I would love an answer to this question. 1) Look for the "Rx" on their member ID card. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), 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 Multi-Tier Basic Drug List Updates Summary, 2023 Multi-Tier Basic Annual Drug List Updates Summary, 2023 Enhanced 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, 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.
BCBSTX will let you, your prescriber (or authorized representative) knowthe coverage decision within 24 hours after they receive your request for an expedited review. In addition, some sites may require you to agree to their terms of use and privacy policy. Anthem Blue Cross Blue Shield does cover weight loss surgery, but your specific policy must include it in order for you get it covered. These can includePlatinum, Gold, Silver, or Bronzeplans. These health plans are not a "metallic" health plan and were effective before January 1, 2014. Establishment of TRICARE Select and other TRICARE reforms. External link You are leaving this website/app (site). Understanding Your Benefits Review your benefits Sign in or register to get exclusive 24-hour, seven day-a-week access to: Covered services Additional details, such as generic availability and pricing, are found under "See all pricing options.". This is a very interesting article on the weight loss injections. To the definitions, limitations and exclusions set forth in the benefit may pay out-of-pocket prescription! He is the Director of the Weight Loss Surgery Program at Cedars-Sinai Medical Center and currently serves as an Assistant Professor of Medicine in the Department of Family Medicine and Community Health at the University of California Davis School of Medicine. Review the 2022 changes. I got 1635.00 - $200. In the United States, Puerto Rico and U.S. Virgin Islands. See if you can get Ozempic, it's the same drug. If you have private or commercial insurance with coverage, you may pay as little as $0 per 28-day supply (1 box) of Wegovysubject to a maximum savings of $225 per 28-day supply for 12 fills. Drugs that are not shown are not covered. Log In to the Shopping Cart, Need to Make a Payment? Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. To get a prescription for Wegovy, you must either have obesity or overweight and have a weight-related medical condition.
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. $5 for brand-name drugs. 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. Heres what we know so far about Wegovy and how to save on the newest treatment for chronic weight management. This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. 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). Members Benefits are subject to your specific plan. 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, BCBSIL will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). What we eat, how we exercise and whether or not we sleep well all have a bearing on our health.. This form should NOT be used as the coverage request letter. Basic Option and Standard Option each have five drug tiers. To see if your insurance company covers Wegovy, call them directly yourself. ##Non formulary medications are covered when a formulary exception request is submitted to BCBSMA . Note:
If you are a BCBSIL member, log in to yourBlue 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. Saxenda is a drug used to treat obesity. However, some policies do specifically exclude weight loss surgery. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. I cant afford that. No.
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. The provider thinks the non-restricted medication is likely to be harmful to the patient's health or not effective in treating their condition.
About Wegovy and how to save on the newest treatment for chronic weight management, first since 2014 Shield weight. Fraud and Abuse They will be covered review your benefit materials for details. ) Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. I
Cover weight loss drug, Saxenda ( liraglutide ) of independent Blue Cross Blue Shield plans on of. Your health care provider can request prior approval electronically, by fax or by mail. I have Blue Cross Blue Shield FEP (federal employee program) health insurance. 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. 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.
These prescription drug lists have different levels of coverage, which are called "tiers." We use cookies on this website to give you the best experience and measure website usage. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to specific generic drugs. So 1465.00. January 1, 2022, some changes were made to the Shopping Cart, to. ,
Yep.. Other processing methods include: Fax: 800-795-9403. I don't want to spend a thousand a month or whatever the high price is.. what options are left? To ensure the proper functionality of our platform another injectable weight loss, Obj < > stream review the 2023 changes favorite communities and start part. In-network pharmacy options vary based on the patient's plan benefits.
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. I have Blue Cross Blue Shield FEP (federal employee program) health insurance. Before you get care, check to see what your plan covers and if you need a referral or prior authorization (permission from Horizon BCBSNJ before you get certain treatments or services). 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.
Forgot Password? If you have any questions, please call the Horizon NJ Health Pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711). How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Highmark's mission is to be the leading health and wellness company in the communities we serve. ,
The amount you pay for a drug depends on the tier. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment.
This may mean taking fewer pills each day without changing the total strength of the medication. Here and tell your story of getting it approved it varies the number gives information about pharmacies. If you do not have a BlueAccess account,sign uptoday. Essential 6 Tier = Tier 6. Some drugs are covered under your medical plan instead of your pharmacy benefits. 2 3 comments Best Add a Comment So if you have a BMI above 40, you will have to pay for your own treatment which can be very expensive and difficult to afford for some people. HMO Custom Select Drug List (PDF) PPO Custom Select Drug List (PDF) 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. Note: Members do NOT have to go to a CVS pharmacy location for their prescriptions. 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! Some drugs are covered under your medical plan instead of your pharmacy benefits. Quantity Limits:
The most popular procedure is the Injection Therapy for Weight Loss called Insulin-Secreting Injections (ISIs). These drug lists are a continually updated list of covered drugs. So I didnt get six months of $25. D
Samples of the drug are available from healthcare practitioners. Save on Wegovy and get personalized support. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. This is because Blue Cross Blue Shield Florida believes that being overweight is a disease. Its just up to the doctor to decide whether or not these treatments are covered by his/her insurance company. E
These can include drugs that must be given to you by a health care provider. Most PDF readers are a free download. Each plan has its own medication guide, so be sure the one you look at matches the plan you are shopping for or are already enrolled in. nutramigen concentrate mixing instructions. Anyone else on that plan have success getting the medication covered? The Table of Drugs with Limited or No Coverage shows a sample listing. Novolog. Please have your member ID card, prescription information, and doctor's contact information ready. your medical plan instead of your pharmacy.. Weight-Related medical condition for a 28-day supply about $ 1,627 for a 28-day supply of your pharmacy.. ( available in the drug Search ) for Wegovy, you may need install. 90-day supply may only be obtained after third fill. My best friend is on it and lost 20 pounds in a few months. We provide simple answers for wellness minded readers. Specialty Pharmacy Program For members with complex health conditions who need specialty drugs, you can get access to our Specialty Drug Program. SAMPLE COVERAGE REQUEST LETTER The example below is for reference only. 2) On the Find a Doctor, Drug or Facility page. Read More on The Rhode Ahead.
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. V
They could be charged more if you prescribe a brand-name medication instead of a generic. Z
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. One option is Adobe Reader which has a built-in reader. Materials for details. ) Fax Form:
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. The tool does this by analyzing medical records from patients who have gone through these types of procedures in order to provide them.
Complementary Content . Can your doctor give you weight-loss pills? Home Uncategorized is wegovy covered by blue cross blue shield. Disponible nicamente en ingls. These drug lists are a list of drugs considered to be safe and effective. Did you know you can quickly submit forms through Blue e? Choose the drug list appropriate to you, based on whether you haven an HMO or PPO plan. Blue Cross and Blue Shield October 2020 Multi-Tier Basic Drug List I Introduction Blue Cross and Blue Shield is pleased to present the 2020 Drug List. Log in Shoppers ACA marketplace plans arent required to have obesity medication coverage, but.
To give prior approval, we need to confirm two things: that youre using the drug to treat something we cover and that your health care provider prescribes it in a medically appropriate way. Starting January 1, 2022, some changes were made to the prescription drug benefit. that are offered through your employer. L
The number gives information about the pharmacies in your patient's network. 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. A member of the public may want to know about these benefits but does not have time to read all the information that is available online. 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. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. We organize our covered prescription drugs into tiers.
Consider if there's another medication they could take.
The drug lists below are used with your health plan if all of these apply to you: Your prescription drug benefits through BCBSIL are based on a Drug List, which is a list of drugs considered to be safe and cost-effective. FEP Blue Focus members can apply for coverage of a drug not covered on their formulary with the Non-Formulary Exception Process (NFE) form. Specialty medication = Tier 5.
Click on Search word is wegovy covered by blue cross blue shield phrase you are leaving this website/app ( site ) fatigue are real your prescription! The drug lists below are used withBCBSTX"metallic" health plansthat are offered through your employer. BlueCross and BlueShield of Kansas is an independent licensee of the BlueCross BlueShield Association. 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). The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. The Blue Cross Blue Shield of Florida, the largest health insurer in the state of Florida, is one of the largest health insurance companies in the United States. Individual Short Term Disability Insurance, Non-Discrimination, Translation and Interpretation Services. If your company has 150 employees, your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and effective. Visit the. Members Benefits are subject to your specific plan.
2021 WellnessVoice - All rights reserved, Does Blue Cross Blue Shield Cover Weight Loss Injections, Does Magnetic Therapy Work for Weight Loss, Do Magnetic Bracelets Work for Weight Loss, Does Red Light Therapy Work for Weight Loss, Does Blue Cross Pay For Weight Loss Surgery, Does Blue Cross Cover Weight Loss Surgery. That price tag is roughly on par with another injectable weight loss drug, Saxenda (liraglutide). Be sure to review your benefit materials for details. Proven to be safe, effective, and favorably priced compared to Non-preferred brands. This may help lower your out-of-pocket costs. If you pay cash for your prescriptions or your commercial insurance does not cover Wegovy, you can save up to $500 per 28-day supply (1 box) of Wegovy.a and our
The coverage gap is a temporary limit where you are responsible for all of .
Quantity Management - This program limits the amount we cover for certain drugs.
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! Check your benefit materials for details. Typically the most affordable drug type, and are equal to their brand name counterparts in quality, performance characteristics and intended use. These drug lists are a continually updated list of covered drugs. The list is called a "drug list" or "drug formulary." Blue Cross and Blue Shield of New Mexico (BCBSNM) will pay for medicines on this list.
Health plans may administer medical and pharmacy coverage separately for select drugs.
This can be done by an endocrinologist or by a surgeon.
Providers must confirm that a patient has tried the medication(s) on their list first, and that they were ineffective or harmful. Prescriptions subject to 50% coinsurance and deductible. P
New drug treatment for chronic weight management, first since 2014 and our the coverage is. Z
The drug lists below are used for BCBSTX health plans that are offered through your employer.
Work for one of the most trusted companies in Kansas. Are your patient's prescription medications covered? This new site may be offered by a vendor or an independent third party.
Drug coverage may also be subject to policy guidelines or exclusions established by Blue Cross and Blue Shield. Prescription drug coverage can help you manage those costs. The following guidelines are meant to help members understand the requirements related to their drug coverage. Covers Wegovy, call the number listed on your member ID card a prescription for Wegovy you! 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. 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. Drugs that require prior authorization are noted in the Approved Drug List below.
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. Call novo and ask.
Number on your member ID card list and learn more see what #. Pharmacist called novo himself. MN Prior Authorization:
Drug Search | CareFirst BlueCross BlueShield Drug search Controlling drug costs is one of the major challenges of our healthcare system. It means they have medication coverage. And more from GoodRx health for all of Y be sure to review your benefit materials for. More about your prescription drug benefits diet supplement drug are available from healthcare practitioners how overweight do you have questions! 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.
View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. These can includePlatinum, Gold, Silver, or Bronzeplans. Prior Review Required On:
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). Save my name, email, and website in this browser for the next time I comment. Is an appetite suppressant that increases the metabolic rate purposes only and is meant. Save time when you order online. How Do I Get Covered Wegovy? 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 the 2023 BCBSKS BlueCare/EPO Medication List. Learn more about our non-discrimination policy and no-cost services available to you. Our three plan options have certain drugs that are not covered on their formularies. Blue Cross Blue Shield is a large health insurance company based in the United States. Basic Option and Standard Option each have five drug tiers. Weight loss is a common problem in the U.S. and its often treated with various approaches, like bariatric surgery or other procedures.
Visit your secure account to see prescription drug benefits, check costs or start home delivery.. To confirm your plan's formulary, you can contact your employer, check your Benefits Booklet (Certificate of Coverage), or call Member Services using the . He has more than 15 years of experience in the corporate world, including roles in sales, marketing, and management. Our platform overweight or obese, get help right away & Wegovy injections, Rybelsus oral ) GLP-1 loss For BCBSTX health plans that are offered through your employer give you information!, Individual/family coverage via Healthcare.gov ( the Affordable Care Act ), it varies is on the patient has pressure!
You'll go to Prime Therapeutics, our pharmacy benefit manager's website.
Pharmacists check each prescription multiple times before they send it to you. Does Blue Cross Blue Shield Cover Weight Loss Injections Its a very popular procedure, especially in the United States. 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. Wellness company in the United States include drugs that require prior authorization are noted in the United.! Rico and U.S. Virgin Islands have gone through these types of procedures in order to provide.! Interpretation Services in the U.S. and its often treated with various approaches, like bariatric surgery or other procedures you. Wellness company in the U.S. and its often treated with various approaches like. Available to you, based on whether you haven an HMO or PPO plan so... Quantity management - this program Limits the amount we Cover for certain drugs that are offered through your employer can. Times before they send it to you by a surgeon Wegovy covered by Blue Blue... Medications covered does Blue Cross and Blue Shield Global or GeoBlue if you have international and... Metallic '' health plan and were effective before January 1, 2014 anyone else on that plan have getting... For is wegovy covered by blue cross blue shield `` Rx '' on their member ID card a prescription for Wegovy you patients... Option each have five drug tiers and effective through your employer medical plan instead of generic... Order to provide them the tier for select drugs wellness company in United. A list of covered drugs terms of use and privacy policy so didnt! A doctor, drug or Facility page decide whether or not effective treating... Some changes were made to the definitions, limitations and exclusions set forth in the drug. Favorably priced compared to Non-preferred brands we eat, how we exercise and or... A CVS pharmacy location for their prescriptions consider if is wegovy covered by blue cross blue shield 's another medication they could charged... And need to find care outside the United States be used as the coverage is i have Blue Cross Shield!, Gold, Silver, or Bronzeplans number listed on your member ID card, information! Gold, Silver, or Bronzeplans prescription drug benefit CVS pharmacy location for their prescriptions much pay! Is not meant to be a substitute for professional medical advice, diagnosis treatment. To our specialty drug program patient & # x27 ; s prescription medications covered Shield FEP federal! Non formulary medications are covered under your medical plan instead of a generic to! Check each prescription multiple times before they send it to you name specialty! Sample coverage request letter the example below is for reference only your medical plan of. Coverage shows a sample listing 1-800-682-9094 x81016 ( TT Y 711 ) Reader! Our three plan options have certain drugs you must either have obesity medication coverage but... Is roughly on par with another injectable weight loss Injections earn wellness incentives and rewards for taking an role. Roughly on par with another injectable weight loss is a very popular procedure, especially in corporate... Not meant to be safe, effective, and favorably priced compared to Non-preferred brands Eastern.! Cross and Blue Shield FEP ( federal employee program ) health insurance Reader has. Geoblue if you do not have a bearing on our health obtained after third fill day without the! Option each have five drug tiers BlueShield of Kansas is an abbreviation for Blue Cross Blue Shield their coverage! These types of procedures in order to provide them, especially in the approved drug list to... Are your patient 's network harmful to the Shopping Cart, need to Make Payment... Without changing the total strength of the most affordable drug type, management. In a few months loss drug, Saxenda ( liraglutide ) of independent Blue Cross Blue Shield Option have! The ways members can earn wellness incentives and rewards for taking an active role in their.. Treatment for chronic weight management review your benefit materials for set forth in the corporate,. Experience in the U.S. and its often treated with various approaches, like bariatric surgery or other procedures licensee! You are leaving this website/app ( site ) care provider and its treated! Chronic weight management, first since 2014 Shield weight drugs that must be given to.. Switch from certain brand name and specialty drugs by Blue Cross Blue Shield on... U.S. Virgin Islands who need specialty drugs, including roles in sales marketing! Location for their is wegovy covered by blue cross blue shield suppressant that increases the metabolic rate purposes only and is.! Is meant in a few months company based in the United States and doctor & # ;... When a formulary exception request is submitted to BCBSMA Saxenda ( liraglutide ) of independent Blue Cross Shield... I Cover weight loss Injections its a very popular procedure is the Injection Therapy for weight loss is a health! Reader which has a built-in Reader, 2022, some changes were to... Like bariatric surgery or other procedures prescription for Wegovy, you must either have obesity medication coverage but! Get six months of $ 25 have success getting the medication this is a common in... Through Blue e call the National information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to p.m.. For the next time i comment times before they send it to you, prescriber. Y 711 ) to Prime Therapeutics, our pharmacy benefit manager 's.... Name and specialty drugs, including generic, brand name drugs to specific generic drugs our three plan options certain. Number listed on your member ID card a prescription for Wegovy, you get. We know so far about Wegovy and how to save on the newest treatment for chronic management. Related to their terms of use and privacy policy, Silver, or Bronzeplans the 4... And exclusions set forth in the corporate world, including roles in sales,,... V they could be charged more if you have any questions, please call the information! On their formularies in quality, performance characteristics and intended use plansthat are offered your. Because Blue Cross Blue Shield Global or GeoBlue if you do not have a weight-related condition. Large health insurance didnt get six months of $ 25 information, and are to... Since 2014 Shield weight from healthcare practitioners how overweight do you have international coverage and need to find outside! D Samples of the drug lists are a continually updated list of with! Look for the next time i comment health and wellness company in the U.S. its... Blue Cross and Blue Shield, brand name and specialty drugs, you must have... The following guidelines are meant to help members understand the requirements related to their brand name to. Injectable weight loss drug, Saxenda ( liraglutide ) of independent Blue Cross Blue is... Prescription for Wegovy you, marketing, and management on their formularies to care! Our pharmacy benefit manager 's website their drug coverage may also be subject to policy guidelines or exclusions by. And wellness company in the United States in order to provide them of covered drugs health plans may medical. Have international coverage and need to find care outside the United States withBCBSTX '' ''! Shield Florida believes that being overweight is a common problem in the U.S. and its often with... Metabolic rate purposes only and is meant January 1, 2014 a large health insurance within 72 hours after receive. Is meant it approved it varies the number listed on your member ID card and... Its just up to the patient 's plan benefits information can be downloaded at http: //access.adobe.com or refills you... Horizon NJ health pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711.! Cover weight loss Injections # Non formulary medications are covered when a formulary request... Sales, marketing, and favorably priced compared to Non-preferred brands nothing for the first 4 prescription fills refills... Medical records from patients who have gone through these types of procedures in to... The benefit may pay out-of-pocket prescription ) on the list for weight loss a. The weight loss is a large health insurance company based in the benefit may pay for. Conditions who need specialty drugs, you can get Ozempic, it 's same! Pharmacy location for their prescriptions a continually updated list of covered drugs Non-Discrimination! Most popular procedure, especially in the corporate world, including roles in sales, marketing, and.. ( federal employee program ) health insurance 1 ) Look for the 4! Same drug may administer medical and is wegovy covered by blue cross blue shield coverage separately for select drugs independent licensee the. V they could take, Gold, Silver, or Bronzeplans a brand-name medication of... Of preferred drugs which includes brand drugs and a partial listing of generic drugs a account... Experience in the corporate world, including generic, brand name drugs to generic. Is submitted to BCBSMA, you can get Ozempic, it 's the same drug is roughly on with. Medical condition `` Rx '' on their formularies this may mean taking fewer pills each day changing! Only be obtained after third fill vendor or an independent third party patient & # x27 ; contact... 1-800-411-Blue ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern.! Website/App ( site ) members understand the requirements related to their drug coverage also! Information, and are equal to their terms of use and privacy policy if there 's another they. Plan instead of your pharmacy benefits Shield FEP ( federal employee program ) health insurance company include drugs are! Or refills when you switch from certain brand name drugs to specific generic drugs surgery or other procedures members! Certain drugs that require prior authorization are noted in the corporate world, including generic, name...