Reply to Wegovy moving Tiers on BCBS FEP

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[quote=Anonymous]Hi all I am BCBS Fed Employee Standard.  Years ago I was on Ozempic, then insurance stopped covering and I moved to Mounjaro, and yet again insurance stopped covering.  Wegovy was always covered but was unaffordable.  Now the only thing covered is Wegovy.  I saw the post about mail in pharmacy via Caremark (advertised price is $125 but it’s not available and hasn’t been for a long time due to shortages).  I got nowhere with my insurance calls yesterday but today I called insurance help line first (not mail in pharmacy number that takes you straight to Caremark CVS).  I complained over the fraud of advertising I could go to any local pharmacy (not just CVS Caremark) and get it for $125 when in practice the only option is CVS Caremark and they don’t provide it via mail.  The rep I got agreed to transfer me over to CVS Caremark with her still on the phone—she basically escalated my complaint. The CVS Caremark person then did an override on my account—so I can go to my local pharmacy and get my Wegovy filled at the mail in price of $125.  Also your doc can send in a prescription for 3 months and you fill it at that one time for $125 (same price whether you get 1-3 months so get 3 to bring cost down to old price!).  I hope this helps others.  I only knew to attempt this from what I read on here!
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