Prescribed Zepbound, but BCBS Fed does not cover it
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Anonymous
| My PCP prescribed Zepbound for weight loss. I am obese and have hypertension. I have BCBS Fed standard which does not cover Zepbound. Out of pocket with coupon is 750 dollars per month. Is there any way to get this medication in a more affordable way? Thank you. |
Anonymous
| LillyDirect |
Anonymous
| Most of us do Lily Direct. It’s $348 for the 2.5 dose, which everyone starts with. You can stay in that dose for a few months. It’s very easy. |
Anonymous
| Typo - $349 |
Anonymous
| Thank you. How do I join Lily direct? |
Anonymous
| Get Wegovy and it is $125 for a three-month supply via Caremark mailorder |
Anonymous
Were you actually able to do the mail order? |
Anonymous
Yup. They restarted mail order a few weeks ago for the 1.7 and 2.4 doses. But they did not announce it. I learned about it here and it’s saving me $600 a month. |
Anonymous
| I have the same insurance, and my doctor submitted info for prior approval and got it for a year. I would call BCBS and see what you can do. |
Anonymous
OP. Thanks. The doctor’s office submitted info for prior approval and BCBS Fed standard rejected it. Did you have to call BCBS to get it approved? |
Anonymous
I did not need to but DH did and found out Wegovy was covered instead for him and is taking that. |
Anonymous
| Hmmm I am on BCBS Fed and it is covered for me. My only qualification is obesity (but not anymore) and I just got it approved for another year. I would call and push back. I still pay $300 out of pocket after coupon though. |
Anonymous
|
Have the same insurance. Doctor was able to get it approved However, it still is going to cost you around $349 a month. Not sure there is a go around to get that cost lowered. |