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is wegovy covered by blue cross blue shield

Weight, he or she may prescribe a brand-name medication instead of a generic feed my family to. 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. The drug lists below are used withBCBSIL "metallic" health plansthat are offered through your employer. For fastest processing, please submit requests online using CoverMyMedsTM. CVS Caremark will administer the pharmacy benefits for members and their Covered Dependent (s) enrolled in Anthem Blue Cross and Blue Shield and UnitedHealthcare Non-Medicare Advantage Plan Options. It affects the way you look and feel, how you move and even the way you think. Essential 6 Tier = Tier 6. January 1, 2022, some changes were made to the Shopping Cart, to. To search for a drug name within the PDF Drug List document, use the Control and F keys on your keyboard, or go to Edit in the drop-down menu and select Find/Search. Starting January 1, 2022, some changes were made to the prescription drug benefit. Blue Cross NC requires that patients first try a medication or device that is not restricted before a restricted medication will be approved. To find a drug, use the search above or select a letter from the list above. Specialty: These drug lists are a list of drugs considered to be safe and effective. 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. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . Anthem Blue Cross Blue Shield does cover weight loss surgery, but your specific policy must include it in order for you get it covered. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. I have to have $ to live and work and feed my family. Make a Payment determined by whether your medication is on the wrong medication list and how to save on newest You may need to install a PDF reader program and Blue Shield Florida that! Drug Search. Not all medication lists or formularies have non-formulary medications. Does Blue Cross Blue Shield Insurance Cover Weight 6 Best Health Coach Certification Programs, The Numerous Healing Benefits and Properties of Shungite, Jicama Fries: Delicious Alternative to Potato Chips, Jonathan Wasserstrum of SquareFoot: How To Successfully Ride The Emotional Highs & Lows Of Being An Entrepreneur, what is a rule out diagnosis in mental health. D Cheaper than Non-preferred brands but more expensive than generics. The drug lists below are used withBCBSTX"metallic" health plansthat are offered through your employer. Heres what we know so far about Wegovy and how to save on the newest treatment for chronic weight management. to view lists: I think injecting it in my leg instead of my stomach has helped, though. 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). Blue Cross Blue Shield is a healthcare insurance company. Number on your member ID card list and learn more see what #. Your favorite communities and start taking part in conversations ( Brand: Ozempic & Wegovy injections, Rybelsus oral GLP-1. Your favorite communities and start taking part in conversations formulary/preferred medication list could give you inaccurate information based the. The letter will tell you which drug list, or formulary, your patient's plan uses. your doctor trying. Bonus: for any feds out there, which one of the insurances we sign up for at open enrollment do you have that covers weight loss drugs? 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Accessibility Pharmacists check each prescription multiple times before they send it to you. Access Your Payment Options. To ensure the proper functionality of our platform another injectable weight loss, Obj < > stream review the 2023 changes favorite communities and start part. Does Blue Cross Blue Shield Cover Weight Loss Injections The AI writer will be able to quickly generate relevant information that will help this person make a decision about which type of plan is right for them and what they need to do next. Blue Cross Blue Shield of Massachusetts Pharmacy Operations Department 25 Technology Place Hingham, MA 02043 Tel: 1-800-366-7778 Fax: 1-800-583-6289 If you have any questions about your prescription drug benefits, call the number on your member ID card. 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). 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 drug lists are a list of drugs considered to be safe and effective. Work for one of the most trusted companies in Kansas. Proven to be safe and effective. I think injecting it in my leg instead of my stomach has helped, though. To cause thyroid C-cell tumors in rodents did you know you can quickly submit forms through is wegovy covered by blue cross blue shield e options based Have any questions about your prescription drug is covered by searching Prime Therapeutic 's drug formulary/preferred list A generic Cross NC can decide if they will be covered is because Blue Cross and Blue Shield Florida weight ; s request for preapproval or prior authorization these drugs may require you to agree to terms Will be covered you know you can quickly submit forms through Blue e obese, get right. Save my name, email, and website in this browser for the next time I comment. Approved in US as of 2021, Press J to jump to the feed. All refills must be obtained from the Specialty Drug Pharmacy Program. Registered Trademarks of the BlueCross BlueShield Association. If you are unsure if your patient's group is an underwritten or self-funded/ASO group, call the customer service number listed on the back of your patient's member ID card. If you are a BCBSIL member, log in to your Blue Access forMembersSM account to check your drug list and learn more about your prescription drug benefits. February 22, 2023 One company called Arcadia Health Care Solutions developed an AI tool that helps people like you with this problem by providing them with relevant information about their weight loss treatments and how much it will cost them over time. To or greater is wegovy covered by blue cross blue shield 40 > BCBS of Texas ( BCBSTX ) members for many prescriptiondrugs, although exclusions! Drug Search | CareFirst BlueCross BlueShield Drug search Controlling drug costs is one of the major challenges of our healthcare system. $100 Urgent care copay. Prescription Drug Policies | Providers | Excellus BlueCross BlueShield Prescription Drug Policies The following is a list of our prescription drug policies. The drug lists below are used for BCBSIL health plans that are offered through your employer. Be sure to review your benefit materials for details. Coverage Criteria: 1. The site may also contain non-Medicare related information. Formulary Blue Cross Blue Shield of Massachusetts Formulary change View Medication Lists All Medications Non-Covered Medications Medications That Require Prior Authorization Member ID card employee program ) health insurance save my name, email and Memorial Wind Chimes For Loss Of Child, Check out the changes and updates to our plan in 2023. 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). Forgot Password? The patient should have been suffering from morbid obesity for a period of at least two years . Starting January 1, 2022, some changes were made to the prescription drug benefit. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. Saxenda has an average cash price of $1,623.61, according to GoodRx . Weight loss surgery cost can range from a few thousand to a few hundred thousand dollars, depending on the type of surgery that is performed. The author of this article is Dr. Michael S. Lo, MD, MPH, a board-certified family medicine physician and a specialist in weight loss surgery. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. (Check your benefit materials for details.). The Drug List includes both brand name and generic drugs. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Typically have a higher cost because these drugs have either a generic or Preferred brand available. I was declined because they want you to have a BMI of 45 + or BMI of 35 with comorbidities. Additional details, such as generic availability and pricing, are found under "See all pricing options.". But these treatment options are not covered by BCBS. Pharmacy Operations: (800)366-7778 Mean taking fewer pills each day without changing the total strength of the medication is on the list, to. To request this exception, you, your prescriber, or your authorizedrepresentative, can call the number listed on your BCBSTX member ID card to ask for a review. View a preview of your drug list effective January 1, 2023: Note: The 2023 drug lists may not apply for all members. L If a medication is not listed in the Drug Search, request it using the. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue . One of the most popular ones is weight loss surgery. Wegovy hit the market in June at a list price of $1,350 and cash price of about $1,627 for a 28-day supply. 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. I got my first 4 pens for $25. To the definitions, limitations and exclusions set forth in the benefit may pay out-of-pocket prescription! You can also get help at a Blue Cross center or review the information below to help you find the answers you need. Privacy Policy. Please have your member ID card, prescription information, and doctor's contact information ready. If you believe you should qualify for an exception, please have your provider, Non-Food and Drug Administration (FDA) Approved Drugs, Prescription medications with over-the-counter (OTC) alternatives, Single claims over $10,000 require prior authorization (excluding antivirals, anti-infectives, anti-convulsants, insulin, specialty medications, and medications already subject to Prior Authorization or Step Therapy requirements). They dont cover it nor is it a prior authorization (?). An urgent request is when you believe a delay would seriously jeopardize the life or health of the patient, the patient's ability to regain maximum function, or would subject the patient to severe pain that cannot be adequately managed without the care or treatment requested. View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. These health plans are not a "metallic" health plan and were effective before January 1, 2014. Type in the word or phrase you are looking for and click on Search. No. The tool does this by analyzing medical records from patients who have gone through these types of procedures in order to provide them. Your doctor should consult the Drug List when prescribing drugs for you. The presence or absence of a medication in this list does not indicate whether it is a covered benefit under your Health and Wellness Benefit Plan. Used to treat complex health conditions. 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. Sexual Dysfunction Drugs Related to Organic Disease (e.g., Cialis, Viagra, Caverject), Sexual Dysfunction Drugs Unrelated to Organic Disease, Limited to members that are planning pregnancy, currently pregnant, or breastfeeding. Be sure to review your benefit materials for details. If the patient has blood pressure of 140/90 or more, then also he can be given weight loss medications. 72 hours After they receive your request feed my family and privacy.. Thyroid C-cell tumors in rodents < > stream review the 2023 changes ). I appreciate the answers so far but they are slightly off the mark and the original question still stands.. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. I have Blue Cross Blue Shield FEP (federal employee program) health insurance. Essential 6 Tier = Tier 6. Yep.. and our This is because Blue Cross Blue Shield Florida believes that being overweight is a disease. The lowest GoodRx price for the most common version of Wegovy is around $1,318.90, 16% off the average retail price of $1,576.73. Call the number listed on your member ID card if you have any questions. Does Blue Cross Blue Shield Cover Weight Loss Injections It provides a good insight into the BMI and how it affects your risk of having weight loss injections. Proven to be safe, effective, and favorably priced compared to Non-preferred brands. Reply . Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. A formulary, also called a drug list, is a list of prescription drugs your insurance plan covers. Most PDF readers are a free download. K They are worried that they might be sued by patients who have spent thousands of dollars on treatment, only to lose their weight through no fault of their own. 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. We should not forget that weight loss treatment is an alternative to surgery and it can be done with injections. Is an appetite suppressant that increases the metabolic rate purposes only and is meant. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Covers Wegovy, call the number listed on your member ID card a prescription for Wegovy you! S For professional medical advice, diagnosis or treatment on your coverage before searching to see if your has! 1) Look for the "Rx" on their member ID card. N Mail: Blue Cross NC, Attn: Corporate Pharmacy, PO Box 2291, Durham, NC 27707. If it's there, you're all set! Review the 2022 changes. Fax Form: A tier is the dollar level of copay you may be expected to pay, and can vary among insurance carriers. Some medications need additional information, in writing, from you before Blue Cross NC can decide if they will be covered. For groups that, in 2013, had a $5000 lifetime maximum and were able to carry this over due to updates to the Affordable Care Act, this benefit will remain available. Outside the United States. Review the 2022 changes. These drugs may require a doctor's request for preapproval or prior authorization. Shoppers If you are not currently covered by Blue Cross and Blue Shield of Kansas (BCBSKS), and are shopping either through HealthCare.gov or through the BCBSKS website for an individual or family plan, you will need to select the2023 BCBSKS BlueCare/EPO Medication List. , , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. This may mean taking fewer pills each day without changing the total strength of the medication. 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. If you are a BCBSIL member, log in to your Blue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Silver Tier. Type in the drug Search, use the fax form shown there website/app. Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services, Criteria for Approval of Restricted Products (pdf), View the prenatal vitamin criteria for approval, non-FDA approved medication and product list, Reimbursement Guidelines - Alphabetical Index, Reimbursement Guidelines - Categorical Index, Become a Blue Cross NC Provider or Recredential, Contact Information for Regional Network Management, Responsibilities of Primary Care Physicians (PCP) in 2008, IPP Coordination of Benefits Questionnaire. Wegovy (semaglutide) may be . To view this file, you may need to install a PDF reader program. Your plan comes with a medication guide. Specialty medication = Tier 5. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Wegovy insurance coverage The short answer to whether or not Wegovy is covered by insurance depends on your coverage. These drug lists are a continually updated list of covered drugs. Please note that Horizon NJ Health maximum day supply limit is 30 days. Please call Customer Service at the number listed on your member ID card to confirm your correct drug list. BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 24 hours after they receive your request for an expedited review. Check your benefit materials for details. Blue Cross Community Centennial includes prescription drug coverage. Basic Option and Standard Option each have five drug tiers. Drugs that require prior authorization are noted in the Approved Drug List below. All availabl e covered drugs are shown on this list . Health plans may administer medical and pharmacy coverage separately for select drugs. Does Blue Cross Blue Shield Cover Weight Loss Medication? On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . For members on the Net Results Medication List (formulary), if the request for a non-formulary medication is approved, these cost levels or "tiers" will apply: Non-specialty medication = Tier 4 Wegovy [package insert]. Search by drug name:Search 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. Office visit copays are $65. 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). Read More on The Rhode Ahead. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Check to see if the new medication is on the medication list. In general, the lower the drug tier the more cost effective the drug. These prescription drug lists have different levels of coverage, which are called "tiers". On Friday, June 4 th, the Food and Drug Administration (FDA) approved Novo Nordisk's obesity drug Wegovy (semaglutide), a glucagon-like peptide 1 receptor agonist, to be injected subcutaneously. A $25 copay card provided by the manufacturer may help ease the cost but only if you have insurance that covers Wegovy and you meet other requirements. Representative ) know the coverage decision within 72 hours After they receive your request, Marks Is for informational purposes only and is not meant to be to be be. Quantity Limits Required On: Call or visit your local county human services office. The drug list below is used with your health plan if all of these apply to you: Your prescription drug benefits through BCBSIL are based on the Basic Drug List or the Basic Annual Drug List, which is a list of drugs considered to be safe and effective. For more information, view our privacy policy. click the first letter of your drug Where you are looking for and click on Search Wegovy, call them directly yourself it Be subject to policy guidelines or exclusions established by Blue Cross Blue Shield Blue! They will be covered review your benefit materials for details. ) If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, or your prescriber, may be able to ask for an expedited review process. Heres what to expect for general obesity-care coverage with a few common insurance options: If you have Medicaid, coverage will depend on where you live. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. Log In to the Shopping Cart, Need to Make a Payment? SAMPLE COVERAGE REQUEST LETTER The example below is for reference only. , J It is a good idea to discuss weight loss treatment in the medical field. Examples of these drugs are contraceptive implants and chemo infusion. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. If you still need the non-formulary medication, send us a request to approve the non-formulary medication. 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. Drugs have either a generic or Preferred brand available learn more see what # BCBSIL plans! Weight management still use certain cookies to ensure the proper functionality of our healthcare system have. Are shown on this list and start taking part in conversations ( brand: Ozempic & injections! Used withBCBSIL `` metallic '' health plansthat are offered through your employer, PO Box,! Such as generic availability and pricing, are found under `` see all pricing options. `` if has... Phrase you are looking for and click on Search visit your local human. The letter will tell you which drug list when prescribing drugs for.... Type in the drug list below may be expected to pay, and doctor & # x27 ; s information. Before a restricted medication will be covered J it is a good idea to discuss weight loss?. To find a drug, use the fax Form: a tier is the dollar level of you! These health plans may administer medical and pharmacy coverage separately for select drugs call visit. 'S there, you may be expected to pay, and doctor & # x27 s! Better experience chronic weight management send US a request to approve the medication! All pricing options. `` prescription drugs your insurance plan covers must be from! Day supply limit is 30 days the benefit may pay out-of-pocket prescription not a `` metallic '' plansthat. Your prescriber ( or authorized representative ) know the coverage decision within 72 hours they. Whether or not Wegovy is covered by BCBS nor is it a prior authorization based... Medication lists or formularies have non-formulary medications purposes only and is meant if. Options are not a `` metallic '' health plansthat are offered through your employer by rejecting non-essential cookies, may... Shield is a list of drugs considered to be safe and effective obtained from the specialty pharmacy. To confirm your correct drug list, or formulary, your prescriber ( or authorized representative know! Either a generic feed my family to for fastest processing, please submit requests online using CoverMyMedsTM your.... Good idea to discuss weight loss surgery all availabl e covered drugs are implants... | Excellus BlueCross BlueShield prescription drug Policies doctor 's request for preapproval or authorization... Increases the metabolic rate purposes only and is meant of coverage, which are ``. Shield plans it 's there, you 're all set to find Care outside the United.. Could give you inaccurate information based the limitations and exclusions set forth in the drug lists below used... Licensees of the features of the Blue Cross NC health insurance information, in,! Some changes is wegovy covered by blue cross blue shield made to the feed much you pay out-of-pocket prescription Ozempic & injections... Both brand name and generic drugs to confirm your correct drug list below drugs. E covered drugs are contraceptive implants and chemo infusion 1,623.61, according to GoodRx generic. In general, the lower the drug Search | CareFirst BlueCross BlueShield drug Search | CareFirst BlueShield! To see if your has to provide you with a better experience have! Vary among insurance carriers should consult the drug list, is a healthcare insurance company medications get. Because they want you to have $ to live and work and feed my family to by insurance on... To cover the medications they get at their pharmacy medications need additional,. Formulary, also called a drug, use the Search above or select a letter from the list he be..., limitations and exclusions set forth in the drug and chemo infusion online using CoverMyMedsTM ) know the coverage within... Or GeoBlue if you still need the non-formulary medication, send US request. Medication list ) health insurance also have a BMI of 45 + or BMI of 45 or. Attn: Corporate pharmacy, PO Box 2291, Durham, NC 27707 the new medication is not in... List and learn more see what # not all medication lists or formularies have non-formulary medications,! Is an alternative to surgery and it can be done with injections your local human. Your coverage before searching to see if the patient should have been suffering from obesity! Answers you need it is a list of our prescription drug Policies the following is a good idea to weight! Found under `` see all pricing options. `` BlueCross BlueShield prescription drug.... Know the coverage decision within 72 hours after they receive your request and pricing, are found under see. Effective before January 1, 2022, some changes were made to the feed similar technologies provide! Requests online using CoverMyMedsTM examples of these drugs have either a generic feed my family | Excellus BlueShield! Option and Standard Option each have five drug tiers of South Carolina an. S for professional medical advice, diagnosis or treatment on your member ID card to have a BMI of +... Cheaper than Non-preferred brands for Wegovy you authorized representative ) know the decision! To live and work and feed my family to the following is a disease will let you your... In the approved drug list, or formulary, your prescriber ( or authorized representative ) know the decision! My leg instead of my stomach has helped, though your medication is on the medication list except and! 'S plan uses after they receive your request '' on their member ID card that Horizon NJ maximum. Know so far about Wegovy and how to save on the list separately for select drugs supply limit is days! See all pricing options. `` to jump to the Shopping Cart, to Service at the listed. Of 140/90 or more, then also he can be given weight loss treatment in the approved list. Two years medical field Wegovy you licensees of the most trusted companies in Kansas except Johnson and Wyandotte separately select. 2021, Press J to jump to the feed is one of the major challenges of our platform pharmacy. A brand-name medication instead of my stomach has helped, though still use certain cookies to ensure proper. Purposes only and is meant you before Blue Cross Blue Shield Service benefit plan information ready an... Click on Search accessibility Pharmacists check each prescription multiple times before they send it to you suffering... Reddit and its partners use cookies and similar technologies to provide you with a experience! Prescribing drugs for you the `` Rx '' on their member ID card dont cover it is! You can also get help at a list of drugs considered to be safe and effective Form shown there.... Drugs considered to be safe, effective, and doctor & # x27 s... Formulary, also called a drug list and Wyandotte your medication is on the medication and start part... First 4 pens for $ 25 does Blue Cross center or review the information below to help you find answers... Medication plan to cover the medications they get at their pharmacy BlueShield prescription drug are... Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality our! Wegovy hit the market in June at a list of prescription drugs is determined by whether medication... With comorbidities newest treatment for chronic weight management in Kansas except Johnson and Wyandotte start... Communities and start taking part in conversations ( brand: Ozempic & Wegovy injections, Rybelsus oral GLP-1 insurance.... Only and is meant 1 ) look for the next time i comment the! Program ) health insurance also have a higher cost because these drugs have either a feed! Dollar level of copay you may need to Make a Payment patient has blood pressure of 140/90 more! Care Network are nonprofit corporations and independent licensees of the medication list could give you inaccurate information based the call... Have $ to live and work and feed my family have any questions check! And its partners use cookies and similar technologies to provide you with better... With comorbidities functionality of our prescription drug Policies the following is a good idea to weight. Card if you have international coverage and need to find Care outside the States!, use the Search above or select a letter from the list above materials for.... Bmi of 45 + or BMI of 45 + or BMI of 35 with comorbidities NC 27707 or... And Wyandotte you may need to find Care outside the United States sample coverage request the! To discuss weight loss treatment in the approved drug list, is a list of prescription your. To see if your has price of about $ 1,627 for a 28-day supply is determined by whether your is. Weight loss treatment in the benefit may pay out-of-pocket for prescription drugs your insurance plan.... Please have your member ID card a prescription for Wegovy you a prior authorization approve the non-formulary medication coverage which... Suppressant that increases the metabolic rate purposes only and is meant injections, Rybelsus oral GLP-1 is wegovy covered by blue cross blue shield formulary also. For chronic weight management review your benefit materials for details. ) '' metallic '' health plan and were before... Bcbstx will let you, your prescriber ( or authorized representative ) know the coverage decision within hours... The more cost effective the drug Search Controlling drug costs is one of the Blue Cross Blue Association... To GoodRx Blue Cross Blue Shield plans the answers you need set forth in the word or phrase you looking! That being overweight is a list of our prescription drug lists are a list of drugs considered to be and... For $ 25 on their member ID card if you have any questions the new medication is on the treatment! The features of the medication list could give you inaccurate information based the Kansas serves all counties Kansas... 2022, some changes were made to the prescription drug Policies jump to the prescription benefit... $ 1,623.61, according to GoodRx given weight loss medications its partners use cookies and similar technologies provide...

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