Does Anthem Blue Access PPO Ohio cover Adipex-P / Lomaira?
Anthem Blue Access PPO Ohio covers Adipex-P / Lomairawith prior authorization required.
This plan covers this medication, but requires prior authorization before it will pay.
Verbatim status from policy: Covered with PA
Last verified 2026-04-30.
Requirements
- Prior authorization
- Required
- Step therapy
- Not required
- Formulary tier
- Tier 1
Sources
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem · Effective 2025-11-06 · vCG-SURG-83
- CG-SURG-83 Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem Blue Cross and Blue Shield (Ohio Medicaid) · Effective 2025-12-18 (Surgery); 2024-07-01 (Imcivree) · vCG-SURG-83 (Revised 12-18-2025); CC-0188 (Revised 07-01-2024)
- Anthem Blue Cross and Blue Shield Medicaid Ohio Medicaid Managed Care Provider Manual
Anthem Blue Cross and Blue Shield Medicaid (Ohio) · Effective 2025-10-01 · vOHBCBS-CD-PM-093342-25
- Medical Drug Clinical Criteria: Agents for Obesity; Wegovy (semaglutide) Clinical Criteria
Anthem / CarelonRx · Effective 2024-07-01 · vCC-0188; Pub-07-01-2024
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity (CG-SURG-83); Medical Drug Clinical Criteria (Imcivree CC-0188); Pharmacy Benefit Updates 2026
Anthem Blue Cross and Blue Shield (Ohio MyCare) · Effective 2026-01-01 (Medication updates); 2025-12-18 (Bariatric surgery CG-SURG-83). · vCG-SURG-83 (Rev 12-18-2025); CC-0188 (Pub 07-01-2024); 2026 GLP-1 Update.
What to do next
Your prescriber will need to submit a prior authorization request to your plan. Our guides walk through what they typically need to include.
Keep exploring
Other medications on this plan