Anonymous wrote:Don't hold me to this but in my PCOS group the rumor is fed BCBS will cover some of these meds
I just looked into this. My spouse is in the obese category. They were given a one month trial sample (2.5 mg) of Mounjaro and after two weeks, the appetite suppression worked and they were able to lose a noticeable amount for the last two weeks. Unfortunately, after the sample dose ran out, we found that our BCBS FEP standard would not cover Mounjaro for weight loss. So I did a little research.
BCBS FEP will only cover Mounjaro and Ozempic for T2DM or prediabetes, not for weight loss.
However, it will cover Wegovy, and Rybelsus (oral version of semaglutide) plus several others, for weight loss.
You can find the BCBS formularies for both Basic and Standard, here:
https://www.fepblue.org/pharmacy/prescriptions