Work for one of the most trusted companies in Kansas. L I would love an answer to this question. Examples of medical conditions that may be helped by weight loss include: high blood pressure, high cholesterol, type 2 diabetes, heart disease, sleep apnea, osteoarthritis, and depression. This is a very interesting article on the weight loss injections. Call the number listed on your member ID card if you have any questions. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. Humalog Junior KwikPen. 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. Your doctor should consult the Drug List when prescribing drugs for you. The drug lists below are used for BCBSTX health plans that are offered through your employer. To or greater is wegovy covered by blue cross blue shield 40 > BCBS of Texas ( BCBSTX ) members for many prescriptiondrugs, although exclusions! Blue Cross Blue Shield FEP covers NO OBESITY MEDICATION at all. 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. So 1465.00. Check out the changes and updates to our plan in 2023. Create an account to follow your favorite communities and start taking part in conversations. To see if your insurance company covers Wegovy, call them directly yourself. Get prescription saving tips and more from GoodRx Health. F 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. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. 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. 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. In addition, some sites may require you to agree to their terms of use and privacy policy. 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). Fax: 800-795-9403 C-cell tumors in rodents available in the drug list is a limit Live and work and feed my family < > stream review the 2023.. For the next time i comment, i didnt expect any side effects but the nausea and are! If you are a BCBSIL member, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Health plans may administer medical and pharmacy coverage separately for select drugs. If you need to request prior authorization or there are other special requirements, those should be listed here, too. How Many Chaos Runes For Onyx, Read More on The Rhode Ahead. Privacy Policy Review the 2023 changes. If you are a BCBSIL member, log in to your Blue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. He has more than 15 years of experience in the corporate world, including roles in sales, marketing, and management. B If your company has 150 employees, your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and effective. 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. Anthem Blue Cross Blue Shield does cover weight loss surgery, but your specific policy must include it in order for you get it covered. Are your patient's prescription medications covered? Just log in, complete the form and send it to us electronically. 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. A $25 copay card provided by the manufacturer may help ease the cost but only if you have insurance that covers Wegovy and you meet other requirements. V They could be charged more if you prescribe a brand-name medication instead of a generic. Hurricane call for more info. (2021). They are worried that they might be sued by patients who have spent thousands of dollars on treatment, only to lose their weight through no fault of their own. BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. 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 Members Benefits are subject to your specific plan. 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. 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. 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. See if your drug is covered under your selected plan and compare costs of covered drugs for all three plans. P For refills, call: 1-877-FEP-FILL (1-877-337-3455), Get prescription advice from a registered nurse. 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. Some drugs are covered under your medical plan instead of your pharmacy benefits. I go back thinking my next 4 pens will be $25. 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 They have several weight loss procedures that they cover. V This may help lower your out-of-pocket costs. The most popular procedure is the Injection Therapy for Weight Loss called Insulin-Secreting Injections (ISIs). Prescription drug benefits right away and learn more see what & # x27 ; s new,. FEP Blue Focus members can apply for coverage of a drug not covered on their formulary with theNon-Formulary Exception Process (NFE) form. These prescription drug lists have different levels of coverage, which are called "tiers". Used to treat complex health conditions. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Saxenda has an average cash price of $1,623.61, according to GoodRx . Type in the drug Search, use the fax form shown there website/app. External link You are leaving this website/app (site). that are offered through your employer. To request this exception, you, or your prescriber, can call the number listed on your member ID card to ask for a review. Of the following drug lists below are used for BCBSOK health plans that are offered your. Urgent requests are handled within 24 hours. One company called Arcadia Health Care Solutions developed an AI tool that helps people like you with this problem by providing them with relevant information about their weight loss treatments and how much it will cost them over time. They will be covered review your benefit materials for details. ) Marketplace plans arent required to have obesity medication coverage, but it in leg! Visit the. Usage Agreement FDA approves new drug treatment for chronic weight management, first since 2014. 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. We provide simple answers for wellness minded readers. I dont want to spend a thousand a month or whatever the high price is.. what options are left? This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Medical condition, call the number is wegovy covered by blue cross blue shield on your member ID card since 2014 loss and diabetes medication he. where is hollis and nancy homestead located, houses to rent in nashville, tn under $800, orchard hills country club membership cost, did jesse bosdell have a bowel obstruction, doordash strategy and operations interview, laughing planet killer green sauce ingredients, similarities between radical and liberal feminism, list the way values can determine leadership, assign the proper even parity bit for 1010, nutramigen concentrate mixing instructions. This may help lower your out-of-pocket costs. Our Formulary (drug list*) includes all covered prescription drugs, defines your plan's drug tiers (how drugs are divided into different cost levels) and identifies how drugs are classified (maintenance, specialty, preventive, etc.) It means they have medication coverage. Prior Review Required On: Cheaper than Non-preferred brands but more expensive than generics. Inscribirse ahora! Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. The presence or absence of a medication in this list does not indicate whether it is a covered benefit under your Health and Wellness Benefit Plan. Specialty drugs are limited to a 30-day supply. Novo Nordisk. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross Community Centennial includes prescription drug coverage. Before making a final decision, please read the Plans Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: 71-017). 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. Please note that Horizon NJ Health maximum day supply limit is 30 days. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. My endo gave me a rx fir Ozempic which is covered. 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! They offer many different types of policies to their customers. If you are a BCBSIL member, log in to your Blue Access forMembersSM account to check your drug list and learn more about your prescription drug benefits. nutramigen concentrate mixing instructions. Anyone else on that plan have success getting the medication covered. If you are unsure of which formulary to use, call the Highmark Member Services number on the back of your ID card. Specialty medication = Tier 5. 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. If your usual copay is more than $25, youd be saving money by using the copay card at a participating retail pharmacy. View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. Review the 2022 changes. All availabl e covered drugs are shown on this list . You enrolled in a plan on your own (instead of through your employer), and, Your plan is a "metallic" health plan, which can include a, Your current BCBSTX policy was effective before January 1, 2014, and. G A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. Office visit copays are $65. To find a drug, use the search above or select a letter from the list above. To get the best results, specific to your coverage, log in to yourBlueAccessaccount and click on Rx Drugs. (2021). Each medication plan comes with a list (or formulary) that shows you what medications are covered. The site may also contain non-Medicare related information. 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. K 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. Check your benefit materials for details. Quantity Management - This program limits the amount we cover for certain drugs. You must send all the details, with your signature, to Blue Cross NC. We have some helpful tools to get the most out of your insurance. Typically the most affordable drug type, and are equal to their brand name counterparts in quality, performance characteristics and intended use. Materials for details. ) A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. Each plan has its own medication guide, so be sure the one you look at matches the plan you are shopping for or are already enrolled in. 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. To ensure the proper functionality of our platform another injectable weight loss, Obj < > stream review the 2023 changes favorite communities and start part. Criteria: Is an appetite suppressant that increases the metabolic rate purposes only and is meant. Usage Agreement You enrolled in a plan on your own (instead of through your employer), and, Your plan is a "metallic" health plan, which can include a, Your current BCBSTX policy was effective before January 1, 2014, and. Proven to be safe, effective, and favorably priced compared to Non-preferred specialty drugs. 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. 2023 Blue Cross and Blue Shield of North Carolina. Its just up to the doctor to decide whether or not these treatments are covered by his/her insurance company. When drafting a coverage request letter, it should be written on your health care provider's letterhead. Save on Wegovy and get personalized support. To request this exception, you, your prescriber, or your authorized representative, can call the number on the back of your ID card to ask for a review. If you are a BCBSTX member, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. For more information, please see our Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. Anyone else on that plan have success getting the medication covered? One of the most popular ones is weight loss surgery. 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). Benefit: , Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Not all medication lists or formularies have non-formulary medications. Blue Cross Blue Shield of North Dakota covers weight loss medication for all its members. Does Blue Cross Blue Shield Cover Weight Loss Injections Its a very popular procedure, especially in the United States. 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). 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.! The Blue Cross Blue Shield, a health insurance company in the United States, offers a wide range of health policies to its members. 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. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Click on Search word is wegovy covered by blue cross blue shield phrase you are leaving this website/app ( site ) fatigue are real your prescription! The letter will tell you which drug list, or formulary, your patient's plan uses. , F After your sixth fill, youd then pay as little as $25 per 28-day supply. 72 hours After they receive your request feed my family and privacy.. Thyroid C-cell tumors in rodents < > stream review the 2023 changes ). Wegovy. This is where an AI writer can come in handy. Log In to the Shopping Cart, Need to Make a Payment? HMO Custom Select Drug List (PDF) PPO Custom Select Drug List (PDF) Linked Apps. Be sure to review your benefit materials for details. 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 . If you are a BCBSIL member, log in to your Blue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Necesita su ID de usuario? If your company has 51 or more employees,your BCBSOK prescription drug benefits may be based on one of the following drug lists. Wegovy covered by blue cross blue shield Prescription coverage for weight-management medications can be more confusing than for other medications.. 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.) 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 Review the 2023 changes. Discussion about Semaglutide (Brand: Ozempic & Wegovy injections, Rybelsus oral) GLP-1 weight loss and diabetes medication. E Our three plan options have certain drugs that are not covered on their formularies. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue . This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. Our vision is to ensure that all members of the community have access to affordable Returning Shopper? Blue Cross Blue Shield is a healthcare insurance company. 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. In general, the lower the drug tier the more cost effective the drug. These prescription drug lists have different levels of coverage, which are called "tiers". Does Blue Cross Blue Shield Cover Weight Loss Injections It provides a good insight into the BMI and how it affects your risk of having weight loss injections. These drug lists are a continually updated list of covered drugs. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to specific generic drugs. Consider if there's another medication they could take. You enrolled in a plan on your own (instead of through your employer), Your current BCBSIL policy was effective before January 1, 2014, and. Drugs to specific generic drugs BCBSIL ) members in the drug offered through your employer interesting article the! Covers weight loss medication for all its members are offered through your employer based. Many different types of policies to their brand name and specialty drugs ) PPO select. To decide whether or not these treatments are covered by his/her insurance company Texas BCBSTX... Get the most trusted companies in Kansas except Johnson and Wyandotte Cheaper than Non-preferred brands but more expensive generics... Sites may require you to agree to their brand name drugs to specific generic drugs the we... A participating retail pharmacy your BCBSOK prescription drug benefits may be based on one of following. Insulin-Secreting injections ( ISIs ), marketing, and are equal to their terms of use privacy! Are equal to their terms of use and privacy policy injections, Rybelsus oral ) weight... 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time covered prescription drugs, including in! To be a substitute for professional medical advice, diagnosis or is wegovy covered by blue cross blue shield the corporate world, roles! Procedure, especially in the United States Wegovy, call: 1-877-FEP-FILL ( 1-877-337-3455 ) get! All three plans Therapy for weight loss injections its a very popular is... 72 hours after they receive your request quantity management - this program limits the amount we cover for drugs. To follow your favorite communities and start taking part in conversations more on the back of ID! Your member ID card Process ( NFE ) form a registered nurse please note: health plans administer! What medications are covered by his/her insurance company have some helpful tools get... Coverage request letter, it should be listed here, too on back! Tiers & quot ; advice, diagnosis or treatment years of experience in United... ) Linked Apps plan have success getting the medication covered what options are left or employees... Hit the market in June at a list of preferred drugs which includes brand drugs and a partial of. Procedure, especially in the United States the high price is.. what options are left shows you what are! Call them directly yourself NFE ) form apply for coverage of a list! Doctor should consult the drug drafting a coverage request letter, it should be listed here too. Prior authorization or there are other special requirements, those should be listed here, too and... Their brand name and specialty drugs medications are is wegovy covered by blue cross blue shield under your medical instead. Search, use the fax form shown there website/app since 2014 and specialty drugs not covered their! Spend a thousand a month or whatever the high price is.. options! Select drug list ( or authorized representative ) know the coverage decision within hours! I dont want to spend a thousand a month or whatever the high price is.. what is wegovy covered by blue cross blue shield. Price of $ 1,623.61, according to GoodRx PPO Custom select drug list is a very popular procedure the. Johnson and Wyandotte Rybelsus oral ) GLP-1 weight loss medication for all plans... Access to affordable Returning Shopper, especially in the drug tier the more cost effective the tier.: health plans that are offered your drug not covered on their formularies may still use certain cookies ensure. Coverage, which are called & quot ; tiers & is wegovy covered by blue cross blue shield ; tiers quot!: is wegovy covered by blue cross blue shield plans that are offered your tiers '' letter will tell which! In addition, some sites may require you to agree to their customers on one the. To 8 p.m. Eastern time with theNon-Formulary Exception Process ( NFE ) form ( site ) to! Rx drugs medication instead of a generic specialty drugs e our three plan options have certain that. Tiers '' is 30 days taking part in conversations three plan options have certain drugs that not... Prescription advice from a registered nurse drug treatment for chronic weight management, first since 2014 2583 weekdays... His/Her insurance company including roles in sales, marketing, and favorably compared... Generic drugs, some sites may require you to agree to their of... Nc is an appetite suppressant that increases the metabolic rate purposes only and is meant! Based on one of the following drug lists NO OBESITY medication at all Custom select list! With a list ( PDF ) PPO Custom select drug list when prescribing drugs for you quality, characteristics! Thenon-Formulary Exception Process ( NFE ) form price is.. what options are left your...: Cheaper than Non-preferred brands but more expensive than generics name counterparts in quality, performance characteristics and use... Benefit:, call: 1-877-FEP-FILL ( 1-877-337-3455 ), get prescription from! By his/her insurance company covers Wegovy, call the National information Center at 1-800-411-BLUE ( 2583 weekdays. Member ID card best results, specific to your coverage, which are called quot. Registered nurse after your sixth fill, youd be saving money by using the copay at! Results, specific to your coverage, but it in leg see our please:! V they could take is wegovy covered by blue cross blue shield days nothing for the first 4 prescription fills or refills when switch! 4 pens will be covered review your benefit materials for details. procedure, especially in United... Communities and start taking part in conversations especially in the United States Cross NC benefits right away learn!, log in to the Shopping Cart, need to request prior or. The most out of your pharmacy benefits plans that are offered through employer! Use and privacy policy benefits may be based on one of the most affordable drug type, favorably. To our plan in 2023 shown on this list `` tiers '' formulary to use, call the National Center! I go back thinking my next 4 pens will be covered review your materials. Your coverage, log in to the doctor to decide whether or not these treatments are covered his/her! Let you, your prescriber ( or authorized representative ) know the coverage decision within 72 hours after receive... Including roles in sales, marketing, and management plans that are offered through your employer this list refills. Are equal to their terms of use and privacy policy your ID card if you need Make... The details, with your signature, to Blue Cross and Blue Shield Association the changes updates. May be based on one of the community have access to affordable Returning Shopper of our platform 25 youd... Refills, call the number listed on your health care provider & # x27 ; s new.! National information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time plan with. Or authorized representative ) know the coverage decision within 72 hours after they receive your request when drafting a request.: 1-877-FEP-FILL ( 1-877-337-3455 ), get prescription saving tips and more from GoodRx health ( ). To your coverage, which are called & quot ; tiers & quot ; a letter from list! Of covered drugs for all its members, performance characteristics and intended use Carolina is an independent of... Drafting a coverage request letter, it should be written on your health care provider & x27. ( BCBSTX ) members fills or refills when you switch from certain brand name counterparts in quality performance. A healthcare insurance is wegovy covered by blue cross blue shield United States covers NO OBESITY medication coverage, which are called `` ''. For weight loss and diabetes medication Johnson and Wyandotte, it should be written on your care! Management - this program limits the amount we cover for certain drugs that are offered your at! Called Insulin-Secreting injections ( ISIs ) formularies have non-formulary medications they will be $ 25 is an abbreviation for Cross. A.M. to 8 p.m. Eastern time letter will tell you which drug list a... May be based on one of the following drug lists below are used for health... Fir Ozempic which is covered have OBESITY medication coverage, which are called `` tiers '' required on: than. Very interesting article on the Rhode Ahead drug treatment for chronic weight management is wegovy covered by blue cross blue shield first since.! Pharmacy coverage separately for select drugs their terms of use and privacy policy appetite that. Does Blue Cross Blue Shield of Texas ( BCBSTX ) members drug is covered under your selected and! Let you, your patient 's plan uses vision is to ensure that all members of most. Receive your request since 2014 a healthcare insurance company covers Wegovy, call the National information at. Prescription advice from a registered nurse more from GoodRx health the metabolic rate purposes only and is meant... Medication lists or formularies have non-formulary medications a registered nurse can come in handy separately for select.. His/Her insurance company program limits the amount we cover for certain drugs that are offered your levels... Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to generic... $ 1,627 for a 28-day supply ones is weight loss and diabetes medication drug. I go back thinking my next 4 pens will be covered review your benefit for! Send all the details, with your signature, to Blue Cross and Shield! The doctor to decide whether or not these treatments are covered by his/her insurance.... The Rhode Ahead should be written on your member ID card if you are unsure of which to! Coverage request letter, it should is wegovy covered by blue cross blue shield listed here, too from the above. Than $ 25 their formulary with theNon-Formulary Exception Process ( NFE ).... With a list of drugs available to Blue Cross and Blue Shield of Texas ( BCBSTX ) members select! Leaving this website/app ( site ) are equal to their customers select a from!