To get the best results, specific to your coverage, log in to your BlueAccess account and click on Rx Drugs. I got 1635.00 - $200. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. 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. If you want your patient to take a medication that isn't on the Essential or Net Results medication list, here's what to do: For members on the Essential Medication List (formulary), if request for a non-formulary medication is approved, these cost levels or "tiers" will apply: Essential 5 Tier = Tier 5 Forgot User ID? Your email address will not be published. Access Your Payment Options. Log In to the Shopping Cart, Need to Make a Payment? account to check your drug list and learn more about your prescription drug benefits. A Still, you may be able to advocate for coverage with the help of your healthcare provider. These drugs are often given to you in a hospital, doctor's office or health care setting. Rybelsus is a brand name for semaglutide thats available in once-daily tablet form for blood sugar control among those with Type 2 diabetes. Forgot Password? To get the best results, specific to your coverage, log in to yourBlueAccessaccount and click on Rx Drugs. Unfortunately, coverage for obesity care and weight loss medications can be hit or miss. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Restricted Access/Step Therapy: I cant afford that. If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, or your prescriber, may be able to ask for an expedited review process. Wegovy launched in late June and is available in pharmacies throughout the U.S. for those with a prescription. Wegovy . United States Patent and Trademark Office Patent Full-Text and Image Database. Note: 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. What Does A Headache On The Right Side Mean. These prescription drug lists have different levels of coverage, which are called "tiers". It looks like it's not covered under Medicare part D, either. Because Wegovy is a new drug, and under an active patent, a generic version isnt available. Necesita su ID de usuario? 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). These prescription drug lists have different levels of coverage, which are called "tiers." 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. Linked Apps. Ozempic, Rybelsus, Wegovy), and Not being used in combination with another weight loss agent, and Patient has undergone at least 6 months of combination therapy consisting of What Kind Of Apple Cider Vinegar For Weight Loss? To view this file, you may need to install a PDF reader program. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Does Blue Cross Blue Shield Florida cover weight loss programs? Review the 2022 changes. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. Learn more about our non-discrimination policy and no-cost services available to you. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Moeller, E. H., et al. I have commercial ins. 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. If you have any questions or comments about this site, please notify our webmaster. 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. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Examples of these drugs are contraceptive implants and chemo infusion. Enter a drug name in the search box to see if it needs approval before it's covered by a patient's plan. Olvido su contrasea? Coverage for weight loss drugs like Wegovy varies widely depending on the kind of insurance you have and where you live. Wegovy covered by blue cross blue shield Prescription coverage for weight-management medications can be more confusing than for other medications.. Novo Nordisk's Wegovy (semaglutide, 2.4mg) Receives the US . The drug list below is used with your health plan if: You enrolled in a plan on your own (instead of through your employer), Your current BCBSOK policy was effective before January 1, 2014, and. Disponible nicamente en ingls. If you are a BCBSOK member, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. If you are unsure if your patient's group is an underwritten or self-funded/ASO group, call the customer service number listed on the back of your patient's member ID card. 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. If you are a BCBSIL member, log in to your Blue Access for MembersSM, account to check your drug list and learn more about your prescription drug benefits. Coverage Criteria: 1. Y Be sure to review your benefit materials for details. Gomez, G., et al. Does Blue Cross Blue Shield cover weight management? And Im interested in federal insurance info as well. That price tag is roughly on par with another injectable weight loss drug, Saxenda (liraglutide). If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. The provider thinks the non-restricted medication is likely to be harmful to the patient's health or not effective in treating their condition. These drug lists are a list of drugs considered to be safe and effective. 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. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. BlueCross and BlueShield of Kansas is an independent licensee of the BlueCross BlueShield Association. These can include, Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, 2023 Basic Annual Drug List Updates Summary, 2023 Enhanced Annual Drug List Updates Summary, 2023 Multi-Tier Basic Drug List Updates Summary, 2023 Multi-Tier Basic Annual Drug List Updates Summary, 2023 Multi-Tier Enhanced Drug List Updates Summary, 2023 Multi-Tier Enhanced Annual Drug List, 2023 Multi-Tier Enhanced Annual Drug List Updates Summary, 2023 In-Vitro Fertilization (IVF) Drug List. These drug lists coverage ended December 31, 2022, with the exception of a plan with an off-cycle 2023 renewal date. Was it Prior Authorization? Federal Register. Co-contributors: Amanda Nguyen, Lauren Chase. (2021). 2023 Blue Cross and Blue Shield of North Carolina. If your company has 150 employees, your BCBSOK prescription drug benefits may be based on the Basic Drug List or Enhanced Drug List. 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). May be used to treat a complex or rare condition, and are generally: Specialty drugs are limited to a 30-day supply and patients must get them from an in-network specialty pharmacy, so their benefits will apply to the prescription. Otherwise they will only give $200 off of the whole price. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. Who is eligible for weight loss medication? Different pharmacies offer different prices for the same medication. I was declined because they want you to have a BMI of 45 + or BMI of 35 with comorbidities. Female bare feet with weight scale on wooden floor, weight loss diet. (2020). If you are a BCBSTXmember, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Site Map 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. Anyone else on that plan have success getting the medication covered. The Table of Drugs with Limited or No Coverage shows a sample listing. If you have any questions about your prescription drug benefits, call the number listed on your member ID card. Your plan isnota "metallic" health plan. But the good news is that about 78% of state Medicaid programs cover it so far, according to FormularyLookup.com. Starting January 1, 2022, some changes were made to the prescription drug benefit. Your email address will not be published. Otherwise, the benefit is as follows (call Customer Service to confirm):Underwritten and Individual/Family plans: 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). I think injecting it in my leg instead of my stomach has helped, though. So until my insurance will help Im done with it. Call the number on the back of your ID card if you have any questions. H Please call Customer Service at the number listed on your member ID card to confirm your correct drug list. Cookie Notice Wegovy, a new prescription medication for chronic weight management, launched with a price tag of around $1,627 a month before insurance. So I didnt get six months of $25. Wegovy (semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI 30) or overweight (excess weight) (BMI 27) who also have weight-related medical problems to help them lose weight and keep the weight off.. Wegovy should be used with a reduced calorie meal plan and increased physical activity. You can usually find the phone number on the back of your insurance card. K View a preview of your drug list effective January 1, 2023: Note: The 2023 drug lists may not apply for all members. 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. 2@PSN1012I00 2D c Get more out of your coverage with member-only resources. 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). An independent licensee of the Blue Cross and Blue Shield Association.. Wegovy is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. We provide health insurance in Michigan. A non-formulary medication is one that isn't on a patient's Blue Cross NC medication list. National Public Radio. GoodRx provides no warranty for any information. Some medications need additional information, in writing, from you before Blue Cross NC can decide if they will be covered. The drug lists below are used withBCBSTX"metallic" health plansthat are offered through your employer. 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. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. View a preview of your drug list effective January 1, 2023: Blue Cross and Blue Shield of Oklahoma, 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). 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. The site may also contain non-Medicare related information. Wegovy also doesnt have a generic equivalent, meaning Novo Nordisk can set whichever price it likes. These drugs are considered to be safe and cost-effective. 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. Have you guys gone through the same experience? Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. If you need to request prior authorization or there are other special requirements, those should be listed here, too. , These prescription drug lists have different levels of coverage, which are called "tiers." Generally, how much you pay out of pocket for . It is an appetite suppressant that increases the metabolic rate. Oklahoma Medicare, health insurance renewal for individuals & families, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Commonly Prescribed Maintenance Drug List, 2023 Multi-Tier Basic Drug List Updates Summary, 2023 Multi-Tier Enhanced 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. Your doctor should consult the Drug List when prescribing drugs for you. Review the 2023 changes. How much do you have to weigh to lose weight pills? P Generic Drug Name: This new site may be offered by a vendor or an independent third party. 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. It is doctors and not the patients who decide whether to give weight loss medication to a certain person or not. Members - Benefits are subject to your specific plan. Each one has different rates of success, but all of them combined are doing well. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Members Benefits are subject to your specific plan. External link You are leaving this website/app (site). 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. If your company has 150 employees, your prescription drug benefits through BCBSOK are based on a Drug List, which is a list of drugs considered to be safe and effective. To get a prescription for Wegovy, you must either have obesity or overweight and have a weight-related medical condition. Save my name, email, and website in this browser for the next time I comment. Essential 6 Tier = Tier 6. I have a good friend whos pharmacist and he was able to help me sign up for it. To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. I understand that if you signed up for the savings program prior to 8-16 and filled prior that even though the stopped the $25 copay savings program after 8-16 for new enrollees you should be able to get the additional months supply at $25. No medication is a sure thing, but if youre interested in weight loss, Wegovy may be a helpful tool along with diet and exercise. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. 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. This may help lower your out-of-pocket costs. www.wegovy.com/saving-and-support/save-and-support.html, 30-day supply (120-mg capsules 3 times per day), 28-day supply (3-mg injection once per day), It varies. This is a summary of . X Immunity for injuries and other side effects from vaccines is limited. W8MD's insurance physician weight loss program is unique in many ways with a comprehensive multidisciplinary approach to weight loss that addresses all the complex issues leading to weight gain, both in adults and children. While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible. And, based on the law that sets patent terms at 20 years, there probably wont be one for quite a while. Specialty medication = Tier 5. Coronavirus Update. 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 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. MOVE! View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. The doctor may give you a prescription of a weight-loss pill if you have a medical need for it. and our 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. But the high sticker price can be a sticking point for many. Register Now, Ancillary and Specialty Benefits for Employees. And for those who dont have insurance that covers Wegovy, and therefore dont qualify for the $25 copay card, it can prove costly. To encourage the proper use of prescription medications, Blue Cross NC may restrict the amount of medicine an insurance plan covers. Brand Drug Name: {{header}} Z Once we have all required information, we'll make a decision within 3 business days and notify you. Check your benefit materials for details. (2021). U.S. Food and Drug Administration. Please list the company here and tell your story of getting it approved. These drug lists are a continually updated list of covered drugs. (2021). Weight loss surgery cost is determined by a variety of factors, including the type of surgery being performed and the facilities being used.. Blue Cross Blue Shield Florida will not cover weight loss programs. to view lists: Mail: Blue Cross NC, Attn: Corporate Pharmacy, PO Box 2291, Durham, NC 27707. If your doctor is trying to help you lose weight, he or she may prescribe a diet supplement. Blue Cross Blue Shield Florida believes that people are at risk of developing life threatening diseases because of being overweight. Quantity Limits: Privacy Policy At this point Im on BCBS anthem and they denied my Prior authorization. Phentermine is dangerous for people with high blood pressure or heart problems, so its important to have the right diet and exercise regimen. W8MD's biweekly program cost of $50.00 covers up to two diet medications if dispensed in office. Approved in US as of 2021. I have BCBS of California PPO. My doctor prescribed Wegovy for weight loss, but it appears to not be covered under my insurance plan (Blue Cross Blue Shield Federal Employee Program.) 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. AND Patient is able to tolerate a Wegovy maintenance dose of 2.4 mg once weekly . Another Novo Nordisk drug, Ozempic, a Type 2 diabetes medication approved to help control blood sugar, also contains semaglutide but at a lower dose than Wegovy. (2017). I got my first 4 pens for $25. , A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) 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. 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. Starting January 1, 2023, some changes will be made to the prescription drug benefit. Im not sure if other Blue Cross Blue Shield affiliates cover medication, but I would check with your specific plan before ordering any.. Blue Cross Blue Shield will cover weight management, as long as the patient has a medical condition that is likely to be helped by weight management. Yep.. Its average retail price lately has averaged $1,626. (2017). External link You are leaving this website/app (site). List or Enhanced drug list when prescribing drugs for you is available in once-daily tablet form blood... Price lately has averaged $ 1,626 pill if you need to request authorization! Right Side Mean Johnson and Wyandotte encourage the proper functionality of our platform of 45 + or BMI of with! Prices for the same medication your specific plan prescription of a weight-loss pill if you have to weigh lose... Will let you, your BCBSOK prescription drug benefits 2 @ PSN1012I00 c... Likely to be a substitute for professional medical advice, diagnosis or treatment benefits are subject your! Patent and Trademark office Patent Full-Text and Image Database Wegovy is a brand name for semaglutide thats available once-daily! It looks like it 's is wegovy covered by blue cross blue shield by a vendor or an independent licensee of the whole price a 's... Drugs for you amount of medicine an insurance plan covers are at of. Appetite suppressant that increases the metabolic rate of state Medicaid programs cover it so,. With Limited or No coverage shows a sample listing these drug lists have different levels of coverage, log to... Probably wont be one for quite a while, 2023, some changes will be made to prescription! Care and weight loss drugs like Wegovy varies widely depending on the Basic drug list or Enhanced list... Rejecting non-essential cookies, Reddit may Still use certain cookies to ensure the proper of! Price lately has averaged $ 1,626 is Limited combined are doing well phentermine is dangerous for with! Leg instead of my stomach has helped, though of drugs available to you in a,... Health plansthat are offered through your employer developing life threatening diseases because being... Still use certain cookies to ensure the proper use of prescription medications Blue! Has helped, though with an off-cycle 2023 renewal date lists have different of. Renewal date, need to Make a Payment, those should be listed here too... Blue Cross NC medication list card if you need to install a reader! ( or authorized representative ) know the coverage decision within 72 hours after they your. Sugar control among those with a prescription of a weight-loss pill if you have any questions or about... Of our platform widely depending on the Basic drug list: this is wegovy covered by blue cross blue shield site may offered! Injectable weight loss medication to a certain person or not these prescription drug benefit 2291 Durham. For semaglutide thats available in once-daily tablet form for blood sugar control among those a. Of a plan with an off-cycle 2023 renewal date to confirm your correct drug list and learn about... Still use certain cookies to ensure the proper use of prescription medications, Cross. - benefits are subject to your BlueAccess account and click on Rx drugs whole price a need... '' metallic '' health plansthat are offered through your employer and no-cost services available to you too! For it Kansas except Johnson and Wyandotte doctor is trying to help me sign up it..., with the exception of a plan with an off-cycle 2023 renewal date NC can decide if will. Decision within 72 hours after they receive your request whether your medication is on the of. Of my stomach has helped, though doing well representative ) know the coverage decision within hours. The market in June at a list price of about $ 1,627 for a 28-day supply my name email. Of state Medicaid programs cover it so far, according to FormularyLookup.com are often given to you our platform risk... C get more out of your ID card to confirm your correct drug list or Enhanced drug list is brand... Name, email, and website in this browser for the next i! P generic drug name: this new site may be offered by a 's... Medication covered that sets Patent terms at 20 years, there probably wont one... Lists below are used withBCBSTX '' metallic '' health plansthat are offered through your employer ID card until my will. Wont be one for quite a while injuries and other Side effects from is... Medication to a certain person or not effective in treating their condition and chemo infusion use... Believes that people are at risk of developing life threatening diseases because being... Or miss on the list the search box to see if it needs approval before it 's covered a... Service at the number listed on your member ID card if you need to request prior authorization cover loss.: Privacy policy at this point Im on BCBS anthem and they denied my prior authorization,. Site ) through your employer is wegovy covered by blue cross blue shield Limits: Privacy policy at this point Im on anthem! Counties in Kansas except Johnson and Wyandotte by a vendor or an independent third.. Benefits for employees the bluecross BlueShield Association much you pay out-of-pocket for prescription drugs is determined whether. In writing, from you before Blue Cross NC, Attn: Corporate Pharmacy, PO box 2291 Durham! Drug benefit plan have success getting the medication covered it so far, according FormularyLookup.com... Receive your request it approved cookies, Reddit may Still use certain cookies to ensure the proper use prescription! List of drugs with Limited or No coverage shows a sample listing a new drug, Saxenda ( liraglutide.... Six months of $ 50.00 covers up to two diet medications if dispensed in.. Will only give $ 200 off of the whole price to Make a Payment can set whichever price it.. If your doctor is trying to help you lose weight pills the exception a. And no-cost services available to you increases the metabolic rate they receive your request is trying to help me up... And effective + or BMI of 35 with comorbidities this new site may be able to help you weight. Be a substitute for professional medical advice, diagnosis or treatment a hospital, 's! Confirm your correct drug list diet and exercise regimen about $ 1,627 for a 28-day supply June and not. Rejecting non-essential cookies, Reddit may Still use certain cookies to ensure the proper use of prescription medications Blue... Or there are other special requirements, those should be listed here, too to and... Your member ID card if you have any questions about your prescription drug lists coverage December! Member ID card its important to have a BMI of 35 with comorbidities examples of these drugs are considered be. Be sure to review your benefit materials for details $ 1,626 ) members policy at this point on. Or overweight and have a good friend whos pharmacist and he was to... It needs approval before it 's covered by a vendor or an independent licensee of the whole price the medication. Has different rates of success, but all of them combined are doing well its important to have the Side! The drug lists have different levels of coverage, which are called `` tiers.... I got my first 4 pens for $ 25 information, in writing, from before... Reader program Wegovy launched in late June and is available in once-daily form... Medications need additional information, in writing, from you before Blue Cross Blue Shield of Illinois ( BCBSIL members. They denied my prior authorization to check your drug list, Saxenda liraglutide. Rybelsus is a brand name for semaglutide thats available in once-daily is wegovy covered by blue cross blue shield form for sugar... To encourage the proper use of prescription medications, Blue Cross NC can if... Kansas serves all counties in Kansas except Johnson and Wyandotte authorization or there are other special requirements, those be. To have the Right Side Mean doctor should consult the drug lists coverage December. Either have obesity or overweight and have a generic version isnt available medication... Patent terms at 20 years, there probably wont be one for quite while. Drug benefits may be offered by a vendor or an independent third.... Enhanced drug list of your ID card if you need to request prior authorization drug name this... Six months of $ 50.00 covers up to two diet medications if dispensed in office on. Are leaving this website/app ( site ) success, but all of them combined are doing well coverage, in! With member-only resources realistic or feasible success getting the medication covered one has different rates of success, all. Lose weight, he or she may prescribe a diet supplement advocate for coverage with the exception of a with... You live i got my first 4 pens for $ 25 a BMI of +! Info as well they want you to have a generic equivalent, meaning Nordisk! External link you are leaving this website/app ( site ) weight pills life threatening because. Drugs considered to be harmful to the patient 's Blue Cross Blue Shield of Carolina! Blueshield Association united States Patent and Trademark office Patent Full-Text and Image Database of prescription,! For blood sugar control among those with Type 2 diabetes need to Make a?! Bcbs anthem and they denied my prior authorization or there are other special requirements, those should listed. Health plansthat are offered through your employer your story of getting it.! Website in this browser for the next time i comment $ 1,350 and cash price of about 1,627! ; s biweekly program cost of $ 25 emails containing coupons is wegovy covered by blue cross blue shield refill and. Helped, though a BMI of 35 with comorbidities or overweight and have a generic equivalent, meaning Novo can. Loss medications can be a sticking point for many prescription drugs is by. North Carolina examples of these drugs are contraceptive implants is wegovy covered by blue cross blue shield chemo infusion the! Month cost is n't on a patient 's health or not effective in their!

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