Coverage for GLP1 on CareFirst?
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Anonymous
| Has anyone gotten their GLP1 covered through CareFirst? My doctor wrote me a prescription (I'm obese and have high cholesterol) and it was denied. She tried two different meds. |
Anonymous
|
Could you do compounded? It's much cheaper now- I pay $350 for 3 months supply. I've seen it on sale for $300
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Anonymous
| Oh maybe ... is that without insurance? Can I ask where/how you get started with compounding it? |
Anonymous
Yes without insurance. It was super simple to get a prescription. I uploaded a picture of me and put in my stats. There's lots of companies online that are similar, but I did Gobymeds. No issues. You have to be able to inject yourself (painless) and you use the same vial until it's gone. |
Anonymous
| Can you swing getting through LillyDirect? It starts at 299/month for the initial dose. |
Anonymous
Sorry, getting zepbound |
Anonymous
| Call CareFirst; I just had this issue after being on for a few months. They are making folks join Noom (for free) and go through Noom to get an rx now. |
Anonymous
| I tried this and it said that you had to join a separate 'Noom Med' program to get the meds, but they still weren't covered by CareFirst. Unless I'm doing something wrong? I do have a prescription for Wegovy, but Noom didn't ask about pre-existing prescriptions .... |
Anonymous
| I have a small employer plan with Carefirst. Plan only allows GLP1s for diabetes but I was able to get approved for metabolic syndrome via multiple appeals. I’m on my third year of coverage. |
Anonymous
I am on Wegovy via CareFirst/Noom. You need to make an appointment with a Noom provider and have a video call. They will be the new prescribed. If you are having an issue, perhaps call CareFirst and have a representative talk and guide you through the signup. |
Anonymous
| I also have carefirst, and had a prescription from my Primary care doctor. I called Carefirst and they told me I had to join Noon Med. Once in the program, I got a prescription for metformin for 12 weeks, so I ended up signing up with Gobymeds and paid a 3-month compounded semiglutide. So far, I have lost 14 pounds in 8 weeks of treatment. |
Anonymous
Thank you! |
Anonymous
| I'm on Wegovy via CareFirst mail order. I got a prescription from my primary care doctor, and had to pay about $340/month at CVS for the 0.25, 0.50, and 1.5 mg doses. Then he sent the scrip for 1.7 mg to CareFirst Mail Order, which charges $250 for 3 month supply. Same for 2.4 mg if I move up. |
Anonymous
| I'm on Wegovy from my endocrinologist and have Carefirst. I was approved and pay $10 for 4 shots. No issues with refills. |
Anonymous