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Federation of 33 independent commercial plans covering ~115M Americans
BCBS is a federation of 33 independent licensee companies operating in all 50 states. Each BCBS company has its own formulary, so coverage varies widely — but most cover GLP-1s for type 2 diabetes universally and for chronic weight management with prior auth.
Most BCBS plans cover Wegovy and Zepbound with prior auth requiring BMI ≥30 (or ≥27 with comorbidity) plus documentation of prior diet/exercise attempts. Diabetes indications are typically covered at tier 2-3 without step therapy. The 33 licensee variation means your specific BCBS plan may differ — always verify with member services.
Sample copays based on a representative Blue Cross Blue Shield plan. Your specific plan may differ.
| Product | Status | Sample copay |
|---|---|---|
| Hims & Hers Weight Loss Compounded medications not covered | Not covered | — |
| Mounjaro T2D diagnosis | Covered | $35/mo |
| Ozempic T2D diagnosis required | Covered | $35/mo |
| Zepbound BMI ≥30, comorbidity, prior lifestyle attempt | PA required | $50/mo |
| Wegovy BMI ≥30 (or ≥27 with comorbidity), documented 3-month lifestyle program | PA required | $50/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 Blue Cross Blue Shield 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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