Medication Lookup

For members with the Blue Cross Blue Shield of Massachusetts Formulary or Blue Cross Blue Shield of Massachusetts Formulary — Focused

Use this tool to learn about your coverage for prescription medications, including medication requirements such as prior authorization, and alternatives to non-covered medications.

The Blue Cross Blue Shield of Massachusetts Formulary includes coverage for GLP-1 medications, while the Blue Cross Blue Shield of Massachusetts Formulary — Focused excludes coverage for the subset of prescription GLP-1 and GLP-1/GIP medications that are FDA-approved to treat weight loss and other medical indications (including but not limited to Saxenda, liraglutide (generic Saxenda), Wegovy, and Zepbound). Prescription GLP-1/GLP-1/GIP medications that are FDA-approved to treat diabetes will remain covered (and may be covered for other medical indications as outlined in medical policy 056). To see which formulary your plan uses, sign in to MyBlue.

If you're eligible for Medicare or already enrolled in a Blue Cross Medicare plan, please proceed to the Medicare Medication Lookup to see if your prescriptions are covered.

Use this tool to learn about your patient's coverage for prescription medications, including medication requirements such as prior authorization, and alternatives to non-covered medications.

The Blue Cross Blue Shield of Massachusetts Formulary includes coverage for GLP-1 medications, while the Blue Cross Blue Shield of Massachusetts Formulary — Focused excludes coverage for the subset of prescription GLP-1 and GLP-1/GIP medications that are FDA-approved to treat weight loss and other medical indications (including but not limited to Saxenda, liraglutide (generic Saxenda), Wegovy, and Zepbound). Prescription GLP-1/GLP-1/GIP medications that are FDA-approved to treat diabetes will remain covered (and may be covered for other medical indications as outlined in medical policy 056). Exclusions will be noted under each medication when searching the tool.

If your patient is eligible for Medicare or already enrolled in a Blue Cross Medicare plan, please proceed to the Medicare Medication Lookup to see if their prescriptions are covered.