![]() ![]() Ask your insurance company if you have any out-of-pocket costs before medicines are covered. If you have a yearly insurance deductible, you may need to meet your deductible before your insurance would pay for any part of your medicine. Copay cards are not typically eligible to patients with government sponsored insurance such as Medicare, Medicaid or TriCare. Eligible commercially insured patients may pay as little as $25 per 28 day supply (1 box of injectable pens) with a maximum savings of $200 per prescription fill. If you have commercial insurance, and your doctor prescribes this medicine, it may be more affordable to gain access with a Wegovy Savings Copay Card supplied from Novo Nordisk, the manufacturer. You can call your insurance to determine the cost and your copay. If your insurance covers some or all of the cost of Wegovy, the price will depend upon how your insurance classifies Wegovy and the level or tier of your benefit. is not widely available, but you may be able to get assistance to pay for this medicine. Insurance coverage for weight-loss medications in the U.S.They also have an online form you can fill out and they will check your insurance for you. If you do not have insurance, contact Novo Nordisk, the manufacturer, 1-88 (Monday-Friday, 8:00 am-8:00 pm ET) to determine if you qualify for a Wegovy Savings Copay Card or patient financial assistance program.A tier is the dollar level of copay you may be expected to pay, and can vary among insurance carriers. To find out if Wegovy is covered by your insurance plan, call them and ask if this medicine is already covered under your plan and what the cost (or tier) is.This is a current benefit so there is no change.ĩ9% of network pharmacies offer this option. Maintenance network that offers 90-day fills at retail. Includes most national chains such as CVS, Target, Walmart, Sam’s Club, Costco, Kroger, Giant Eagle. Nationwide network with approximately 59,000 retail pharmacies, excludes Walgreens and Walgreens-owned pharmacies.Ĭurrent network is National network which includes Walgreens. Level 2 includes non-preferred pharmacies like Walgreens, Rite Aid, Giant Eagle.Īll Small Group plans except the SHOP mirror plans.* Level 1 includes 25,000 preferred pharmacies like CVS, Target, Walmart, Sam’s Club, Kroger, Costco. Member choose between two levels of pharmacies: Level 1 (lower copay) and Level 2 (higher copay).Ĭurrent network is National network with the same pharmacies but without any copay differential. Nationwide network with more than 67,000 retail pharmacies. How does it compare to the current network? ![]() The following chart provides a little more information on these three networks and what they mean: These changes apply to 2021 new business and current Anthem groups will get these updates at their 2021 renewal. All plans will continue to utilize the R90 Maintenance Network that allows members to receive a 90-day supply of coverage drugs from maintenance retail pharmacies for the same rate as home delivery. SHOP mirror plans will use the Standard network. Most notably, all small group plans except the SHOP mirror plans are changing to Anthem's Rx Choice Tiered network. As part of Anthem Blue Cross's 2021 updates, they are introducing new pharmacy networks to help control costs along with a new Opt-Out Home Delivery Program.Īnthem is changing the pharmacy networks on their small group plans. ![]()
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