Does BCBS Blue Preferred PPO cover Qsymia?
Covered with prior authorization
BCBS Blue Preferred PPO 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 2026-04-01.
Requirements
- Prior authorization
- Required
- Step therapy
- Not required
- Formulary tier
- Tier 3
Sources
- Program Selection Criteria: Bariatric Surgery
Blue Cross Blue Shield Association · Effective 2020-07-30 · vBDCBS_073020
- FEP Medical Policy: Weight Loss Medications (5.99.027); Saxenda Wegovy (5.99.030); Bariatric Surgery (7.01.47)
Blue Cross Blue Shield Federal Employee Program (FEP) · Effective 2026-01-01 · vRev 12-2025 (Medications); Rev 06-2024 (Bariatric Surgery)
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.