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Elevance Health subsidiary, BCBS licensee in 14 states + ~47M members
Anthem (now Elevance Health) is the BCBS licensee in 14 states: CA, CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA, WI. ~47M members across commercial, Medicare, Medicaid lines. Coverage policies generally align with national BCBS but with state variations.
Anthem commercial plans cover Wegovy and Zepbound with PA: BMI ≥30 + comorbidity + 6-month documented lifestyle program. Ozempic/Mounjaro covered for diabetes at tier 2. State variations exist — Anthem CA more restrictive than Anthem GA.
Sample copays based on a representative Anthem plan. Your specific plan may differ.
| Product | Status | Sample copay |
|---|---|---|
| Hims & Hers Weight Loss | Not covered | — |
| Mounjaro T2D + metformin trial | Step therapy | $35/mo |
| Ozempic T2D diagnosis | Covered | $35/mo |
| Zepbound BMI ≥30 + comorbidity OR OSA + obesity | PA required | $55/mo |
| Wegovy BMI ≥30 + comorbidity, 6-month lifestyle documentation. Anthem CA stricter than other states. | PA required | $55/mo |
Look up your specific plan ID for plan-level accuracy. Open formulary tool
Coverage shown is a sample plan and not a guarantee for your specific Anthem plan. Always verify with member services or your benefits administrator. We update this page when formulary changes are detected — last verified May 16, 2026.
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