{"id":627514,"date":"2024-03-21T12:15:52","date_gmt":"2024-03-21T16:15:52","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627514"},"modified":"2026-05-15T15:45:23","modified_gmt":"2026-05-15T19:45:23","slug":"is-wegovy-covered-by-blue-cross-blue-shield","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-wegovy-covered-by-blue-cross-blue-shield\/","title":{"rendered":"Is Wegovy covered by Blue Cross Blue Shield?"},"content":{"rendered":"

Wegovy<\/span><\/a> (semaglutide) was approved by the Food and Drug Administration (FDA) as a\u00a0 weight loss medication in 2021. It belongs to a class of medications called <\/span>glucagon-like peptide-1 (GLP-1) agonists<\/span><\/a>. GLP-1s stimulate the production of insulin to reduce blood sugar, slow the digestion process, reduce appetite, and signal fullness. Insurance may cover Wegovy for patients who meet coverage requirements, but coverage varies by plan. Here\u2019s what you should know about Wegovy coverage if you have a Blue Cross Blue Shield policy.<\/span><\/p>\n

Does Blue Cross Blue Shield cover Wegovy?<\/span><\/h2>\n

Some Blue Cross Blue Shield (BCBS) plans cover Wegovy, but others don\u2019t. To verify whether your BCBS plan will cover Wegovy, view your plan\u2019s drug formulary. If you\u2019re not sure how to access this online, call BCBS customer service. Wegovy\u2019s manufacturer, Novo Nordisk, provides a tool on its website that allows you to easily <\/span>check your insurance coverage<\/span><\/a> as well.\u00a0<\/span><\/p>\n

\u201cWeight loss drugs are expensive and are covered by some insurance plans, but most people get insurance through their employers, so it\u2019s a question of whether employers opted in or out of weight loss benefits,\u201d says <\/span>Michelle Pearlman, MD<\/span><\/a>, CEO and co-founder of Prime Institute and ByteMD and a physician who is board-certified in internal medicine, gastroenterology, and obesity medicine.<\/span><\/p>\n

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Save up to 80% on Wegovy with SingleCare<\/p>\n\t\t\t

Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t

\n\t\t\t\t
\n\t\t\t\t\tWegovy 2.4 mg\/0.75 mL (4 Pens)\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t
\n\t\t\t\"Kroger\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$1170.27\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\"Harris\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$1170.27\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\tSee Wegovy prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t<\/span><\/p>\n

Does CareFirst cover Wegovy?<\/span><\/h2>\n

Yes, some CareFirst BlueCross BlueShield plans cover Wegovy. Wegovy isn\u2019t covered in any BCBS CareFirst Exchange plans, but it\u2019s listed as a tier 2 or tier 4 anti-obesity agent in formularies for large employer-sponsored plans and plans purchased before March 23, 2010. That said, coverage still depends on your plan, as some employers choose not to cover weight loss medications.\u00a0<\/span><\/p>\n

Wegovy prior authorization criteria<\/span><\/h2>\n

Even if a BCBS plan does offer coverage for Wegovy, patients must meet specific criteria before BCBS will help pay for this medication.\u00a0<\/span><\/p>\n

First, you need a valid <\/span>Wegovy prescription<\/span><\/a> for an FDA-approved indication. Currently, Wegovy is FDA approved for the following:\u00a0<\/span><\/p>\n