A drug that's not in our formulary, sometimes called a drug list, may require prior authorization.Or, it might not be a covered benefit under your drug plan. 0000018496 00000 n
to reduce the risk of major cardiovascular events such as heart attack, stroke or death in adults with type 2 diabetes mellitus with known heart disease. Please seek medical advice before starting, changing or terminating any medical treatment.In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider.
Which coverage stage are you in?
0000041942 00000 n See discount prices that can save you money when your Medicare plan doesn't work for you.A server error occured, please refresh the page and try againSEMAGLUTIDE is used to improve blood sugar control in adults with 0000041183 00000 n Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan.
Month is 28 days. How to appeal a pharmacy denial.
A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members. 0000005614 00000 n
These prescription drug lists have different levels of coverage, which are called "tiers."
that can be purchased at one time. You can have a NovoCareWho is your current health care provider? 0000029068 00000 n
cost of your prescriptions.
Eligibility and restrictions apply. In the Typical co-pay stage, your deductible has been satisfied, a Eligible commercially insured patients with coverage for Ozempic ® pay as little as $25 for a 1-month or 3-month supply. ®*The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. 1) Look for the "Rx" on their member ID card. Medicare plans typically list Ozempic in Tier 3 of their formulary. encounter any issues, please {"id": 43047, "label": "ozempic", "label_override": null, "name": "ozempic", "slug": "ozempic", "display": "Ozempic", "title": "Ozempic", "form": "carton", "form_slug": "carton", "form_display_plural": "cartons", "dosage": "1 pen of 0.25mg/0.5mg", "dosage_slug": "1-pen-of-0.25mg-0.5mg", "manufacturer": "brand", "quantity": 1, "market_type": "on-market", "common_days_supply": 28, "days_supply": 30, "canonical_link": "https://www.goodrx.com/ozempic", "mobile_canonical_link": "https://m.goodrx.com/ozempic", "is_default": true, "secondary_drugs": [], "primary_title": "Ozempic", "primary_title_annotated": "Ozempic", "new_header_title": [["Ozempic"], ["ozempic"]], "header_title": "Ozempic", "header_title_annotated": "Ozempic", "new_subtitles": [[], [], ""], "secondary_title": "", "secondary_title_annotated": "", "dosage_form_display": "1 carton (1 pen) of Ozempic 0.25mg/0.5mg", "dosage_form_display_short": "1 carton (1 pen) 0.25mg/0.5mg", "equivalent_drugs": {"Ozempic": {"display": "Ozempic", "form_sort": ["carton"], "forms": {"carton": {"dosage_sort": ["2-pens-of-1mg", "1-pen-of-0.25mg-0.5mg"], "singular": "carton", "plural": "cartons", "dosages": {"2-pens-of-1mg": {"name": "2 pens of 1mg", "quantities": [1, 2, 3, 4, 10], "default_quantity": 1.0, "drug_id": 43046}, "1-pen-of-0.25mg-0.5mg": {"name": "1 pen of 0.25mg/0.5mg", "quantities": [1, 2, 3, 4, 20], "default_quantity": 1.0, "drug_id": 43047}}, "display": "carton", "default_dosage": "1-pen-of-0.25mg-0.5mg"}}, "generic": false, "slug": "ozempic", "default_form": "carton", "days_supplies": [30, 90], "default_days_supply": 30}}, "drug_description": "SEMAGLUTIDE is used to improve blood sugar control in adults with type 2 diabetes. Blue Care Network reviews all physician and member requests to determine if the drug is medically necessary and if there are equally effective alternative drugs on the formulary.