Does Anthem Individual Marketplace Ohio cover Qsymia?
Not covered
Anthem Individual Marketplace 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
- 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
- Imcivree (setmelanotide)
Anthem · Effective 2024-07-01 · vCC-0188
- Clinical Criteria: Agents for Obesity
Anthem / Elevance Health · Effective 2026-03-01 · vCC-0197; CC-0210
- Bariatric Surgery and Other Treatments for Clinically Severe Obesity
Anthem · Effective 2025-11-06 · vCG-SURG-83
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