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Diet, Nutrition & Weight Loss
Reply to "Wegovy moving Tiers on BCBS FEP "
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[quote=Anonymous][quote=Anonymous]I wouldn't worry too much. This is all likely a negotiating stance between BCBS and the Novo. Ultimately, BCBS will not do something that causes huge numbers of its members to move off an incredibly effective weight loss drug, as it will save BCBS a lot of money in the long term. [/quote] I mean ... they have already done it. They moved Wegovy to a Tier 3 med. I have no doubt it was a very studied and considered financial decision that takes into account any willingness of Novo to move on the pricing. The Wegovy has cost BCBS a fortune this year. The fact that we have any coverage at all -- with it being a Tier 3 -- is actually fortunate. Most plans outside of the fed gov just aren't covering it at all any more. [/quote]
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