Coverage not yet verified
- Tier
- —
- Cash-pay
- —
BCBS FEP Standard obesity-medication coverage
BCBS — Blue Cross Blue Shield
BCBS FEP Standard
PPO
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Showing all 14 medications.
Coverage & pricing
| Medication | Coverage | Requirements | Tier | Lowest cash-pay | Details |
|---|---|---|---|---|---|
| anti-obesity agents (general) | Coverage not yet verified | — | — | — | View |
| Saxenda liraglutide | Covered with prior authorization |
| — | $372·GoodRx | View |
| Victoza liraglutide | Coverage not yet verified | — | — | — | View |
| Contrave naltrexone/bupropion | Covered with prior authorization |
| — | Price varies·Cost Plus | View |
| Foundayo orforglipron | Coverage not yet verified | — | — | $149·LillyDirect | View |
| Xenical / Alli orlistat | Covered with prior authorization |
| — | — | View |
| Adipex-P / Lomaira phentermine | Covered with prior authorization |
| — | $15·Cost Plus | View |
| Qsymia phentermine/topiramate | Covered with prior authorization |
| — | Price varies·GoodRx | View |
| Wegovy semaglutide | Covered with prior authorization |
| Tier 2 or 3 (Tier 2 MPDP) | $349·NovoCare | View |
| Ozempic semaglutide | Covered | No restrictions on file | — | $349·NovoCare | View |
| Wegovy HD semaglutide (7.2 mg injection) | Coverage not yet verified | — | — | $399·NovoCare | View |
| Wegovy (oral) semaglutide (oral, 1.5/4/9/25 mg tablets) | Coverage not yet verified | — | — | $149·NovoCare | View |
| Mounjaro tirzepatide | Covered | No restrictions on file | — | $299·LillyDirect | View |
| Zepbound tirzepatide | Covered with prior authorization |
| Excluded (per secondary sources) | $299·LillyDirect | View |
- SaxendaCovered with prior authorizationliraglutide
- Tier
- —
- Cash-pay
- $372·GoodRx
- Prior auth
- VictozaCoverage not yet verifiedliraglutide
- Tier
- —
- Cash-pay
- —
- ContraveCovered with prior authorizationnaltrexone/bupropion
- Tier
- —
- Cash-pay
- Price varies·Cost Plus
- Prior auth
- FoundayoCoverage not yet verifiedorforglipron
- Tier
- —
- Cash-pay
- $149·LillyDirect
- Xenical / AlliCovered with prior authorizationorlistat
- Tier
- —
- Cash-pay
- —
- Prior auth
- Adipex-P / LomairaCovered with prior authorizationphentermine
- Tier
- —
- Cash-pay
- $15·Cost Plus
- Prior auth
- QsymiaCovered with prior authorizationphentermine/topiramate
- Tier
- —
- Cash-pay
- Price varies·GoodRx
- Prior auth
- WegovyCovered with prior authorizationsemaglutide
- Tier
- Tier 2 or 3 (Tier 2 MPDP)
- Cash-pay
- $349·NovoCare
- Prior auth
- OzempicCoveredsemaglutide
- Tier
- —
- Cash-pay
- $349·NovoCare
- Wegovy HDCoverage not yet verifiedsemaglutide (7.2 mg injection)
- Tier
- —
- Cash-pay
- $399·NovoCare
- Wegovy (oral)Coverage not yet verifiedsemaglutide (oral, 1.5/4/9/25 mg tablets)
- Tier
- —
- Cash-pay
- $149·NovoCare
- MounjaroCoveredtirzepatide
- Tier
- —
- Cash-pay
- $299·LillyDirect
- ZepboundCovered with prior authorizationtirzepatide
- Tier
- Excluded (per secondary sources)
- Cash-pay
- $299·LillyDirect
- Prior auth