Does SummaCare Ohio Commercial cover Qsymia?
Excluded by the plan
SummaCare Ohio Commercial excludes Qsymia from coverage— an exception may be available with clinical justification.
This plan explicitly excludes this medication from coverage. An exception may be available.
Verbatim status from policy: Excluded
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
We don’t have a sourced policy document linked to this answer yet. Always confirm with your plan’s most recent formulary before making decisions.
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.