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The verdict Conditional on most plans Blue Cross Blue Shield of North Carolina's Wegovy coverage has been significantly cut in two areas: the NC State Health Plan (the large public-employee plan) dropped weight-loss GLP-1 coverage in 2024, and NC Medicaid removed obesity coverage effective October 1, 2025

What insurance companies look for: Common prior authorization criteria include documented BMI meeting the FDA-approved threshold, documentation of weight-related comorbidities (for patients with BMI 27 to 29.9), evidence of previous weight loss attempts (diet, exercise, behavioral modification), a letter of medical necessity from your provider, and sometimes documentation that you have tried and failed other weight loss medications first (step therapy)

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Consumer demand for convenience: Online intake and prescription coordination are expected to reduce travel burden for suitable patients