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November 2024

2025 coverage change for GLP-1 drugs to treat obesity

Beginning Jan. 1, 2025, or on the group’s 2025 health coverage renewal date, Blue Cross Blue Shield of Michigan and Blue Care Network will no longer cover prescriptions for glucagon-like peptide-agonist drugs used for weight loss, including Saxenda®, Wegovy® and Zepbound®.

This change applies to Blue Cross and BCN commercial members of fully insured large groups with a prescription drug plan. If members decide to use these medications for weight loss in 2025 after their group’s renewal date, they’ll be responsible for the full cost. Affected members have already gotten letters notifying them about the change coming and will receive another letter before this change.

Some self-funded groups also have removed coverage for these medications.

Additional information

Members can visit the websites for Saxenda, Wegovy and Zepbound to determine if they offer discount coupons. These medications may also be offered at a discount through GoodRx.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2023 American Medical Association. All rights reserved.