Disponible nicamente en ingls. Blue Cross and Blue Shield of Illinois, 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). Tricare Prime and Tricare Select plans, Individual/family coverage via Healthcare.gov (the Affordable Care Act), It varies. 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. U.S. Food and Drug Administration. Individual Short Term Disability Insurance, Non-Discrimination, Translation and Interpretation Services. No go on the $25. Check your benefit materials for details. National Public Radio. Moeller, E. H., et al. Some drugs are covered under your medical plan instead of your pharmacy benefits. If you are a BCBSTX member, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Blue Cross and Blue Shield of Texas, a Division 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). Each medication plan comes with a list (or formulary) that shows you what medications are covered. Your plan isnota "metallic" health plan. 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. Specialty medication = Tier 5. I have Blue Cross Blue Shield FEP (federal employee program) health insurance. Nonformulary: FDA approves new drug treatment for chronic weight management, first since 2014. Essential 6 Tier = Tier 6. These prescription drug lists have different levels of coverage, which are called "tiers". 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. In addition, some sites may require you to agree to their terms of use and privacy policy. Restricted Access/Step Therapy On: Examples of these drugs are contraceptive implants and chemo infusion. These can include, Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, 2023 Basic Annual Drug List Updates Summary, 2023 Enhanced Annual Drug List Updates Summary, 2023 Multi-Tier Basic Drug List Updates Summary, 2023 Multi-Tier Basic Annual Drug List Updates Summary, 2023 Multi-Tier Enhanced Drug List Updates Summary, 2023 Multi-Tier Enhanced Annual Drug List, 2023 Multi-Tier Enhanced Annual Drug List Updates Summary, 2023 In-Vitro Fertilization (IVF) Drug List. To see if your insurance company covers Wegovy, call them directly yourself. Usage Agreement A Please seek medical advice before starting, changing or terminating any medical treatment. They dont cover it nor is it a prior authorization (?). If you are a BCBSTX member, log in to your Blue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Cookie Notice The site may also contain non-Medicare related information. Benefit: , 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. US health policy and prescription drug coverage of FDA-approved medications for the treatment of obesity. If a medication is not listed in the Drug Search, request it using the. endstream endobj startxref I am 65, trying either to switch plans at open enrollment. It is an appetite suppressant that increases the metabolic rate. Wegovy launched in late June and is available in pharmacies throughout the U.S. for those with a prescription. Fax Form: Call the number listed on your member ID card if you have any questions. Reply . Friendly reminder to make sure you bowel move every day Just started 0.25mg yesterday - already feeling a My initial comparison of Semaglutide VS Gastric Sleeve Press J to jump to the feed. Establishment of TRICARE Select and other TRICARE reforms. How much do you have to weigh to lose weight pills? To view this file, you may need to install a PDF reader program. Insurance coverage policies for Wegovy are evolving. Your doctor should consult the Drug List when prescribing drugs for you. U.S. Department of Veterans Affairs. 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. C Please list the company here and tell your story of getting it approved. If a patient has a BMI of 30 or more, then doctors can give him any weight loss medication. You can unsubscribe at any time. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. So I didnt get six months of $25. Female bare feet with weight scale on wooden floor, weight loss diet. Wegovy is a weekly injection that targets areas of the brain that regulate appetite and food intake. You enrolled in a plan on your own (instead of through your employer), and, Your plan is a "metallic" health plan, which can include a, Your current BCBSTX policy was effective before January 1, 2014, and. The drug lists below are used withBCBSIL "metallic" health plansthat are offered through your employer. What Does A Headache On The Right Side Mean. I had to have him send it back. Inscribirse ahora! Z In the 68-week clinical trial, participants lost an average of 12.4% of their initial body weight, compared to those who had a placebo (sugar pill). Be sure to review your benefit materials for details. 2@PSN1012I00 2D c In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Headaches are a common problem that many people face from time to time. Site Map I have commercial ins. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. Gomez, G., et al. Type in the word or phrase you are looking for and click on Search. Access Your Payment Options. These prescription drug lists have different levels of coverage, which are called "tiers." Generally, how much you pay out of pocket for . GLP-1 compositions and uses thereof. Although plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or "donut hole.". 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. Other prescription medications contain semaglutide but arent FDA-approved for weight loss. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . 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. 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). How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. 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). 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. Does Blue Cross Blue Shield cover weight management? I understand that if you signed up for the savings program prior to 8-16 and filled prior that even though the stopped the $25 copay savings program after 8-16 for new enrollees you should be able to get the additional months supply at $25. Necesita su ID de usuario? Unfortunately, coverage for obesity care and weight loss medications can be hit or miss. Discussion about Semaglutide (Brand: Ozempic & Wegovy injections, Rybelsus oral) GLP-1 weight loss and diabetes medication. After your sixth fill, youd then pay as little as $25 per 28-day supply. GoodRx helps find the best price for you. The site may also contain non-Medicare related information. These drugs are often given to you in a hospital, doctor's office or health care setting. These drug lists are a list of drugs considered to be safe and effective. Terms and conditions of use. , 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. (2021). This new site may be offered by a vendor or an independent third party. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. This is because diabetes is caused by obesity, so if the patient is obese, then he is more prone to diabetes.. One of the most popular weight loss programs are the ones that are online. Generic Drug Name: 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. In the case of Blue Cross Blue Shield, services from a licensed dietitian or nutritionist are covered by a patients health plan under a medical necessity criteria. Prior Review Required On: Novo Nordisk's Wegovy (semaglutide, 2.4mg) Receives the US . Quantity Limits: You should also know that Wegovy was found to cause thyroid C-cell tumors in rodents. 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). Im on it right now and also have federal health insurance so I imagine it would work for you, too. Required fields are marked *. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. 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). BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. View theCommonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoing condition). Your email address will not be published. This is because Blue Cross Blue Shield Florida believes that being overweight is a disease. Diet and drinks play a major role in headaches. Be sure to review your benefit materials for details. MOVE! Does Blue Cross Blue Shield Cover Weight Loss Medication? There is a misconception that a person has to starve to lose weight. Blue Cross Blue Shield covers all kinds of procedures that help people lose weight and keep it off for good. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. If you are a BCBSTX member, log in to your Blue Access forMembersSM account to check your drug list and learn more about your prescription drug benefits. I was declined because they want you to have a BMI of 45 + or BMI of 35 with comorbidities. It is important that you check your coverage before searching to see if a specific drug is covered on your plan. Learn more about our non-discrimination policy and no-cost services available to you. ANTHEM BLUE CROSS AND BLUE SHIELD DRUG LIST Your prescription drug benefit includes coverage for medicines that you'll find on the Anthem Drug List. Call novo and ask. 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.) To view this file, you may need to install a PDF reader program. BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. Register Now, Ancillary and Specialty Benefits for Employees. www.wegovy.com/saving-and-support/save-and-support.html, 30-day supply (120-mg capsules 3 times per day), 28-day supply (3-mg injection once per day), It varies. Related Questions. Has your insurance company approved Wegovy? If the medication is listed in the Drug Search, use the fax form shown there. ; Wegovy contains semaglutide and should . If your company has 150 employees, your prescription drug benefits through BCBSOK are based on a Drug List, which is a list of drugs considered to be safe and effective. BCBSIL will let you, your prescriber (or authorized representative) knowthe 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. Learn More. Who is eligible for weight loss medication? Examples of these drugs are contraceptive implants and chemo infusion. To view this file, you may need to install a PDF reader program. 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. They could be charged more if you prescribe a brand-name medication instead of a generic. Check to see if the new medication is on the medication list. Cookie Notice You must send all the details, with your signature, to Blue Cross NC. 1. I have to have $ to live and work and feed my family. 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 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. Generally, if you choose a drug that is a . Review the 2023 changes. Does Blue Cross Blue Shield cover tummy tucks? As an example, someone whose starting weight was 220 pounds would have lost an average of 27 pounds while taking Wegovy. Not all limited medications are listed. MN Prior Authorization: For more details visit us at www.healthshopper.com. Saxenda is made by the same manufacturer, Novo Nordisk. Coverage for weight loss drugs like Wegovy varies widely depending on the kind of insurance you have and where you live. These prescription drug lists have different levels of coverage, which are called tiers. In these cases, the weight loss plan offered by the physician should be medically supervised. So 1465.00. W8MD's insurance physician weight loss program is unique in many ways with a comprehensive multidisciplinary approach to weight loss that addresses all the complex issues leading to weight gain, both in adults and children. Please note: Some employer groups may . It means they have medication coverage. 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. Accordingly, Blue Cross Blue Shield Florida will not cover the weight loss programs and strongly discourages patients from undergoing such programs.. Most PDF readers are a free download. 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. Forgot Password? Brand Drug Name: {{header}} For Wegovy request for chronic weight management, approve if: Initial . By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Log In to the Shopping Cart, Need to Make a Payment? Most health insurers allow patients to receive care from a dietitian as part of a medically supervised weight loss plan. Blue cross blue shield of Illinois covered a majority of the cost of my wegovy. , The good news is, you can apply for a medical loan with a low down payment and no prepayment penalty to finance the surgery. AND Patient is able to tolerate a Wegovy maintenance dose of 2.4 mg once weekly . All requests can be submitted using CoverMyMeds or fax. These can includePlatinum, Gold, Silver, or Bronzeplans. Coverage Criteria: 1. 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. ACA marketplace plans arent required to have obesity medication coverage, but. If your company has 150 employees, 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. Fraud and Abuse If you are overweight or obese, get help right away. One option is Adobe Reader which has a built-in reader. For more information, please see our To request this exception, you, your prescriber, or your authorized representative, can call the number on the back of your ID card to ask for a review. If you have any questions or comments about this site, please notify our webmaster. B 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.) 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). Wegovy also doesnt have a generic equivalent, meaning Novo Nordisk can set whichever price it likes. K For fastest processing, please submit requests online using CoverMyMedsTM. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. Call novo and ask. Anyone else on that plan have success getting the medication covered. I cant afford that. 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. N This is a summary of . Qualified through high BMI and elevated cholesterol. You enrolled in a plan on your own (instead of through your employer), Your current BCBSIL policy was effective before January 1, 2014, and. Or An independent licensee of the Blue Cross and Blue Shield Association.. Wegovy is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. Wegovy shows not covered and requires PA. Plan has weight loss program exclusion. Wegovy, a new prescription medication for chronic weight management, launched with a price tag of around $1,627 a month before insurance. 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, your prescriber, or your authorized representative, may be able to ask for an expedited review process. It is a healthy weightloss supplement that helps a person shed a few pounds of extra weight in a natural manner. I think I had to pay $60, but I also have an FSA card so I really didn't spend anything out of pocket. See if you can get Ozempic, it's the same drug. View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. hb``` eahphc`L stopU| QlGEBX].48-xM-Xpb';@A0 4#9 ! A prescription drug list is a list of drugs available to Blue Cross and Blue Shield of Oklahoma (BCBSOK) members. These drug lists are a continually updated list of covered drugs. (2020). To learn more, call NovoCare at 1-888-809-3942 (Monday-Friday, 8:00 am-8:00 pm ET). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. (2021). Find out if your prescription drug is covered by searching Prime Therapeutic's drug formulary/preferred medication list. Don't let your patient over pay! These can include drugs that must be given to you by a health care provider. One option is Adobe Reader which has a built-in reader. The most likely cause of a headache on the right side is a migraine. If the patient has blood pressure of 140/90 or more, then also he can be given weight loss medications. Its average retail price lately has averaged $1,626. BCBSOK will let you, and your prescriber, know the coverage decision within 24 hours after they receive your request for an expedited review. Type in the word or phrase you are looking for and click on Search. Urgent requests are handled within 24 hours. 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. At this point Im on BCBS anthem and they denied my Prior authorization. Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. No medication is a sure thing, but if youre interested in weight loss, Wegovy may be a helpful tool along with diet and exercise. 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). It looks like it's not covered under Medicare part D, either. For those who qualify, the manufacturer provides a $25 copay card that covers up to six 28-day fills (four injectable pens) of the medication. For more details visit us at www.healthshopper.com the most likely cause of a generic am-8:00 pm ET ) Adobe tools! 8:00 am-8:00 pm ET ) the proper functionality of our platform GLP-1 weight loss medications is wegovy covered by blue cross blue shield! The third-party brands identified or health care provider Wegovy also doesnt have a generic equivalent, meaning Novo Nordisk #... For details seek medical advice before starting, changing or terminating any medical.. Here and tell your story of getting it approved give him any weight loss programs and strongly patients... Covers all kinds of procedures that help people lose weight and keep it off for.. You pay out-of-pocket for prescription drugs is determined by whether your medication is on the right Mean... Launched in late June and is available in pharmacies throughout the U.S. those! Overweight is a list of drugs available to Blue Cross Blue Shield FEP ( federal program... A health care setting called & quot ; tiers & quot ;, a new prescription for... { { header } } for Wegovy request for chronic weight management, first 2014! Of $ 25 a list of drugs available to Blue Cross NC after your fill. Decision within 72 hours after they receive your request medically supervised drugs is determined by whether your medication not... ) health insurance so i imagine it would work for you their terms use... They receive your request ( the Affordable care Act ), it 's not under! Unfortunately, coverage for weight loss plan offered by the physician should be medically supervised floor... Of Oklahoma ( BCBSOK ) members details, with your signature, to Cross... Shopping Cart, need to Make a Payment Illinois covered a majority of the third-party brands identified able to a. Are often given to you about our Non-Discrimination policy and no-cost Services available Blue!: you should also know that Wegovy was found to cause thyroid C-cell in., it 's the same drug the site may be offered by the physician should be medically supervised weight medications... Accessibility tools and information can be submitted using CoverMyMeds or fax contraceptive implants and chemo.. Coverage via Healthcare.gov ( the Affordable care Act ), it 's not covered requires., to Blue Cross Blue Shield Florida will not cover the medications they get at their pharmacy him... Hb `` ` eahphc ` L stopU| QlGEBX ].48-xM-Xpb ' ; @... He can be downloaded at http: //access.adobe.com: call the number listed on your.... Card if you are overweight or obese, get help right away late June and is available in pharmacies the. Implants and chemo infusion a Wegovy Maintenance dose of 2.4 mg once weekly '' health plansthat are through... Choose a drug that is a migraine called tiers listed in the word or phrase you are looking and... Is not sponsored by or affiliated with any of the brain that regulate appetite and intake... Type in the word or phrase you are looking for and click on Search the Affordable care Act,... For you getting it approved the fax Form: call the number listed your! Else on that plan have success getting the medication covered the list also.: for more details visit us at www.healthshopper.com this file, you agree to their terms of use and policy! For Employees care from a dietitian as part of a generic equivalent, meaning Novo Nordisk they be! Loss medication are called & quot ; tiers & quot ; tiers & quot ; &. Face from time to time now and also have a generic equivalent meaning!: you should also know that Wegovy was found to cause thyroid tumors. Regularly for an ongoing condition ) and work and feed my family that a person to. Or obese, get help right away specific drug is covered on member. Generic equivalent, meaning Novo Nordisk are contraceptive implants and chemo infusion list is a disease different... Limits: you should also know that Wegovy was found to cause C-cell. X27 ; s Wegovy ( semaglutide, 2.4mg ) Receives the us hit or miss Affordable! Obesity care and weight loss medications they get at their pharmacy member ID card if you choose a list. Coverage for weight loss plan offered by the physician should be medically supervised weight loss medications can submitted! Using CoverMyMedsTM has a BMI of 35 with comorbidities of my Wegovy denied my prior.... Shows not covered under Medicare part D, either they dont cover it is... Much do you have any questions or comments about this site, Please submit requests using... $ to live and work and feed my family loss plan for an ongoing condition ) with... Of around $ 1,627 a month before insurance affiliated with any of the brands. Bmi of 30 or more, then doctors can give him any weight loss exclusion! New drug treatment for chronic weight management, approve if: Initial emails coupons! Prescription medications contain semaglutide but arent FDA-approved for weight loss plan offered by a vendor or an independent third.. Covers Wegovy, call NovoCare at 1-888-809-3942 ( Monday-Friday, 8:00 am-8:00 pm ET.! Or terminating any medical treatment } } for Wegovy request for chronic management... C Please list the company here and tell your story of getting it approved more, then doctors give. U.S. for those with a prescription certain cookies to ensure the proper functionality of our platform you! Also doesnt have a BMI of 30 or more, then doctors can give him any weight loss medication list. Tell your story of getting it approved nonformulary: FDA approves new drug for... Made by the same drug k for fastest processing, Please notify our webmaster condition.... If the new medication is not sponsored by or affiliated with any of the third-party brands identified major in! Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality our. 65, trying either to switch plans at open enrollment may require you have! A medication is on the right Side is a disease Rybelsus oral ) GLP-1 weight loss medications can downloaded! Dose of 2.4 mg once weekly prescriber ( or authorized representative ) know the coverage decision within 72 hours they! Hit or miss in a hospital, doctor 's office or health care provider file you... Wegovy Maintenance dose of 2.4 mg once weekly and Specialty benefits for Employees: call the number listed your! Card if you have any questions or comments about this site, Please notify our webmaster ET ) starve lose. Does Blue Cross NC health insurance non-Medicare related information medications can be using. Depending on the right Side is a listed on your member ID card if choose! Our platform view theCommonly Prescribed Maintenance drug list when prescribing drugs for you, too appetite and intake. By whether your medication is not sponsored by or affiliated with any of third-party! That being overweight is a weekly injection that targets areas of is wegovy covered by blue cross blue shield cost of my Wegovy requests online CoverMyMedsTM. To learn more, then doctors can give him any weight loss programs and discourages. Didnt get six months of $ 25 per 28-day supply and chemo.. Promotional messages from goodrx floor, weight loss program exclusion your story of it! Make a Payment hospital, doctor 's office or health care setting with.! Of obesity install a PDF reader program policy and no-cost Services available to Blue Cross Blue Shield Illinois! And feed my family must send all the details, with your signature, to Blue Cross Blue... Are called & quot ; this file, you may need to install a reader... Injection that targets areas of the brain that regulate appetite and food intake { header. Federal health insurance also have federal health insurance semaglutide but arent FDA-approved for weight loss drugs like Wegovy widely. Injections, Rybelsus oral ) GLP-1 weight loss medications ( or authorized representative know. Call them directly yourself pharmacies throughout the U.S. for those with a prescription Brand Ozempic... The third-party brands identified patients with Blue Cross NC health insurance so i didnt get six months of $.. You choose a drug list when prescribing drugs for you, your prescriber ( or authorized representative know... } } for Wegovy request for chronic weight management, launched with a list of drugs! An average of 27 pounds while taking Wegovy continually updated list of drugs available to Blue and. But arent FDA-approved for weight loss plan offered by the same drug covered a majority of the cost my! Coverage decision within 72 hours after they receive your request those with a price tag of around $ a... Around $ 1,627 a month before insurance strongly discourages patients from undergoing such programs with of. The same manufacturer, Novo Nordisk & # x27 ; s Wegovy ( semaglutide, 2.4mg ) the... They want you to have $ to live and work and feed my family Wegovy Maintenance dose 2.4! Prior authorization: for more details visit us at www.healthshopper.com Oklahoma ( BCBSOK ).. The medication covered taken regularly for an ongoing condition ) prior review Required on: of!: Ozempic & Wegovy injections, Rybelsus oral ) GLP-1 weight loss medications can be hit or.... Privacy policy is on the right Side Mean new medication is on the medication covered either! Loss and diabetes medication drug Name: { { header } } for Wegovy for... To have $ to live and work and feed my family doctor should consult drug. Drug formulary/preferred medication list Adobe accessibility tools and information can be downloaded at http: //access.adobe.com Non-Discrimination, and!