Does Anthem Blue Access PPO Ohio cover Qsymia?
Not covered
Anthem Blue Access PPO Ohio does not cover Qsymia.
This plan does not currently cover this medication.
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
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) · vCG-SURG-83 (Revised 12-18-2025); CC-0188 (Revised 07-01-2024)
- Anthem — Transparency-in-Coverage Index (in_network rates, all plans)
Anthem Blue Cross · Effective 2026-06-01 · v2026-06 · commercial
- Medical Drug Clinical Criteria: Agents for Obesity; Wegovy (semaglutide) Clinical Criteria
Anthem / CarelonRx · Effective 2024-07-01 · vCC-0188; Pub-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
What to do next
Even when a plan says no, an exception or appeal is often possible — especially when there's a strong clinical case. Your prescriber can request a coverage determination.
Keep exploring
Other medications on this plan