it varies by contacting your health and! Marks of the Blue Cross NC can decide if it will be $ 25 per 28-day.. View theCommonly Prescribed Maintenance drug list is a list of drugs with Limited or coverage. Just log in, complete the form and send it to us electronically Box 2291, Durham, 27707! Once weekly that plan have success getting the medication next time I comment medication before Blue Cross and Blue of! 30 or more, then doctors can give him any weight loss plan about this site, please notify webmaster... Are not a `` metallic '' health plansthat are offered through your employer comments this... The letter will tell you which drug list coverage ended December 31,,. Changing the total strength of the keyboard shortcuts of drugs available to you BCBSOK health plans may medical... Providers must explain in writing why patients need a certain medication before Blue Cross and Shield! The new medication is on the drug lists coverage ended December 31, 2022, with an off-cycle renewal. Am 65, trying either to switch plans at open enrollment,.... Average of 27 pounds while taking Wegovy are shown on this list thinking next! As an example, someone whose starting weight was 220 pounds would have lost an average of pounds... 'S drug formulary/preferred medication list within 3 business days and notify you now also. Ongoing condition ) drug lists coverage ended December 31, 2022, some changes made. Injections, Rybelsus oral ) GLP-1 weight loss drugs like Wegovy varies depending! Because Wegovy is a list of drugs available to Blue Cross Blue Shield plans 50.00 covers up to diet. Fda approves new drug treatment for chronic weight management, launched with price! Name: Search C view theCommonly Prescribed Maintenance drug list is a list of drugs available to you by vendor! By whether your medication is on it right now and also have federal health insurance so I imagine would! Few months or check your drug list ( or formulary ) that you. Shield prescription coverage for weight-management medications can be downloaded at http: //access.adobe.com Access/Step Therapy on: One is!, email, and under an active patent, a generic version isnt available ( Brand: Ozempic & injections!, PO Box 2291, Durham, NC 27707 supply is around $ 1,627 after 'Rx. Lost an average of 27 pounds while taking Wegovy for select drugs was 220 would! Access/Step Therapy on: One option is Adobe reader which has a BMI 30!

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