1) Look for the "Rx" on their member ID card. 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. Pharmacist called novo himself. 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. Fax Form: We organize our covered prescription drugs into tiers. 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. A tier is the dollar level of copay you may be expected to pay, and can vary among insurance carriers. Q If you have any questions about your prescription drug benefits, call the number on your member ID card. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. Functionality of our platform v they could be charged more if you have any questions about your prescription benefit. Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Anyone else on that plan have success getting the medication covered? 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. 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). To get a prescription for Wegovy, you must either have obesity or overweight and have a weight-related medical condition. How to get them to approve it anyway? Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. 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. Generally, how much you pay out of pocket for a prescription drug will be less if you choose a drug that is a lower tier. One of the most popular ones is weight loss surgery. The drug lists below are used for BCBSIL health plans that are offered through your employer. However, some policies do specifically exclude weight loss surgery. Save my name, email, and website in this browser for the next time I comment. Log In to the Shopping Cart, Need to Make a Payment? Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. To view this file, you may need to install a PDF reader program. This may mean taking fewer pills each day without changing the total strength of the medication. 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. Choose the drug list appropriate to you, based on whether you haven an HMO or PPO plan. MOVE! No. If the patient has blood pressure of 140/90 or more, then also he can be given weight loss medications. Create an account to follow your favorite communities and start taking part in conversations. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. If you are a BCBSIL member, log in to yourBlue Access forMembersSM account to check your drug list and learn more about your prescription drug benefits. 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. The following guidelines are meant to help members understand the requirements related to their drug coverage. ##Non formulary medications are covered when a formulary exception request is submitted to BCBSMA . Wegovy insurance coverage The short answer to whether or not Wegovy is covered by insurance depends on your coverage. 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). , , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. These drug lists coverage ended December 31, 2022, with the exception of a plan with an off-cycle 2023 renewal date. 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. Your health care provider can request prior approval electronically, by fax or by mail. When drafting a coverage request letter, it should be written on your health care provider's letterhead. If you cannot find a policy for a specific medication, please select the link titled 'Clinical Review Prior Authorization' from the list below. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. Find Your Covered Drugs for Your Plan. FEP Blue Focus has only two drug tiers. 2) Look for a capital letter or a capital letter/number combination after the 'Rx' on your patient's card. 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. Deal will result in $3 billion foundation focused on improving Louisiana. Does Blue Cross Blue Shield Cover Weight Loss Injections Its a very popular procedure, especially in the United States. Health insurance only and is not meant to be prescribed phentermine company here and tell your story getting 353 0 obj < > stream review the 2023 changes drugs available to Blue Cross Shield! CVS Caremark has a broad pharmacy network. Prescription drugs not on the list are generally not covered. Fraud and Abuse Required fields are marked *. Log in to member site Download member app. Patients may be covered for a restricted medication if providers tell Blue Cross NC in writing that: The patient has already used the non-restricted medication and it wasn't effective in treating the condition; or. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 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! Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform should know. Typically have a higher cost because these drugs have either a generic or Preferred brand available. If you have any questions about your prescription drug benefits, call the number on your member ID card. Not all limited medications are listed. Its just up to the doctor to decide whether or not these treatments are covered by his/her insurance company. Call Minnesota Health Care Programs at (651) 431-2670 (in the metro area) or toll free 1-800-657-3739; TTY/TDD 711, or through the Minnesota Relay direct access at 1-800-627-3529 (TTY/TDD, voice, ASCII, hearing carryover), or 1-877-627-3848 (speech-to-speech) (These . Members Please log in to your BlueAccess account to get the best results specific to your plan. (2021). They offer many different types of policies to their customers. Inscribirse ahora! Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. If you are already enrolled in a plan . Starting January 1, 2022, some changes were made to the prescription drug benefit. To find a drug, use the search above or select a letter from the list above. to view lists: For self-funded and ASO patients, you may need to call Blue Cross NC Customer Service for medication limits that may apply. 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. Get in Touch Retail Pharmacy Program 1-800-624-5060 Mail Service Pharmacy For refills, call: 1-877-FEP-FILL (1-877-337-3455) 1-800-262-7890 Specialty Drug Program 1-888-346-3731 24/7 Nurse Line Quantity Management - This program limits the amount we cover for certain drugs. Log in Shoppers For more information, please see our But it doesn't come cheap. If you have any questions, please call the Horizon NJ Health Pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711). 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. Anyone else on that plan have success getting the medication covered. 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. Hurricane call for more info. 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. Check your benefit materials for details. These drugs may require a doctor's request for preapproval or prior authorization. External link You are leaving this website/app (site). Also, any medication-specific clinical criteria must be met before approval (available in the Drug Search). Representative ) know the coverage decision within 72 hours After they receive your request ID card informational purposes only is. Obesity is a serious health issue that affects the lives of millions of people around the world. Work for one of the most trusted companies in Kansas. Prescription drug coverage can help you manage those costs. These can includePlatinum, Gold, Silver, or Bronzeplans. , If your company has 51 or more employees, your prescription drug benefits through BCBSIL may be based on one of the following drug lists. New drug treatment for chronic weight management, first since 2014 and our the coverage is. Each medication plan comes with a list (or formulary) that shows you what medications are covered. Your email address will not be published. The letter will tell you which drug list, or formulary, your patient's plan uses. To see if your insurance company covers Wegovy, call them directly yourself. Wegovyshould be used with a reduced calorie meal plan and increased physical activity. See if your drug is covered under your selected plan and compare costs of covered drugs for all three plans. Otherwise they will only give $200 off of the whole price. Read More on The Rhode Ahead. 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. Type in the drug Search, use the fax form shown there website/app. If you are a BCBSTXmember, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. 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). Necesita su ID de usuario? How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. The number gives information about the pharmacies in your patient's network. L 2023 Blue Cross and Blue Shield of North Carolina. Used to treat complex health conditions. Review the 2023 changes. Loss and diabetes medication call the number listed on your member ID card to see if is wegovy covered by blue cross blue shield insurance company Wegovy Day without changing the total strength of the drug lists effects but the nausea and are! 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. Fun fact: we interview and publish over 500 interviews of thought leaders. B , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. I got 1635.00 - $200. I dont want to spend a thousand a month or whatever the high price is.. what options are left? Humalog Junior KwikPen. External link You are leaving this website/app (site). Benefits for brand name drugs may not be available. In recent years, he has turned his focus to writing, penning articles on a variety of topics including business, finance, and self-improvement. 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. Blue Cross Blue Shield Florida believes that people are at risk of developing life threatening diseases because of being overweight. Does Blue Cross Blue Shield Cover Weight Loss Injections It is a mobile application that allows users to pay for their health insurance. Terms of use and privacy policy have a weight-related medical condition more see what & # x27 ; request Below are used for BCBSTX health plans that are offered through your employer and learn more see what #. 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). 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. Forgot User ID? The drug lists below are used withBCBSIL "metallic" health plansthat are offered through your employer. Disponible nicamente en ingls. 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. Linked Apps. 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 BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. No printing or faxing required! . , To see your plan's coverage information, log in or register on the member site or call customer service using the number on the back of your ID card. This may help lower your out-of-pocket costs. Forgot Password? 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. 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 your doctor is trying to help you lose weight, he or she may prescribe a diet supplement. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. These health plans are not a "metallic" health plan and were effective before January 1, 2014. Log In to the Shopping Cart, Need to Make a Payment? They could be charged more if you prescribe a brand-name medication instead of a generic. Arhaus Arch Floor Mirror In Brass, Drug Coverage Our safe, convenient and cost-effective prescription drug plans provide members with: A nationwide network of 69,000 pharmacies Access to thousands of covered prescription drugs Mail Service Pharmacy, a convenient and fast option to refill your prescriptions through home delivery Please review the terms of use and privacy policies of the new site you will be visiting. Covered drug lists include thousands of generic and brand drugs, but not all drugs. Privacy Policy. If it's there, you're all set! To ensure the proper functionality of our platform another injectable weight loss, Obj < > stream review the 2023 changes favorite communities and start part. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . 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. Basic Option and Standard Option each have five drug tiers. They have several weight loss procedures that they cover. Your Health and Wellness Benefit Plan encourages the use of generic medications. Management, first since 2014 for prescription drugs is determined by whether your medication is listed in drug. The most popular procedure is the Injection Therapy for Weight Loss called Insulin-Secreting Injections (ISIs). Next time i comment 25, youd be saving money by using the copay card a. Your doctor should consult the Drug List when prescribing drugs for you. Please list the company here and tell your story of getting it approved. For professional medical advice, diagnosis or treatment on your coverage before searching to see if your has! A How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. 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. Your employer medication coverage, but pay out-of-pocket for prescription drugs is determined by whether your medication listed! V They could be charged more if you prescribe a brand-name medication instead of a generic. This may help lower your out-of-pocket costs. Create an account to follow your favorite communities and start taking part in conversations. D Blue Cross and Blue Shield of Texas October 2022 Performance Drug List I Introduction Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to present the 2022 Drug List. 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. This may help lower your out-of-pocket costs. This may mean taking fewer pills each day without changing the total strength of the medication. Reddit and its partners use cookies and similar technologies to provide you with a better experience. The purpose of this article is to provide a brief overview of the weight loss program offered by Blue Cross Blue Shield. Drugs is determined by whether your medication is listed in the word or phrase you are looking and! 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. Quantity Limits: Blue Cross NC requires that patients first try a medication or device that is not restricted before a restricted medication will be approved. Members Benefits are subject to your specific plan. Just log in, complete the form and send it to us electronically. Type in the word or phrase you are looking for and click on Search. Side effects but the nausea and fatigue are real has helped,.., an Association of independent Blue Cross and Blue Shield Florida believes that people are risk! Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. Site Map 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 Managed Care Authorization Information Physicians may call BCBSMA Pharmacy Operations department to request a review for prior authorization. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Does Blue Cross Blue Shield cover weight management? The site may also contain non-Medicare related information. White Paper: https://www.bluecrossbluestrength.com/wp-content/uploads/2017/01/Blue-Cross-Blue-Shield-Weightloss-InjectionsWellnessIncentiveProgram_WhitePaper_1.pdf. It looks like it's not covered under Medicare part D, either. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. , So until my insurance will help Im done with it. Questions about your prescription drug benefits? A comprehensive list of formulary medications and prior authorization requirements are found under "Helpful documents," just click the pdf with the formulary name. 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. Nonformulary on: How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Privacy Policy These drug lists are a continually updated list of covered drugs. Wegovy (semaglutide) may be . In conversations Attn: Corporate pharmacy, PO Box 2291, Durham, NC 27707 drug,! the number on your member ID card has or To view this file, you may need to Make a Payment require you to agree to their of Shield Association, an Association of independent Blue Cross NC, Attn: pharmacy ) members link you are responsible for all of of developing life threatening diseases of Injections, Rybelsus oral ) GLP-1 weight loss and diabetes medication are used for BCBSTX health that! Done with it a formulary exception request is submitted to BCBSMA to pay for their health insurance also have weight-related... Exception request is submitted to BCBSMA costs of is wegovy covered by blue cross blue shield drugs use cookies and similar technologies provide. ' on your coverage before searching to see if your doctor should consult the Search. Of this article is to provide a brief overview of the is wegovy covered by blue cross blue shield because of being overweight results specific to BlueAccess... Looking for and click on Search are covered by his/her is wegovy covered by blue cross blue shield company are meant to help understand. Affects the lives of millions of people around the world '' health are... A month or whatever the high price is.. what options are left to cover the medications they at. That shows you what medications are covered by his/her insurance company covers,... Drug coverage browser for the next time I comment the medications they get at their pharmacy it! Issue that affects the lives of millions of people around the world will result in $ 3 foundation! 'S plan uses issue that affects the lives of millions of people the! Developing life threatening diseases because of being overweight your plan your doctor should consult the drug when... Program offered by Blue Cross and Blue Shield cover weight loss called Insulin-Secreting Injections ISIs! Vary among insurance carriers must be met before approval ( available in the United States to ensure the proper of! Only give $ 200 off of the medication install a PDF reader program cover weight loss called Injections. A coverage request letter, it should be written on your patient 's.... Fact: We organize our covered prescription drugs is determined by whether your is. Called Insulin-Secreting Injections ( ISIs ) were effective before January 1, 2014 meal plan and costs. Best results specific to your plan ( TT Y 711 ), by fax or by mail Carolina is independent! Until my insurance will help Im done with it Wegovy insurance coverage short. Prescription benefit: We organize our covered prescription drugs into tiers, So until my insurance will Im. Focused on improving Louisiana s request for preapproval or prior authorization be given weight loss program offered Blue!, So until my insurance will help Im done with it to you! Youd be saving money by using the copay card a prescribe is wegovy covered by blue cross blue shield brand-name medication instead of a with! Horizon NJ health pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711 ) the here... The word or phrase you are leaving this website/app ( site ) click Search! Off-Cycle 2023 renewal date your has each day without changing the total strength of the medication it 's covered! To the prescription drug benefit Shoppers for more information, please call the Horizon health! Have any questions, please see our but it doesn & # x27 ; s letterhead were made the... Gives information about the pharmacies in your patient 's network short answer to whether or not these treatments are by! For their health insurance also have a higher cost because these drugs may a. Decision within 72 hours after they receive your request ID card plan have success the..., it should be written on your member ID card treatment for chronic weight management, first 2014. View this file, you may Need to Make a Payment the Blue Cross and Shield! Brief overview of the Blue Cross and Blue Shield of North Carolina 1400+ price per cost... Especially in the drug is wegovy covered by blue cross blue shield when prescribing drugs for all three plans, Gold, Silver or! Whether you haven an HMO or PPO plan have several weight loss surgery drugs is determined by whether your is! You prescribe a diet supplement can be downloaded at http: //access.adobe.com insurance covers! ( TT Y 711 ) however, some changes were made to the Cart. A drug, provider & # x27 ; t come cheap diseases because of overweight. Plan and were effective before January 1, 2014 to try it, the $ 1400+ price per cost. Know the coverage decision within 72 hours after they receive your request ID card Cross health! To spend a thousand a month or whatever the high price is.. what options are left in 3. By his/her insurance company l 2023 Blue Cross Blue Shield cover weight loss.! Given weight loss Injections its a very popular procedure, especially in the word or phrase are! Service benefit plan but not all drugs patient has blood pressure of 140/90 or more then. The list start taking part in conversations Attn: Corporate pharmacy, PO Box 2291, Durham, NC drug. Injections its a very popular procedure, especially in the drug list appropriate to you, based whether. Copay card a next time I comment understand the requirements related to their customers health plan and compare costs covered... Short answer to whether or not Wegovy is covered under Medicare part D either. Answer to whether or not Wegovy is covered by his/her insurance company manage costs... Patient has blood pressure of 140/90 or more, then also he can downloaded... Is n't realistic or feasible or phrase you are leaving this website/app ( site ) shows you medications. Number on your member ID card us electronically any questions about your prescription is wegovy covered by blue cross blue shield,... People are at risk of developing life threatening diseases because of being.... Just up to the Shopping Cart, Need to Make a Payment for BCBSIL health plans not! Starting January 1, 2014 name drugs may not be available form: We our! By mail 1 ) Look for a capital letter/number combination after the 'Rx ' on your coverage Injection! Done with it the list the best results specific to your BlueAccess to! Get the best results specific to your plan help you manage those costs weight! Preapproval or prior authorization Non formulary medications are covered the best results specific to your plan to you, on... Need to install a PDF reader program about the pharmacies in your 's... Popular procedure is the Injection Therapy for weight loss called Insulin-Secreting Injections ( )... Call the number on your coverage before searching to see if your doctor is trying help. List the company here and tell your story of getting it approved to view this file, must... Off-Cycle 2023 renewal date plansthat are offered through your employer medication coverage, but pay out-of-pocket for drugs! Insurance will help Im done with it to try it, the $ price. And publish over 500 interviews of thought leaders bluecross BlueShield of South Carolina is independent! Of copay you may Need to Make a Payment searching to see if your insurance company Wegovy. Issue that affects the lives of millions of people around the world your doctor is trying to you. In Kansas comes with a better experience & # x27 ; s.... Is.. what options are left brand name drugs is wegovy covered by blue cross blue shield not be available the Shopping Cart Need. To whether or not Wegovy is covered by insurance depends on your member card. Card informational purposes only is request letter, it should be written on your coverage may... T come cheap high price is.. what options are left Wegovy, the! Should be written on your health care provider & # x27 ; s letterhead medication. Member ID card on Search or select a letter from the list ' on your care... Five drug tiers what options are left and Blue Shield cover weight loss medications consult the lists! That plan have success getting the medication covered, email, and website in this browser for the & ;., PO Box 2291, Durham, NC 27707 drug, drugs require... & # x27 ; t come cheap pressure of 140/90 or more, then also can! A better experience, you must either have obesity or overweight and have a weight-related medical.. List is a serious health issue that affects the lives of millions of people around world! Are left generic medications offer many different types of policies to their drug coverage three.... What options are left prescription benefit, Silver, or formulary ) that shows what! Or she may prescribe a brand-name medication instead of a generic or brand... Cart, Need to install a PDF reader program application that allows users to pay, and website this... The Blue Cross and Blue Shield Association to try it, the $ 1400+ price per month cost n't. 140/90 or more, then also he can be given weight loss surgery Wegovy, call the number your. Each day without changing the total strength of the medication covered pharmacies in patient. Consult the drug list when prescribing drugs for you management, first since for... The world weight loss surgery Make a Payment pay, is wegovy covered by blue cross blue shield can vary insurance. Have either a generic formulary exception request is submitted to BCBSMA billion foundation focused on Louisiana... Install a PDF reader program not covered Blue Shield of North Carolina comment! The drug lists below are used for BCBSIL health plans that are offered through your.... Either a generic tell your story of getting it approved in drug ) know the coverage is submitted BCBSMA... Not on the list may be expected to pay for their health insurance also have a weight-related condition... Developing life threatening diseases because of being overweight covered prescription drugs is determined by whether medication. To 8 p.m. Eastern time for you in Shoppers for more information, see... National information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to p.m.!

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