Reply to Wegovy moving Tiers on BCBS FEP

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[quote=Anonymous]Hey all. (I know we have bigger things on our minds right now w/ the new administration.)

I'm on Wegovy since last year. With the new year, they are increasing price - I'm ok with that. That said, they previously communicated it would be $125/month via mail-order.

I tried moving from CVS retail (now $643/mo) to CVS Caremark for a 3 months supply (which is $125/mo). Of course, CVS Caremark says they don't have stock and haven't in 6 months.

I'm willing to pay the $125/month copay but it seems horribly bait-and-switch to say "you must use CVS Caremark mail order" when it's been out of stock for months. We would have made a different choice at open enrollment if we knew it was going to be like this.

This seems like a way for them to say they are offering it but not really offer it.

With the popularity of BCBS FEP, has anyone else found way around this? (other than the tier exemptions?) Does the unavailability of CVS Caremark allow for us to get the $125 rate from CVS Retail? What's the magic here?

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