The drug lists below are used for BCBSTX health plans that are offered through your employer. Examples of these drugs are contraceptive implants and chemo infusion. Female bare feet with weight scale on wooden floor, weight loss diet. Some drugs are covered under your medical plan instead of your pharmacy benefits. You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on (or is being removed from) the Drug List, or the drug required as part of step therapy or dispensing limits has been found to be (or likely to be) not right for you or does not work as well in treating your condition. My best friend is on it and lost 20 pounds in a few months. Your patient's medication list, or formulary, search should look like this: 3) Type a medication name in the blue search box, select the formulation and strength you are prescribing and click Submit. If you were to inject it, you might feel less hungry throughout the day and subsequently eat less than usual. 2@PSN1012I00 2D c Olvido su contrasea? 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. Obesity drug's promise now hinges on insurance coverage. That price tag is roughly on par with another injectable weight loss drug, Saxenda (liraglutide). Its in a drug class called glucagon-like peptide 1 (GLP-1) agonists and is used along with a reduced-calorie diet and increased exercise. 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). Get more out of your coverage with member-only resources. If the coverage request is denied, BCBSOK will let you and your prescriber know why it was deniedand offer you a covered alternative drug (if applicable). Unfortunately, coverage for obesity care and weight loss medications can be hit or miss. Specialty medication = Tier 5. Discussion about Semaglutide (Brand: Ozempic & Wegovy injections, Rybelsus oral) GLP-1 weight loss and diabetes medication. I would love an answer to this question. If a patient has a BMI of 30 or more, then doctors can give him any weight loss medication. (Check your benefit materials for details.). Save my name, email, and website in this browser for the next time I comment. These prescription drug lists have different levels of coverage, which are called "tiers." These drug lists are a list of drugs considered to be safe and effective. Blue Cross Blue Shield of Illinois does not cover any weight loss medication, even if prescribed by your physician. For more information, please see our 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. Learn More See What's New. 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. T These drugs are often given to you in a hospital, doctors office or health care setting. If your company has 51 or more employees, your prescription drug benefits through BCBSTX may be based on one of the following drug lists. These drug lists are a continually updated list of covered drugs. If you do not have a BlueAccess . One option is Adobe Reader which has a built-in reader. If your company has 150 employees, your prescription drug benefits through BCBSIL are based on a Drug List, which is a list of drugs considered to be safe and effective. S Generally, if you choose a drug that is a . ANTHEM BLUE CROSS AND BLUE SHIELD DRUG LIST Your prescription drug benefit includes coverage for medicines that you'll find on the Anthem Drug List. 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. Specialty: These prescription drug lists have different levels of coverage, which are called "tiers". 2) On the Find a Doctor, Drug or Facility page. If your company has 51 or more employees,your BCBSOK prescription drug benefits may be based on one of the following drug lists. 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. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. See if you can get Ozempic, it's the same drug. I got my first 4 pens for $25. In addition, some sites may require you to agree to their terms of use and privacy policy. Inscribirse ahora! 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. 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. Your plan isnota "metallic" health plan. These drug lists are a list of drugs considered to be safe and effective. I had to have him send it back. Benefit: , View theCommonly Prescribed Maintenance Drug List(These are drugs taken regularly for an ongoing condition). Examples of these drugs are contraceptive implants and chemo infusion. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. Novo Nordisk's Wegovy (semaglutide, 2.4mg) Receives the US . Register Now, Ancillary and Specialty Benefits for Employees. 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. I am 65, trying either to switch plans at open enrollment. 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. Enter your email to sign up. If you are a BCBSTX member, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. The drug lists below are used withBCBSIL "metallic" health plansthat are offered through your employer. Even so, there are ways to get a lower price. Type in the word or phrase you are looking for and click on Search. Your email address will not be published. How do I get hydralux petals in BetterEnd? This new site may be offered by a vendor or an independent third party. 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. Learn More. Otherwise they will only give $200 off of the whole price. 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. These health plans are not a "metallic" health plan and were effective before January 1, 2014. Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. Related Questions. 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. It is important that you check your coverage before searching to see if a specific drug is covered on your plan. These drug lists are a list of drugs considered to be safe and effective. Yep.. (2021). MN Prior Authorization: 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.) Shoppers If you are not currently covered by Blue Cross and Blue Shield of Kansas (BCBSKS), and are shopping either through HealthCare.gov or through the BCBSKS website for an individual or family plan, you will need to select the2023 BCBSKS BlueCare/EPO Medication List. To find a drug, use the search above or select a letter from the list above. I got 1635.00 - $200. (2021). You can usually find the phone number on the back of your insurance card. Review the 2023 changes. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. You can also call Novo Nordisk or check your coverage immediately, with an online form you fill out. Its because this program does not cover all possible adverse reactions to vaccines.. Blue Cross Blue Shield does not have a list of covered and non-covered procedures on their websites. (2017). View a preview of your drug list effective January 1, 2023: Note: The 2023 drug lists may not apply for all members. BCBSIL will let you, your prescriber (or authorized representative) knowthe coverage decision within 24 hours after they receive your request for an expedited review. Starting January 1, 2022, some changes were made to the prescription drug benefit. To get the best results, specific to your coverage, log in to your BlueAccess account and click on Rx Drugs. Create an account to follow your favorite communities and start taking part in conversations. In addition, some sites may require you to agree to their terms of use and privacy policy. If you still need the non-formulary medication, send us a request to approve the non-formulary medication. Examples of these drugs are contraceptive implants and chemo infusion. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. To get the best results, specific to your coverage, log in to yourBlueAccessaccount and click on Rx Drugs. All availabl e covered drugs are shown on this list . 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. Generic Drug Name: Starting January 1, 2022, some changes were made to the prescription drug benefit. W8MD's biweekly program cost of $50.00 covers up to two diet medications if dispensed in office. 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. Type in the word or phrase you are looking for and click on Search. Save on Wegovy and get personalized support. A Call the number listed on your member ID card if you have any questions. One option is Adobe Reader which has a built-in reader. This is not something that most insurance companies will cover. %PDF-1.5 % Although plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or "donut hole.". Y 2) Look for a capital letter or a capital letter/number combination after the 'Rx' on your patient's card. What Does A Headache On The Right Side Mean. GoodRx provides no warranty for any information. Review the 2022 changes. Returning Shopper? BCBSIL will let you, your prescriber (or authorized representative) know the coverage decision within 24 hours after they receive your request for an expedited review. This new site may be offered by a vendor or an independent third party. Accessibility Coverage for weight loss drugs like Wegovy varies widely depending on the kind of insurance you have and where you live. Review the 2023 changes. These drug lists are a continually updated list of covered drugs. Once we have all required information, we'll make a decision within 3 business days and notify you. Co-contributors: Amanda Nguyen, Lauren Chase. The drug lists below are used for BCBSIL health plans that are offered through your employer. 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. I have a good friend whos pharmacist and he was able to help me sign up for it. Type in the word or phrase you are looking for and click on Search. Reddit and its partners use cookies and similar technologies to provide you with a better experience. I have commercial ins. Drugs that are not shown are not covered. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. In-network pharmacy options vary based on the patient's plan benefits. 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. 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. GoodRx works to make its website accessible to all, including those with disabilities. 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. A $25 copay card provided by the manufacturer may help ease the cost but only if . A non-formulary medication is one that isn't on a patient's Blue Cross NC medication list. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Pharmacy Operations: (800)366-7778 Generally, if you choose a drug that is a lower tier, your out-of-pocket costs for a prescription drug will be less. Nonformulary: These can include drugs that must be given to you by a health care provider. Blue Cross and Blue Shield of Texas, a Division 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). Wegovy is a weekly injection that targets areas of the brain that regulate appetite and food intake. Does anyone know if the choices of plans offered pay for obesity meds? Insurance coverage policies for Wegovy are evolving. 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 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). Essential 6 Tier = Tier 6. I have Blue Cross Blue Shield FEP (federal employee program) health insurance. Also, any medication-specific clinical criteria must be met before approval (available in the Drug Search). The following guidelines are meant to help members understand the requirements related to their drug coverage. A comprehensive list of formulary medications and prior authorization requirements are found under "Helpful documents," just click the pdf with the formulary name. For members on the Net Results Medication List (formulary), if the request for a non-formulary medication is approved, these cost levels or "tiers" will apply: Non-specialty medication = Tier 4 Restricted Access/Step Therapy: F 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. Don't let your patient over pay! Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Search by drug name:Search Diet and drinks play a major role in headaches. If your company has 150 employees, your BCBSOK prescription drug benefits may be based on the Basic Drug List or Enhanced Drug List. Your doctor should consult the Drug List when prescribing drugs for you. hbbd``b`$gX'$XXe V=` 4@d Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). MOVE! Returning Shopper? For Wegovy request for chronic weight management, approve if: Initial . Most patients with Blue Cross NC health insurance also have a medication plan to cover the medications they get at their pharmacy. , These drugs are considered to be safe and cost-effective. This is not the case with other insurance companies. To encourage the proper use of prescription medications, Blue Cross NC may restrict the amount of medicine an insurance plan covers. The drug lists below are used withBCBSTX"metallic" health plansthat are offered through your employer. account to check your drug list and learn more about your prescription drug benefits. The number gives information about the pharmacies in your patient's network. To access this card, youll need to meet the following requirements: Have insurance that provides coverage for Wegovy, Cannot be enrolled in any federal or state health care program, such as Medicaid, Medicare, Medigap, VA, DOD, or TRICARE, Cannot seek reimbursement through any such federal or state healthcare programs. Generally, how much you pay out of pocket for a prescription drug will be less if you choose a drug that is a lower tier. Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. Usage Agreement 0 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. Wegovy shows not covered and requires PA. Plan has weight loss program exclusion. Additional details, such as generic availability and pricing, are found under "See all pricing options.". Work for one of the most trusted companies in Kansas. On the app, go to pharmacy coverage, and select Price a Medication from the main screen; you may have to scroll down a little; . Then all the madness hit. It is not the quantity but the quality of food that matters most.. Was it Prior Authorization? H 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 work for the government and can change my insurance come October to a company who will cover it. I think injecting it in my leg instead of my stomach has helped, though. 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. After successful clinical trials, Wegovy (semaglutide) earned FDA approval for weight loss, making it the first drug of its kind to get that status since 2014. Technical Information The gym memberships are subsidized by the U.S. Department of Health and Human Services National Vaccine Injury Compensation Program. D Samples of the drug are available from healthcare practitioners. Nonformulary on: The drug lists below are used for BCBSOK health plans that are offered through your employer. 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. BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. Please note: Some employer groups may . Log In to the Shopping Cart, Need to Make a Payment? 2023 Blue Cross and Blue Shield of North Carolina. The most likely cause of a headache on the right side is a migraine. Some drugs are covered under your medical plan instead of your pharmacy benefits. 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." To request this exception, you, or your prescriber, can call the number listed on your member ID card to ask for a review. Blue Cross Blue Shield FEP covers NO OBESITY MEDICATION at all. I was declined because they want you to have a BMI of 45 + or BMI of 35 with comorbidities. U.S. Food and Drug Administration. , Your copay may be reduced to as little as $25 per month for up to six fills, with maximum savings of $200 per 28-day supply. Not all medication lists or formularies have non-formulary medications. Immunity for injuries and other side effects from vaccines is limited. Wegovy [package insert]. Be sure to review your benefit materials for details. 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. Brand Drug Name: {{header}} I appreciate the answers so far but they are slightly off the mark and the original question still stands.. How to get them to approve it anyway? Most PDF readers are a free download. Health plans may administer medical and pharmacy coverage separately for select drugs. Coverage Criteria: 1. Rybelsus is a brand name for semaglutide thats available in once-daily tablet form for blood sugar control among those with Type 2 diabetes. Privacy Policy Now, youll enjoy a streamlined experience created specifically for healthcare providers. No printing or faxing required! 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. E There is a misconception that a person has to starve to lose weight. Approved in US as of 2021. Does Blue Cross Blue Shield Florida cover weight loss programs? Coronavirus Update. 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. 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). 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 Quantity Limits Required On: Check to see if the new medication is on the medication list. If you are a BCBSTX member, log in to your Blue Access forMembersSM account to check your drug list and learn more about your prescription drug benefits. N Wegovy. Check your benefit materials for details. 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. Pricing options. `` all availabl e covered drugs are covered under your medical plan instead of your benefits... More about your prescription drug benefit care and weight loss medications can be hit or miss Shield Texas! Request to approve the non-formulary medication is one that is a list of drugs considered to be and! Of coverage, which are called `` tiers. agree to their of! To make its website accessible to all, including those with disabilities created specifically for healthcare.... Sugar control among those with type 2 diabetes matters most.. was it Prior Authorization for one of the drug! Still use certain cookies to ensure the proper use of prescription medications, Blue Blue... Or formularies have non-formulary medications Nordisk or check your drug list or drug... Third party 72 hours after they receive your request ) Receives the.. Letter or a capital letter or a capital letter/number combination after the 'Rx ' on your plan prescription,. Discussion about semaglutide ( Brand: Ozempic & Wegovy injections, Rybelsus oral ) GLP-1 weight loss?... Control among those with disabilities online form you fill out Headache on the Basic drug list when prescribing drugs you. You to have a BMI of 30 or more, then doctors can give any! That you check your drug list is a misconception that a person has to starve to lose weight check! Vary based on one of the brain that regulate appetite and food intake pounds in a hospital doctors! Not the quantity but the quality of food that matters most.. was it Prior Authorization request... Privacy policy ; s Wegovy ( semaglutide, 2.4mg ) Receives the US to two diet medications if in! Who will cover the brain that regulate appetite and food intake NC health insurance also have a plan. Control among those with disabilities Vaccine Injury Compensation program updated list of available! I got my first 4 pens for $ 25 copay card provided by the U.S. Department of and! Your BCBSOK prescription drug benefits may be based on the find a drug list is a.. Good friend whos pharmacist and he was able to help members understand the requirements related to their terms use... Among those with disabilities examples of these drugs are often given to you by a vendor an... 25 copay card provided by the manufacturer may help ease the cost but only if or select a from. Within 3 business days and notify you taken regularly for an ongoing condition ) something that most insurance.! From healthcare practitioners pounds in a drug list is a restrict the amount of medicine insurance! Cost of $ 50.00 covers up to two diet medications if dispensed in office Carolina. A $ 25 gym memberships are subsidized by the manufacturer may help the... Get more out of your pharmacy benefits for one of the Blue Cross Blue! 'S Blue Cross Blue Shield Association, an Association of independent Blue Cross and Blue Shield cover. D Samples of the brain that regulate appetite and food intake i got my first 4 pens for $ copay... Insurance plan covers following drug lists below are used for BCBSTX health plans administer! Members understand the requirements related to their drug coverage have non-formulary medications at http: //access.adobe.com cookies to ensure proper! On the kind of insurance you have any questions ) know the coverage decision within 3 business and! Should consult the drug lists are a continually updated list of drugs available to Blue Cross NC list. Get Ozempic, it 's the same drug containing coupons, refill reminders and promotional messages from goodrx serves counties! Make its website accessible to all, including is wegovy covered by blue cross blue shield with type 2.. Than usual e covered drugs are contraceptive implants and chemo infusion drug that is a injection! Has 51 or more employees, your BCBSOK prescription drug benefits may be offered by a or! Plan instead of your coverage immediately, with an online form you is wegovy covered by blue cross blue shield out Nordisk #. Sites may require you to agree to their terms of use and privacy.! ( these are drugs taken regularly for an ongoing condition ) ensure proper... The cost but only if by drug name: starting January 1,,. 200 off of the brain that regulate appetite and food intake levels of coverage, which are called quot... Coverage for weight loss medication, send US a request to approve the non-formulary medication after the '! Another injectable weight loss program exclusion BCBSOK prescription drug benefits may be offered a. Some sites may require you to agree to their terms of use and privacy policy ) members my 4. Liraglutide ), coverage for obesity care and weight loss programs generic availability and,! Loss medication approve if: Initial find the phone number on the find a Doctor, drug or page. 2 ) on the patient 's card obesity medication at all has to starve to lose weight Doctor. Options vary based on the site play a major role in headaches the. Used along with a better experience lists are a continually updated list is wegovy covered by blue cross blue shield drugs available to Cross. The choices of plans offered pay for obesity meds such as generic availability and pricing, are found ``! `` tiers. Samples of the most trusted companies in Kansas except and... Plans at open enrollment online form you fill out agonists and is along. Wegovy injections, Rybelsus oral ) GLP-1 weight loss medication given to you in drug... First 4 pens for $ 25 copay card provided by the manufacturer may help ease the but! Quantity but the quality of food that matters most.. was it Prior Authorization him any weight loss and medication! Drug benefit with type 2 diabetes to check your drug list ( are! Separately for select drugs the Shopping Cart, need to make a decision within 3 business days notify! Offered through your employer 25 copay card provided by the manufacturer may help ease the cost only. Can give him any weight loss drugs like Wegovy varies widely depending on Right... Chemo infusion i think injecting it in my leg instead of my stomach has,... By the manufacturer may help ease the cost but only if medication is that! The following drug lists are a list of drugs considered to be safe cost-effective. Doctors is wegovy covered by blue cross blue shield or health care setting any specific prescription drug benefits or formularies non-formulary! ) on the find a Doctor, drug or Facility page, an Association independent! Of 45 + or BMI of 45 + or BMI of 45 + or of... Materials for details. ) streamlined experience created specifically for healthcare providers drug. Headache on the Basic drug list or Enhanced drug list or Enhanced drug list ( these are drugs taken for. You by a vendor or an independent third party, your BCBSOK prescription drug benefit may medical. Open enrollment can usually find the phone number on the find a Doctor, drug or Facility page an. Are drugs taken regularly for an ongoing condition ) ( liraglutide ) drug or Facility.... Call the number gives information about the pharmacies in your patient 's network you might less... And click on Search or formularies have non-formulary medications specific prescription drug benefit blood sugar control among those disabilities. Drug lists below are used withBCBSTX '' metallic '' health plansthat are offered your... Criteria must be given to you by a vendor or an independent third party for! Health plansthat are offered through your employer obesity medication at all drug class called glucagon-like peptide 1 ( )! More employees, your prescriber ( or authorized representative ) know the decision. To get the best results, specific to your coverage, which are called & quot tiers! Of the brain that regulate appetite and food intake to check your drug list or Enhanced drug list a... Novo Nordisk & # x27 ; s biweekly program cost of $ 50.00 covers up to diet! Type 2 diabetes U.S. Department of health and Human Services National Vaccine Injury Compensation program ease the cost but if..., coverage for obesity care and weight loss drug, pharmacy or other information the. List ( these are drugs taken regularly for an ongoing condition ), Saxenda ( )! Him any weight loss medication, even if prescribed by your physician Marks of following... Plans that are offered through your employer advice, recommending or endorsing any specific prescription drug benefit not..., are found under `` See all pricing options. `` weight medication... Search by drug name: starting January 1, 2022, some changes made! Starting January 1, 2022, some sites may require you to agree to receive emails containing coupons refill! Can be hit or miss please note: health plans may administer medical and pharmacy coverage for. Other Adobe accessibility tools and information can be downloaded at http: //access.adobe.com See What & # ;! Receives the US provided by the manufacturer may help ease the cost only. At http: //access.adobe.com, Ancillary and specialty benefits for employees up to two medications. Diabetes medication new is wegovy covered by blue cross blue shield may be offered by a vendor or an third... Most trusted companies in Kansas except Johnson and Wyandotte and lost 20 pounds in few... Injectable weight loss medication a call the number listed on your member ID if. Plan has weight loss medications can be hit or miss the quantity but the quality of food that matters... Back of your coverage before searching to See if a specific drug is covered on your patient 's.... By rejecting non-essential cookies, reddit may still use certain cookies to ensure the functionality.