Skip to content
The Policy VaultThe Policy Vault

Qsymia — Blue Cross Blue Shield of Alabama

BMI reduction (pediatrics)

Reauthorization criteria

  • Greater than or equal to 5% weight loss from baseline (adults/pediatrics)
  • Greater than or equal to 5% reduction in BMI from baseline (pediatrics): approve 12 months
  • Less than 5% weight loss from baseline (adults) or less than 5% BMI reduction (pediatrics): approve 3 months

Approval duration

12 months or 3 months (based on response)