Anonymous
Post 01/03/2026 01:58     Subject: Fep Blue Standard GLP- coverage for obesity?
You can go compound for cheaper. I don't bother with insurance. My PCP monitors me and it is very easy.
Anonymous
Post 01/03/2026 01:45     Subject: Fep Blue Standard GLP- coverage for obesity?
If you have BCBS Standard you can get Wegovy through Caremark mail order for $250 for a 90-day supply (in 2025 it was $150 and BCBS just increased it for 2026). This only applies for the two highest doses-1.7mg and 2.4mg, so if you’re just starting out you’d have to pay the 50% per monthly coverage for the lower dose which is around $600, but that would only be for about three months until you move up to the higher doses.
Anonymous
Post 12/26/2025 11:00     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:Will they cover for someone pre-diabetic? DH is about to go on one and we have fed blue standard.


No. They don't care at all about "pre-diabetic." That wasn't even one of the conditions ever considered for coverage (like sleep apnea or high blood pressure or cardiovascular disease).
Anonymous
Post 12/26/2025 10:58     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.



Me agin.
I now pay $0 for Zepbound
No clue how and I refuse to inquire.

Good luck!



It's likely a manufacturer promotion -- trying to get you loyal to zep.
Anonymous
Post 12/26/2025 09:54     Subject: Fep Blue Standard GLP- coverage for obesity?
again^
Anonymous
Post 12/26/2025 09:54     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.



Me agin.
I now pay $0 for Zepbound
No clue how and I refuse to inquire.

Good luck!

Anonymous
Post 12/26/2025 07:57     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:Well after 3 years with a prior authorization (not always filled over that time) FEP BCBS denied my prior authorization. Not sure why yet given I have lots of other health issues. Thought I’d share because it may be a trend.


My bet is that with Trump negotiating for cash prices to drop there is a range of cost where insurers have determined that if its less than X dollars out of pocket then people will buy it using cash versus using insurance and then the insurer will still get all the benefits of those of us who have decreased BMI, decreased cholesterol, decreased inflammation, etc. without having to cost share it. They are negotiating Medicare/Medicaid costs for it so those who cant afford OOP will be covered thus leaving only LMC in the lurch.

Add in that Lilly has multiple new GLP-1s ++ in trials.

Price has started to drop for Zepbound. It’s $450 for the vials at higher strength. I believe they are planning on a multi dose pen soon
Anonymous
Post 12/25/2025 22:37     Subject: Fep Blue Standard GLP- coverage for obesity?
Will they cover for someone pre-diabetic? DH is about to go on one and we have fed blue standard.
Anonymous
Post 12/15/2025 11:08     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:Well after 3 years with a prior authorization (not always filled over that time) FEP BCBS denied my prior authorization. Not sure why yet given I have lots of other health issues. Thought I’d share because it may be a trend.


BCBS has been very clear about dropping GLP-1 coverage except for diabetes. They sent a letter about it.

It's a bummer but not a mystery.
Anonymous
Post 12/15/2025 09:40     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:Well after 3 years with a prior authorization (not always filled over that time) FEP BCBS denied my prior authorization. Not sure why yet given I have lots of other health issues. Thought I’d share because it may be a trend.


My bet is that with Trump negotiating for cash prices to drop there is a range of cost where insurers have determined that if its less than X dollars out of pocket then people will buy it using cash versus using insurance and then the insurer will still get all the benefits of those of us who have decreased BMI, decreased cholesterol, decreased inflammation, etc. without having to cost share it. They are negotiating Medicare/Medicaid costs for it so those who cant afford OOP will be covered thus leaving only LMC in the lurch.

Add in that Lilly has multiple new GLP-1s ++ in trials.
Anonymous
Post 12/15/2025 09:02     Subject: Fep Blue Standard GLP- coverage for obesity?
Well after 3 years with a prior authorization (not always filled over that time) FEP BCBS denied my prior authorization. Not sure why yet given I have lots of other health issues. Thought I’d share because it may be a trend.
Anonymous
Post 01/30/2025 16:36     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.


That's how much I paid this month.


Dr did suggest Noom.com and that BCBS provides a free membership. Cost of Wegovy should be $149 monthly.

Compounded?


Yes -- compounded. You will not get Wegovy for $149 a month from Noom. You will get compounded semaglutide. Which my doctor will not write a script for because she doesn't consider it safe. But everyone has a different tolerance for risk.
Anonymous
Post 01/29/2025 12:10     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.


That's how much I paid this month.


Dr did suggest Noom.com and that BCBS provides a free membership. Cost of Wegovy should be $149 monthly.

Compounded?


I don't know .. I don't really want the compounded vs.. Just the pens like I've been on.. Will check into it and update.
Anonymous
Post 01/29/2025 12:06     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.


That's how much I paid this month.


Dr did suggest Noom.com and that BCBS provides a free membership. Cost of Wegovy should be $149 monthly.

Compounded?
Anonymous
Post 01/29/2025 12:00     Subject: Fep Blue Standard GLP- coverage for obesity?
Anonymous wrote:
Anonymous wrote:
Trying to sort this all out this morning.
Was told $639.49.


That's how much I paid this month.


Dr did suggest Noom.com and that BCBS provides a free membership. Cost of Wegovy should be $149 monthly.