Does UHC Choice Plus PPO cover Qsymia?
Covered with prior authorization
UHC Choice Plus 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 (Non-Preferred Brand)
Sources
- Prior Authorization/Notification - Plans with Weight Loss/Appetite Suppression Medication Coverage (Total Weight Support)
UnitedHealthcare (UHC) · Effective 2026-02-01 · v2025 P 1114-19
- Bariatric Surgery
UnitedHealthcare Community Plan · Effective 2025-04-01 · vCS007.W
- Bariatric Surgery (for Kentucky Only)
UnitedHealthcare Community Plan · Effective 2025-05-01 · vCS007KY.11
- Required clinical and additional information Bariatric surgery/gastric bypass
UMR (A UnitedHealthcare Company) · Effective 2024-08-01 · vUMF0037 0824 UA
- Surgical Procedures (Medicare Advantage Medical Policy)
UnitedHealthcare · Effective 2024-10-01 · vMMP108.02
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