Reply to semaglutide thru Fed BCBS

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Yes. I have BCBS Basic and it is covered. $25 copay. I do not have diabetes or pre-diabetes. There is no pre-authorization required. [/quote]

Not for long, a lot of BCBS just changed their formulary to cut off non diabetics using diabetic medication. Post back in July……[/quote]

Federal BCBS can’t change in July. They are locked into their contract with federal employees for all of 2023.  And the GLP-1s like Wegovy are covered in both the basic and standard formularies in 2023 for BMI 27 plus co-morbid condition or BMI 30.  Needs a PA.  Original one is about six months and you need to lose 5% of body weight to get a second PA.   Must be used in conjunction with a diet and exercise.

During 2024 Fed Open season, check the formularies carefully if weight loss meds are important to you.

I use NOVA Physicians Wellness Center and am pleased. But it’s not a get a prescription and see you in 6 months thing. You weigh in, see the PA and see a dietician every 2 weeks at first if you are on meds, while you titration up. [/quote]

I could have written this same post (down to going to NOVA Physicians Wellness - maybe I'll see you in the waiting room some day! :) ) and agree.  My BMI was 31 and prediabetic and BCBS fed so far has covered Wegovy and, when that was in short supply, now Ozempic.[/quote]

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