Does Anthem Traditional Open Access Ohio cover Qsymia?
Anthem Traditional Open Access Ohio covers Qsymiawith 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 3
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