BuzzRx
•
10th April 2026
Does Anthem Cover Wegovy for Weight Loss?
Key Takeaways
Anthem BCBS coverage for Wegovy varies by plan and often excludes weight-loss medications. Eligibility typically depends on medical necessity, FDA-approved use, and meeting criteria like BMI thresholds and documented health conditions.
Prior authorization is required for Wegovy under Anthem plans. Approval usually depends on provider documentation, lifestyle changes, and, sometimes, step therapy, which requires that lower-cost treatments or programs be tried first.
If coverage is denied, options include appealing, requesting a formulary exception, exploring alternative medications, or using manufacturer savings programs to significantly reduce out-of-pocket costs for Wegovy.