{"id":633978,"date":"2025-10-17T18:58:44","date_gmt":"2025-10-17T22:58:44","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633978"},"modified":"2025-10-17T18:58:44","modified_gmt":"2025-10-17T22:58:44","slug":"does-blue-cross-blue-shield-cover-linzess","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-blue-cross-blue-shield-cover-linzess\/","title":{"rendered":"Does Blue Cross Blue Shield cover Linzess?"},"content":{"rendered":"

Linzess<\/span><\/a> (<\/span>linaclotide<\/span>) is a <\/span>brand-name<\/span> prescription medication<\/span> approved by the FDA to treat constipation in adults and some children and adults with <\/span>irritable bowel syndrome<\/span><\/a> with constipation (IBS-C). It\u2019s a guanylate cyclase-C agonist that helps people pass bowel movements more quickly and easily while reducing discomfort. Most commercial insurance plans, including <\/span>Blue Cross<\/span> Blue Shield (BCBS), cover <\/span>Linzess<\/span> for <\/span>the treatment of constipation<\/span><\/a>. Still, there may be exceptions or other things to know before you get coverage.<\/span><\/p>\n\t\t

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Save up to 80% on Linzess 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\tLinzess 145 mcg (30 capsules)\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$252.26\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$252.26\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 Linzess prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n

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

Blue Cross<\/span> Blue Shield (BCBS) is an <\/span>association of insurance companies<\/span><\/a> that provides coverage to millions across the U.S. Most states have their own BCBS company, and each one operates differently, meaning drug coverage rules and pharmacy benefits can vary by state.<\/span><\/p>\n

In general, though, commercial insurance companies like BCBS usually cover <\/span>Linzess<\/span><\/a>. According to the manufacturer\u2019s <\/span>formulary<\/span> status tool<\/span><\/a>, a review of BCBS plans across different states shows Linzess is often listed as a preferred brand medication. However, some plans may classify it as a specialty drug or list it under plan exclusions (if it\u2019s prescribed for an off-label use).<\/span><\/p>\n

A <\/span>formulary<\/span><\/a> is a list of covered drugs that an insurance plan agrees to pay for. When a drug is labeled as preferred, it generally means it\u2019s covered at a lower cost and may be recommended before non-preferred alternatives. In some cases, your plan may require healthcare professionals to prescribe a <\/span>preferred drug first<\/span><\/a> before covering other similar options.<\/span><\/p>\n

In other words, preferred drugs typically have the most coverage under insurance plans. (Again, state-by-state coverage will vary, and your BCBS company may place <\/span>Linzess<\/span> in a different coverage tier). No matter what type of drug <\/span>Linzess<\/span> is categorized under, you may still need to meet some requirements before BCBS covers it.<\/span><\/p>\n