Express Scripts denied pre-authorization for Ozempic. What to do now?

[Anonymous]

Anonymous wrote:

Anonymous wrote:What, pray tell, is “marginally pre-diabetic?”

If you want to lose 50, eat less and move more and cut down on carbs. That will do a lot to help your glucose too. You don’t need Ozempic.

my A1c is outside the normal range, but only a little.

yes, I do need Ozempic. I have been on a diet for the past 40 years.

You're either pre-diabetic or not. Don't fool yourself, OP.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What, pray tell, is “marginally pre-diabetic?”

If you want to lose 50, eat less and move more and cut down on carbs. That will do a lot to help your glucose too. You don’t need Ozempic.

my A1c is outside the normal range, but only a little.

yes, I do need Ozempic. I have been on a diet for the past 40 years.

Stop doing diets. Eat a little less (of everything), and move more. Move every single day.

it's amazing that you are confident you know what my habits are.

i make more than 10k steps every day. i can't eat little bit of everything, not long term. i my on intermittent fasting right now, which has worked best for my, historically, and i am waking multiple times every night with hunger pangs.

Why can't you eat a little bit of everything long term?

Respectfully, walking and 10k steps don't do much - it's quality, not quantity. 5k steps on stairs or hills, or adding in weights (that are challenging) will do more than simple walking.

because i tried to, many times, and i failed.

and i never said walking 10k was much. somebody said "get up and start moving" and wrote this to let them know that i am moving. but i am not going to run or to go to the gym. i tried all this, i hade 4 different trainers. they were great, and i learned a lot. many people grow to like exercise but not me. i hate and i don't want to do it.

so if this is going to make some of you feel better, which, weirdly, seems like it will, i have put a lot of sweat equity into this already. i spent years feeling deprived from dieting. now, it seems like there is an easier way. i am old, i am still dealing with kids, and i am tired from being hungry and deprived with nothing to show for it. why are you so set against me losing some weight more easily?

Wow, I can't believe your admitting you just don't *want* to exercise.

All these threads end up the same if the posters are truthful. They don’t want to do the work and it’s “too hard.” This is so because at a population level people are conditioned now to expect life to be way too easy. Easy times, weak people and all that.

DP but the thing that surprises me is these drugs have side effects that sound pretty cumbersome to deal with. The hassle of getting them first of all, or finding them in stock now that there’s a Wegovy shortage. Dealing with injections and the loss of muscle mass and other various things people have reported. And I know working out isn’t fun if you’re overweight and it’s tough and you’re viewing it as punishment for being fat vs. taking advantage of your body’s ability to move and play, and it isn’t the main factor of weight loss, but don’t you still need to do it even if on semaglutides? I don’t think most doctors would say yeah, take this and you never need to work out again!

NP I didn’t lose weight training for an Ironman. I trained and ate like a bodybuilder for two years and never got below 25% body fat. When I took a DEXA scan, the doctor thought he needed to recalibrate his machine Because I looked fit but the results were that I was fat.

If I need to give myself a tiny shot once a week to finally reduce all the horrible consequences of obesity, I am delighted to do that.

[Anonymous]

I’m 52. Have worked out my entire life. I’m very tall and have always been bulky but strong. I get up at 5 am to work out. I eat 170O calories a day. I don’t drink. I’m in better shape than most 30 year olds I work out with. I hit menopause and gained 20 pounds out of nowhere and blood work completely off. I was fortunate enough to get Wegovy and insurance covers it. It helped regulate me again and i lost the extra weight that came out of nowhere. I could give 2 sh*ts what any of you think that I’m taking a short cut or breaking the rules. I 💯 percent guarantee I work harder and eat less than 90 percent of you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Go to a real doctor?

I have been to two "real doctors". one prescribed ozempic and the other wegovy. thank you for your concern.

Then why aren’t you trying Wegovy? Because you have to pay? You’ll have to pay for the ozempic too. Thousands.

OMG OMG aren't you happy that i will be punished for being fat. i will pay thousands THOUSANDS!!

Yes I’m happy you will have to pay, because I believe people like you should be punished for the shortages. I have adult onset type 1.5 diabetes and for now, ozempic is the only thing that works, until I need insulin. People like you have made it so stressful for me to find my medication. I am not overweight and I didn’t get diabetes from a lifestyle choice. Other medications like metformin don’t work for me. I’m happy people like you are being punished by paying thousands and having your prescriptions denied.

[Anonymous]

Anonymous wrote:oh, and if my insurance doesn't cover it, i will pay for it out of pocket. and for some reason, this will be more palatable to you - because i will be punishing me, even though you don't know me and it has nothing to do with you.

Good luck getting your ozempic prescription filled. Pharmacists gate keep this DIABETES medication and you will be waiting, while I get mine within 24hrs.

[Anonymous]

Anonymous wrote:oh, and if my insurance doesn't cover it, i will pay for it out of pocket. and for some reason, this will be more palatable to you - because i will be punishing me, even though you don't know me and it has nothing to do with you.

MIT absolutely has something to do with me, if you’re trying to get ozempic and you don’t have diabetes. You’re creating a shortage, for diabetics like me. Get Wegovy, which is for obesity.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Go to a real doctor?

I have been to two "real doctors". one prescribed ozempic and the other wegovy. thank you for your concern.

Then why aren’t you trying Wegovy? Because you have to pay? You’ll have to pay for the ozempic too. Thousands.

OMG OMG aren't you happy that i will be punished for being fat. i will pay thousands THOUSANDS!!

Yes I’m happy you will have to pay, because I believe people like you should be punished for the shortages. I have adult onset type 1.5 diabetes and for now, ozempic is the only thing that works, until I need insulin. People like you have made it so stressful for me to find my medication. I am not overweight and I didn’t get diabetes from a lifestyle choice. Other medications like metformin don’t work for me. I’m happy people like you are being punished by paying thousands and having your prescriptions denied.

And you honestly believe the shortage is because of the lucky few who are obese and prescribed ozempic? The manufacturers are purposely keeping the demand high for profit and our broken healthcare system allows for it. Try some critical thinking and direct your anger appropriately.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Go to a real doctor?

I have been to two "real doctors". one prescribed ozempic and the other wegovy. thank you for your concern.

Then why aren’t you trying Wegovy? Because you have to pay? You’ll have to pay for the ozempic too. Thousands.

OMG OMG aren't you happy that i will be punished for being fat. i will pay thousands THOUSANDS!!

Mine is $15/month because I have diabetes. You don’t.

NP. For someone who gave himself type Ii diabetes mellitus through, cumulatively, years of poor health choices under their control…. You are confusingly smug about the OP’s BMI. It’s entirely unclear why you would feel superior to OP? I mean, your attempts at diet modification were so abysmal (or absent) that you killed your pancreas.

OP’s A1c tells us her pancreas isn’t as jacked up as yours is, by your own poor choices over a lifetime.

Congrats?

In the culpability olympics, OP > you at this point on the timeline. If my insurance premiums must increase, I’d rather they benefit her over you. As it is, I’m sure I’m already indirectly paying for your DM-related glaucoma, erectile dysfunction, CKD meds and maybe foot care amd cardiac meds.

I’m not overweight and didn’t get type 2 from poor choices. You can also be thin and get type 2 diabetes.

[Anonymous]

Anonymous wrote:I’m 52. Have worked out my entire life. I’m very tall and have always been bulky but strong. I get up at 5 am to work out. I eat 170O calories a day. I don’t drink. I’m in better shape than most 30 year olds I work out with. I hit menopause and gained 20 pounds out of nowhere and blood work completely off. I was fortunate enough to get Wegovy and insurance covers it. It helped regulate me again and i lost the extra weight that came out of nowhere. I could give 2 sh*ts what any of you think that I’m taking a short cut or breaking the rules. I 💯 percent guarantee I work harder and eat less than 90 percent of you.

Cool story bro

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What, pray tell, is “marginally pre-diabetic?”

If you want to lose 50, eat less and move more and cut down on carbs. That will do a lot to help your glucose too. You don’t need Ozempic.

my A1c is outside the normal range, but only a little.

yes, I do need Ozempic. I have been on a diet for the past 40 years.

Stop doing diets. Eat a little less (of everything), and move more. Move every single day.

it's amazing that you are confident you know what my habits are.

i make more than 10k steps every day. i can't eat little bit of everything, not long term. i my on intermittent fasting right now, which has worked best for my, historically, and i am waking multiple times every night with hunger pangs.

Why can't you eat a little bit of everything long term?

Respectfully, walking and 10k steps don't do much - it's quality, not quantity. 5k steps on stairs or hills, or adding in weights (that are challenging) will do more than simple walking.

because i tried to, many times, and i failed.

and i never said walking 10k was much. somebody said "get up and start moving" and wrote this to let them know that i am moving. but i am not going to run or to go to the gym. i tried all this, i hade 4 different trainers. they were great, and i learned a lot. many people grow to like exercise but not me. i hate and i don't want to do it.

so if this is going to make some of you feel better, which, weirdly, seems like it will, i have put a lot of sweat equity into this already. i spent years feeling deprived from dieting. now, it seems like there is an easier way. i am old, i am still dealing with kids, and i am tired from being hungry and deprived with nothing to show for it. why are you so set against me losing some weight more easily?

Wow, I can't believe your admitting you just don't *want* to exercise.

All these threads end up the same if the posters are truthful. They don’t want to do the work and it’s “too hard.” This is so because at a population level people are conditioned now to expect life to be way too easy. Easy times, weak people and all that.

DP but the thing that surprises me is these drugs have side effects that sound pretty cumbersome to deal with. The hassle of getting them first of all, or finding them in stock now that there’s a Wegovy shortage. Dealing with injections and the loss of muscle mass and other various things people have reported. And I know working out isn’t fun if you’re overweight and it’s tough and you’re viewing it as punishment for being fat vs. taking advantage of your body’s ability to move and play, and it isn’t the main factor of weight loss, but don’t you still need to do it even if on semaglutides? I don’t think most doctors would say yeah, take this and you never need to work out again!

NP I didn’t lose weight training for an Ironman. I trained and ate like a bodybuilder for two years and never got below 25% body fat. When I took a DEXA scan, the doctor thought he needed to recalibrate his machine Because I looked fit but the results were that I was fat.

If I need to give myself a tiny shot once a week to finally reduce all the horrible consequences of obesity, I am delighted to do that.

I’m around a lot of people that train for Ironman distance and eat poorly. Happens all the time. If you didn’t do that and still had this problem, you are a sliver of a percentage on the head of a pin.

And none of this is remotely the same was the OP here.

[Anonymous]

Op no one cares if you get Wegovy, people are reacting to you wanting ozempic and for insurance to pay for it, because as you said previously, you’ve paid a lot to insurance over the years and want something back. THAT is what people are reacting to, because you don’t qualify for ozempic and you are trying to take diabetes medication away from diabetics, by contributing to the shortages. Get Wegovy and call it a day.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’m 52. Have worked out my entire life. I’m very tall and have always been bulky but strong. I get up at 5 am to work out. I eat 170O calories a day. I don’t drink. I’m in better shape than most 30 year olds I work out with. I hit menopause and gained 20 pounds out of nowhere and blood work completely off. I was fortunate enough to get Wegovy and insurance covers it. It helped regulate me again and i lost the extra weight that came out of nowhere. I could give 2 sh*ts what any of you think that I’m taking a short cut or breaking the rules. I 💯 percent guarantee I work harder and eat less than 90 percent of you.

Cool story bro

Oh. The cool story bro dude who is obviously male. Tell me - what do you know about being 52 and in menopause? Nothing. So do us all a favor and shut up.

[Anonymous]

Most diabetics are diabetic because of poor lifestyle choices that extend beyond obesity. I see zero reason why they should be prioritized for ozempic. So stop whining and live with your own life choices that forced you on this medication in the first place.

[Anonymous]

Anonymous wrote:I’m 52. Have worked out my entire life. I’m very tall and have always been bulky but strong. I get up at 5 am to work out. I eat 170O calories a day. I don’t drink. I’m in better shape than most 30 year olds I work out with. I hit menopause and gained 20 pounds out of nowhere and blood work completely off. I was fortunate enough to get Wegovy and insurance covers it. It helped regulate me again and i lost the extra weight that came out of nowhere. I could give 2 sh*ts what any of you think that I’m taking a short cut or breaking the rules. I 💯 percent guarantee I work harder and eat less than 90 percent of you.

Nobody needed your life story but wouldn’t HRT have done this? It’s an estrogen imbalance that causes midsection weight gain in menopause.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Go to a real doctor?

I have been to two "real doctors". one prescribed ozempic and the other wegovy. thank you for your concern.

Then why aren’t you trying Wegovy? Because you have to pay? You’ll have to pay for the ozempic too. Thousands.

OMG OMG aren't you happy that i will be punished for being fat. i will pay thousands THOUSANDS!!

Mine is $15/month because I have diabetes. You don’t.

NP. For someone who gave himself type Ii diabetes mellitus through, cumulatively, years of poor health choices under their control…. You are confusingly smug about the OP’s BMI. It’s entirely unclear why you would feel superior to OP? I mean, your attempts at diet modification were so abysmal (or absent) that you killed your pancreas.

OP’s A1c tells us her pancreas isn’t as jacked up as yours is, by your own poor choices over a lifetime.

Congrats?

In the culpability olympics, OP > you at this point on the timeline. If my insurance premiums must increase, I’d rather they benefit her over you. As it is, I’m sure I’m already indirectly paying for your DM-related glaucoma, erectile dysfunction, CKD meds and maybe foot care amd cardiac meds.

I’m not overweight and didn’t get type 2 from poor choices. You can also be thin and get type 2 diabetes.

So you were skinny fat then. Very few people develop Type 2 diabetes who are a healthy weight and in good physical shape. I doubt you are one of them.