Anthem Blue Cross and Blue Shield Coverage for Wegovy

12 Plans

Medicare - MA-PD

$$$$$
Not covered

Commercial - Employer

$$$$$
Preferred
PA requirements
Quantity Limit

Commercial - HMO

$$$$$
Preferred
PA requirements
Quantity Limit

Commercial - PPO

$$$$$
Preferred
PA requirements
Quantity Limit

Commercial - POS

$$$$$
Preferred
PA requirements
Quantity Limit

Managed Medicaid - HMO - Medicaid

$$$$$
Not covered

Health Exchange - PPO-HIX

$$$$$
Non-preferred
PA requirements
Quantity Limit

Health Exchange - HDHP-HIX

$$$$$
Non-preferred
PA requirements
Quantity Limit

Health Exchange - HMO-HIX

$$$$$
Non-preferred
PA requirements
Quantity Limit

Commercial - Other Insurer

$$$$$
Preferred
PA requirements
Quantity Limit

Medicare - PDP

$$$$$
Not covered

Health Exchange - POS-HIX

$$$$$
Non-preferred
PA requirements
Quantity Limit