Does Anthem Blue Preferred PPO Ohio cover Adipex-P / Lomaira?
Covered with prior authorization
Anthem Blue Preferred 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
- Anthem — Transparency-in-Coverage Index (in_network rates, all plans)
Anthem Blue Cross · Effective 2026-06-01 · v2026-06 · commercial
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem · Effective 2025-11-06 · vCG-SURG-83
- Imcivree (setmelanotide)
Anthem · Effective 2024-07-01 · vCC-0188
- Mental Health Insurance in the United States / Understanding Mental Health Coverage In the U.S.
Anthem · v1089577NHCENABS; 1068272MUCENABS
- 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) · 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