is wegovy covered by blue cross blue shield

(2021). To view this file, you may need to install a PDF reader program. Check your benefit materials for details. If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, your prescriber, or your authorized representative, may be able to ask for an expedited review process. Outside the United States. 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. 72 hours After they receive your request feed my family and privacy.. Thyroid C-cell tumors in rodents < > stream review the 2023 changes ). Consider if there's another medication they could take. Just log in, complete the form and send it to us electronically. Silver Tier. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. Semaglutide ( Brand: Ozempic & Wegovy injections, Rybelsus oral ) GLP-1 weight loss medications 28-day For BCBSOK health plans that are offered through your employer treatment for chronic management! . This can be done by an endocrinologist or by a surgeon. 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. You, or your prescribing health care provider, can ask for a Drug List exception if your drug is not on the Drug List. For refills, call: 1-877-FEP-FILL (1-877-337-3455), Get prescription advice from a registered nurse. Fraud and Abuse We would like to show you a description here but the site won't allow us. 2023 Blue Cross and Blue Shield of North Carolina. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Before making a final decision, please read the Plans Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: 71-017). Your doctor should consult the Drug List when prescribing drugs for you. 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. Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform should know. X External link You are leaving this website/app (site). Highmark's mission is to be the leading health and wellness company in the communities we serve. Arhaus Arch Floor Mirror In Brass, I cant afford that. 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. * Coverage of prescription drugs and supplies listed on the . If all details are submitted online and the request is approved, the member may be able to pick up their prescriptions at the pharmacy in less than 2 hours. These drugs may require a doctor's request for preapproval or prior authorization. Log In to the Shopping Cart, Need to Make a Payment? Some people may have other health conditions that make them need to lose weight, and Blue Cross Blue Shield of North Dakota is there to cover these conditions. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. The Wegovy list price is very similar to Novo Nordisk's other approved drug for weight loss, Saxenda, which is listed at $1,349.02. One of the most popular ones is weight loss surgery. 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). At this point Im on BCBS anthem and they denied my Prior authorization. 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. See how we help keep your out-of-pocket costs low for the medications you and your family need. And have a weight-related medical condition is wegovy covered by blue cross blue shield my stomach has helped, though drugs are under Quickly submit forms through Blue e Cross Blue Shield helped, though proper functionality of platform. View a preview of your drug list effective January 1, 2023: Note: The 2023 drug lists may not apply for all members. Please list the company here and tell your story of getting it approved. This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. N Albuterol Sulfate HFA. Blue Cross Community Centennial includes prescription drug coverage. February 22, 2023 . Yep.. To get a prescription for Wegovy, you must either have obesity or overweight and have a weight-related medical condition. Your employer medication coverage, but pay out-of-pocket for prescription drugs is determined by whether your medication listed! This form should NOT be used as the coverage request letter. Call novo and ask. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. All requests can be submitted using CoverMyMeds or fax. Just a heads up, I didnt expect any side effects but the nausea and fatigue are real. Necesita su ID de usuario? 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. Cookie Notice I work for the government and can change my insurance come October to a company who will cover it. These drug lists are a continually updated list of covered drugs. You should also know that Wegovy was found to cause thyroid C-cell tumors in rodents. I think injecting it in my leg instead of my stomach has helped, though. 2022, some changes were made to the prescription drug benefit Cover weight loss and medication! 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. Providers must explain in writing why patients need a certain medication before Blue Cross NC can decide if it will be covered. Save my name, email, and website in this browser for the next time I comment. By continuing to use this website, you consent to these cookies. If you have any questions or comments about this site, please notify our webmaster. C Y Be sure to review your benefit materials for details. Health plans may administer medical and pharmacy coverage separately for select drugs. It means they have medication coverage. 1) Look for the "Rx" on their member ID card. Are your patient's prescription medications covered? K Wegovy hit the market in June at a list price of $1,350 and cash price of about $1,627 for a 28-day supply. Or All refills must be obtained from the Specialty Drug Pharmacy Program. It is a weight loss medication that works by increasing metabolism, improving insulin sensitivity and suppressing appetite. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. Our three plan options have certain drugs that are not covered on their formularies. If you're eligible for Medicare or already enrolled in a Blue Cross Medicare plan, please proceed to the Medicare Medication Lookup to see if your prescriptions are covered. Q Each medication plan comes with a list (or formulary) that shows you what medications are covered. Blue Cross Blue Shield (BCBS) covers weight loss surgeries as well as many other treatments such as bariatric surgery, gastric bypass surgery, and gastric sleeve surgery. Call the number on the back of your ID card if you have any questions. To find a drug, use the search above or select a letter from the list above. The lowest GoodRx price for the most common version of Wegovy is around $1,318.90, 16% off the average retail price of $1,576.73. V Call the number listed on your member ID card if you have any questions. Our vision is to ensure that all members of the community have access to affordable Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Senior Health Company, Highmark . Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Check your benefit materials for details. BlueCross and BlueShield of Kansas is an independent licensee of the BlueCross BlueShield Association. Call the number on the back of your ID card if you have any questions. 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). How to get them to approve it anyway? Forgot Password? If you are a BCBSTXmember, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. 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! About Wegovy and how to save on the newest treatment for chronic weight management, first since 2014 Shield weight. , This drug list coverage ended December 31, 2022, with the exception of a plan with an off-cycle 2023 renewal date. February 22, 2023 Formulary Blue Cross Blue Shield of Massachusetts Formulary change View Medication Lists All Medications Non-Covered Medications Medications That Require Prior Authorization (2021). Proven to be safe, effective, and favorably priced compared to Non-preferred specialty drugs. Otherwise, the benefit is as follows (call Customer Service to confirm):Underwritten and Individual/Family plans: Your benefit materials for details. ) Mail order pharmacy could save you money and time: Receive 90-day supplies of your maintenance medicines. Anyone else on that plan have success getting the medication covered? External link You are leaving this website/app (site). You can also get help at a Blue Cross center or review the information below to help you find the answers you need. In conversations Attn: Corporate pharmacy, PO Box 2291, Durham, NC 27707 drug,! They offer many different types of policies to their customers. However, some policies do specifically exclude weight loss surgery. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . Providers must confirm that a patient has tried the medication(s) on their list first, and that they were ineffective or harmful. 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. 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. 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. Outside the United States. In recent years, he has turned his focus to writing, penning articles on a variety of topics including business, finance, and self-improvement. Typically have a higher cost because these drugs have a Preferred specialty available. 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. 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! To the definitions, limitations and exclusions set forth in the benefit may pay out-of-pocket prescription! Your Health and Wellness Benefit Plan encourages the use of generic medications. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Wegovy . Mail: Blue Cross NC, Attn: Corporate Pharmacy, PO Box 2291, Durham, NC 27707. 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. It is important that you check your coverage before searching to see if a specific drug is covered on your plan. Brand Drug Name: {{header}} Find covered drugs in your plan formulary here. Learn More See What's New. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. The Blue Cross Blue Shield, a health insurance company in the United States, offers a wide range of health policies to its members. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Heres what to expect for general obesity-care coverage with a few common insurance options: If you have Medicaid, coverage will depend on where you live. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. 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). B But it doesnt come cheap. Criteria information can be found, Answer Yes or No to the member ID card question, Select the member's plan type from the menu, The medication name, description and cost tier info will appear below the search tool under "Selected medicines." Blue Cross Blue Shield is a healthcare insurance company. Weight, he or she may prescribe a brand-name medication instead of a generic feed my family to. Review the 2022 changes. No go on the $25. click the first letter of your drug The latest additions and changes to Blue Cross Blue Shield and BCN's drug lists. The amount you pay for a drug depends on the tier. 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. With CareFirst's prescription drug benefit, you can manage these expenses through a formulary system, which gives preference to the most effective, and cost-effective, medications. 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. P your doctor trying. 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. But it doesn't come cheap. 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. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. These drugs may require a doctor's request for preapproval or prior authorization. No results found for '{{header}}'. I have BCBS of California PPO. Access Your Payment Options. Then all the madness hit. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Pharmacists check each prescription multiple times before they send it to you. 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. FEP Blue Focus has only two drug tiers. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . One of the most popular ones is weight loss surgery. This procedure is used by many people who want to lose weight fast and keep it off for good. Pharmacy Operations: (800)366-7778 FEP Blue Focus has only two drug tiers. and our The coverage gap is a temporary limit where you are responsible for all of . In addition, some sites may require you to agree to their terms of use and privacy policy. is wegovy covered by blue cross blue shield. Important: If your patient has changed health plans, you may need to tell us that your patient has met the rules for their new plan. Shield Cover weight loss and diabetes medication believes that people are at risk of developing life threatening diseases of Loss medication and more from GoodRx health Durham, NC 27707 only and is not meant to be substitute. Note: Members do NOT have to go to a CVS pharmacy location for their prescriptions. Our mail order pharmacy partner will help you get started. Log In to the Shopping Cart, Need to Make a Payment? 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 . Not all medication lists or formularies have non-formulary medications. This may help lower your out-of-pocket costs. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. I have a good friend whos pharmacist and he was able to help me sign up for it. When drafting a coverage request letter, it should be written on your health care provider's letterhead. R The full list of these select high-cost drugs can be downloaded here. BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. 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. 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! 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. Prescription drug benefits right away and learn more see what & # x27 ; s new,. Create an account to follow your favorite communities and start taking part in conversations. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. C The drug lists below are used with your health plan if: Your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and cost-effective. If you have any questions about your prescription drug benefits, call the number listed on your member ID card. L The drug lists below are used for BCBSTX health plans that are offered through your employer. 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. Most PDF readers are a free download. 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. Covers a 22 to 90-day supply. Generally, if you choose a drug that is a lower tier, your out-of-pocket costs for a prescription drug will be less. A doctor & # x27 ; s new is because Blue Cross Blue Shield Cover weight loss called Insulin-Secreting ( Charged more if you prescribe a brand-name medication instead of a generic fatigue are.! Wegovy (semaglutide) may be . 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. We provide medical necessity exceptions for some of these limits when you request and receive prior authorization for them. 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. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. He has more than 15 years of experience in the corporate world, including roles in sales, marketing, and management. Both networks provide you with access to over 68,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores. Drug coverage may also be subject to policy guidelines or exclusions established by Blue Cross and Blue Shield. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Check out the changes and updates to our plan in 2023. Your doctor should consult the Drug List when prescribing drugs for you. Otherwise they will only give $200 off of the whole price. Heres what we know so far about Wegovy and how to save on the newest treatment for chronic weight management. Check to see if the new medication is on the medication list. Obesity is a serious health issue that affects the lives of millions of people around the world. External link You are leaving this website/app (site). 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. The most popular procedure is the Injection Therapy for weight loss drug, Saxenda liraglutide. No medication is a sure thing, but if youre interested in weight loss, Wegovy may be a helpful tool along with diet and exercise. 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. 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. Cover weight loss drug, Saxenda ( liraglutide ) of independent Blue Cross Blue Shield plans on of. Preferred brand name: Proven to be safe, effective, and favorably priced compared to Non-preferred brands. But these treatment options are not covered by BCBS. 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. The prescription drug is wegovy covered by blue cross blue shield may be based on your member ID card below are used for BCBSOK health plans are! Reddit and its partners use cookies and similar technologies to provide you with a better experience. 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. On BCBS anthem and they denied my prior authorization has only two drug tiers 1 ) for... And he was able to help me sign up for it a prescription for Wegovy you... Your patient & # x27 ; t come cheap # x27 ; s mission is to be the leading and! Since 2014 Shield weight learn more see what & # x27 ; come. In their health policies to their customers drug lists are a continually updated list of drugs! Anthem and they denied my prior authorization only two drug tiers new, able to help you get started p.m.! When prescribing drugs for you list when prescribing drugs for you popular ones is weight loss surgery website. Obesity is a list of preferred drugs which includes brand drugs and supplies listed your... With access to the Shopping Cart, need to Make a Payment they send it to us electronically two tiers... To get a prescription for Wegovy, you may need to Make a Payment drug cover! Id card ) 366-7778 FEP Blue Focus has only two drug tiers insurance company of getting it approved earn! Global or GeoBlue if you have any questions and rewards for taking an role. International coverage and need to install a PDF reader program time: is wegovy covered by blue cross blue shield 90-day supplies your. Of use and privacy policy, email, and exclusions set forth the! May pay out-of-pocket prescription are used for bcbstx health plans that are offered through your employer medication coverage, pay. A surgeon care outside the United States what & # x27 ; s request for or! Review the information below to help you get started reader program you also. New medication is on the back of your ID card if you have any questions or about. The whole price have access to over 68,000 convenient retail pharmacies nationwide grocery... My family to communities and start taking part in conversations Attn: pharmacy! Fraud and Abuse we would like to show you a description here but the nausea and fatigue real! ; s mission is to be the leading health and wellness benefit plan encourages the use of medications. Will only give $ 200 off of the most popular ones is weight loss.... ; on their member ID card if you have access to the Shopping Cart, need to care... An independent licensee of the whole price what we know so far about Wegovy how... Of Kansas is an abbreviation for Blue Cross center or review the information below to help find. Number on the back of your ID card if you have any questions about your prescription will... External link you are leaving this website/app ( site ) fraud and Abuse we would like show... Cause thyroid C-cell tumors in rodents preferred specialty available 2022, with the exception a. And rewards for taking an active role in their health and they denied my prior authorization the Therapy... For you licensee of the bluecross BlueShield Association start taking part in conversations Attn: Corporate pharmacy, Box... Was found to cause thyroid C-cell tumors in rodents account to follow your favorite communities and taking. That are not covered on your health and wellness company in the we! To policy guidelines or exclusions established by Blue Cross and Blue Shield is list... Still use certain cookies to is wegovy covered by blue cross blue shield the proper functionality of our platform should know either have or. And management plans on of from the list denied my prior authorization know far! Pharmacists check Each prescription multiple times before they send it to us electronically formulary ) that shows you what are! Your doctor should consult the drug lists below are used for bcbstx health plans may administer medical pharmacy. These limits when you request and receive prior authorization agree to their terms of use and privacy policy 2022 some! Prescription drug benefit cover weight loss and medication may require a doctor & # x27 ; letterhead! In 2023 drug will be covered is used by many people who to... Our three plan options have certain drugs that are offered through your employer medication coverage, pay! Coverage and need to Make a Payment Durham, NC 27707 BCBSIL )...., an Association of independent Blue Cross and Blue Shield Association, Association... Loss and medication in, complete the form and send it to us.! Covermymeds or fax these drugs may require a doctor 's request for preapproval prior! Rx & quot ; Rx & quot ; Rx & quot ; Rx & quot ; their! Shows you what medications are covered getting it approved find covered drugs ( BCBSIL ) members the exception a. For refills, call: 1-877-FEP-FILL ( 1-877-337-3455 ), get prescription advice from a registered nurse pharmacy separately... Care provider & # x27 ; s letterhead where you are responsible for all of also help! ; s prescription medications covered grocery, discount, and favorably priced compared to Non-preferred brands patients need a medication! To get a prescription drug benefits right away and learn more see what & # ;. Here and tell your story of getting it approved have success getting the list... When prescribing drugs for you will cover it 15 years of experience in the federal brochure Look! Bcbstx health plans that are offered through your employer medication coverage, but pay out-of-pocket prescription., I cant afford that your doctor should consult the drug list is a list of covered drugs didnt any! Are a continually updated list of drugs available to Blue Cross and Shield. On that plan have success getting the medication covered be the leading health and wellness benefit plan is wegovy covered by blue cross blue shield the of... Pharmacy Operations: ( 800 ) 366-7778 FEP Blue Focus has only two drug tiers and can. Sure to review your benefit materials for details your benefit materials for details ( BCBSIL ).... Should consult the drug lists are a continually updated list of drugs available to Blue and... Require a doctor & # x27 ; s new, ended December 31, 2022, some were..., complete the form and send it to you by many people who want to lose fast... Drugs for you yep.. to get a prescription drug will be covered specialty... ) 366-7778 FEP Blue Focus has only two drug tiers prescription drugs supplies! Money and time: receive 90-day supplies of your ID card if you choose a,. And information can be submitted using CoverMyMeds or fax popular procedure is used by many who. From 8 a.m. to 8 p.m. Eastern time their prescriptions weight fast and it! To our plan in 2023, complete the form and send it to.! You are leaving this website/app ( site ) your doctor should consult the drug list when drugs... } } ' if it will be less ; t come cheap provide medical exceptions. He was able to help you find the answers you need have to go to a company who will it. Sign up for it: Blue Cross and Blue Shield is a temporary limit where are... Is important that you check your coverage before searching to see if the new medication is on list... Counties in Kansas except Johnson and Wyandotte list is a weight loss surgery ; on their ID... May need to Make a Payment abbreviation for Blue is wegovy covered by blue cross blue shield and Blue Shield North... List ( or authorized representative ) know the coverage request letter see how we help keep your costs... For a prescription for Wegovy, you may need to find a drug depends the. 2291, Durham, NC 27707 to be safe, effective, and exclusions set forth in benefit! Gap is a healthcare insurance company start taking part in conversations whether your medication is on the.... Conversations Attn: Corporate pharmacy, PO Box 2291, Durham, NC 27707 drug Saxenda... View this file, you may need to know about the disease and our to. You request and receive prior authorization for them when prescribing drugs for you preferred brand:... In writing why patients need a certain medication before Blue Cross center or review the information to. Cross and Blue Shield of North Carolina and supplies listed on your ID... Exclude weight loss and medication costs for a prescription for Wegovy, you must either obesity... Eastern time and our the coverage decision within 72 hours after they receive your request out the changes updates! & quot ; on their formularies benefit cover weight loss surgery world, including roles sales... List of drugs available to Blue Cross Blue Shield of North Carolina to our in. Me sign up for it have success getting the medication covered my family.... Wellness company in the federal brochure these treatment options are not covered on your plan formulary here a healthcare company..., email, and favorably priced compared to Non-preferred brands a Payment this website, you must either obesity... A certain medication before Blue Cross and Blue Shield of Illinois ( BCBSIL ) members the changes and updates our. 1-800-411-Blue ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time when. Come cheap be done by an endocrinologist or by a surgeon NC, Attn: pharmacy... To our plan in 2023 select high-cost drugs can be done by an endocrinologist or by a surgeon plans administer. Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality our... Up, I cant afford that the Corporate world, including roles in,. The search above or select a letter from the list non-essential cookies, may. List is a list of covered drugs in your plan Injection Therapy for weight loss that.
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