Wegovy is available again via Caremark mail-order

[Anonymous]

Anonymous wrote:How do you get it via mail order?

I’m on FEP Blue Standard - the programs
thru Novo and Lilly (for Zepbound vials) are less than the Tier 3 cost.

Haven’t gotten my Rx because my doctor suggested I figure out what insurance coverage I have for Wegovy and Zepbound…

But aren't those programs only for people who don't have insurance?

[Anonymous]

Got my three-month supply yesterday. This saves me $550/month so I am quite happy that I saw this!

[Anonymous]

Anonymous wrote:

Anonymous wrote:How do you get it via mail order?

I’m on FEP Blue Standard - the programs
thru Novo and Lilly (for Zepbound vials) are less than the Tier 3 cost.

Haven’t gotten my Rx because my doctor suggested I figure out what insurance coverage I have for Wegovy and Zepbound…

But aren't those programs only for people who don't have insurance?

PP here - that might be the case (as well as if your insurance doesn’t cover it). I hadn’t gotten that far to see about Wegovy, since I was going to go with Zepbound self-pay as my PBM (CVS Caremark) doesn’t cover it.

I tried the mail order thing instead, but was rejected. Thanks to the PP who called (I hate calling) I know why- the maintenance dose is covered, not the starting dose.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:How do you get it via mail order?

I’m on FEP Blue Standard - the programs
thru Novo and Lilly (for Zepbound vials) are less than the Tier 3 cost.

Haven’t gotten my Rx because my doctor suggested I figure out what insurance coverage I have for Wegovy and Zepbound…

But aren't those programs only for people who don't have insurance?

PP here - that might be the case (as well as if your insurance doesn’t cover it). I hadn’t gotten that far to see about Wegovy, since I was going to go with Zepbound self-pay as my PBM (CVS Caremark) doesn’t cover it.

I tried the mail order thing instead, but was rejected. Thanks to the PP who called (I hate calling) I know why- the maintenance dose is covered, not the starting dose.

No Problem!

[Anonymous]

This is only with FEP Standard, not basic right?

[Anonymous]

Anonymous wrote:This is only with FEP Standard, not basic right?

Unfortunately, looks like.

[Anonymous]

Just got approved for monjourno 3 months - $40!! I am diabetic fwiw.

[Anonymous]

NP here and lost my fed job, so money is an issue but I am desperate to be able to get on Wegovy to lose extra weight (most of which I put on since I became unemployed in January). I had a physical in March and my A1C was 5.7, my cholesterol was high and I was put on statins but I was lighter than I am today and my doctor did not prescribe Ozempic because insurance wouldn't cover. I have Carefirst insurance through my husband, is this an option for me? I can handle $125 a month and curb this weight gain as well as lose some. Thanks in advance

[Anonymous]

Anonymous wrote:NP here and lost my fed job, so money is an issue but I am desperate to be able to get on Wegovy to lose extra weight (most of which I put on since I became unemployed in January). I had a physical in March and my A1C was 5.7, my cholesterol was high and I was put on statins but I was lighter than I am today and my doctor did not prescribe Ozempic because insurance wouldn't cover. I have Carefirst insurance through my husband, is this an option for me? I can handle $125 a month and curb this weight gain as well as lose some. Thanks in advance

First of all, as a fellow Fed thank you for your service to the American people and I am sorry you lost your job due to this chaos. Call CareFirst and check with them on the price or if they have an app, you should be able to check prices based on your plan. Wegovy is avail for $125/mo or $125/90 days via mail order through Caremark but it’s only through the Standard plan (which I’m not sure if that is only avail to Feds or not) and only for the higher doses, which are not the starting doses.

[Anonymous]

Anonymous wrote:

Anonymous wrote:NP here and lost my fed job, so money is an issue but I am desperate to be able to get on Wegovy to lose extra weight (most of which I put on since I became unemployed in January). I had a physical in March and my A1C was 5.7, my cholesterol was high and I was put on statins but I was lighter than I am today and my doctor did not prescribe Ozempic because insurance wouldn't cover. I have Carefirst insurance through my husband, is this an option for me? I can handle $125 a month and curb this weight gain as well as lose some. Thanks in advance

First of all, as a fellow Fed thank you for your service to the American people and I am sorry you lost your job due to this chaos. Call CareFirst and check with them on the price or if they have an app, you should be able to check prices based on your plan. Wegovy is avail for $125/mo or $125/90 days via mail order through Caremark but it’s only through the Standard plan (which I’m not sure if that is only avail to Feds or not) and only for the higher doses, which are not the starting doses.

Thanks so much for the kind words. They come on a particularly difficult day. I will do as you suggest. To elaborate further, I gained 15 pounds since staying home all day and for the first time, I understand the meaning of the term 'food noise'. Made no sense to me before. I was doing IF for about 6 years when I lost my job and being home all day, stressed out and depressed, I can't stay away from the fridge/kitchen for long. Oh well. Thanks again for the kind word and advice and for listening to my rambling lol.

[Anonymous]

Anonymous wrote:

Anonymous wrote:How do you get it via mail order?

I’m on FEP Blue Standard - the programs
thru Novo and Lilly (for Zepbound vials) are less than the Tier 3 cost.

Haven’t gotten my Rx because my doctor suggested I figure out what insurance coverage I have for Wegovy and Zepbound…

But aren't those programs only for people who don't have insurance?

No they are for people whose insurance won't cover the medicine.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:NP here and lost my fed job, so money is an issue but I am desperate to be able to get on Wegovy to lose extra weight (most of which I put on since I became unemployed in January). I had a physical in March and my A1C was 5.7, my cholesterol was high and I was put on statins but I was lighter than I am today and my doctor did not prescribe Ozempic because insurance wouldn't cover. I have Carefirst insurance through my husband, is this an option for me? I can handle $125 a month and curb this weight gain as well as lose some. Thanks in advance

First of all, as a fellow Fed thank you for your service to the American people and I am sorry you lost your job due to this chaos. Call CareFirst and check with them on the price or if they have an app, you should be able to check prices based on your plan. Wegovy is avail for $125/mo or $125/90 days via mail order through Caremark but it’s only through the Standard plan (which I’m not sure if that is only avail to Feds or not) and only for the higher doses, which are not the starting doses.

Thanks so much for the kind words. They come on a particularly difficult day. I will do as you suggest. To elaborate further, I gained 15 pounds since staying home all day and for the first time, I understand the meaning of the term 'food noise'. Made no sense to me before. I was doing IF for about 6 years when I lost my job and being home all day, stressed out and depressed, I can't stay away from the fridge/kitchen for long. Oh well. Thanks again for the kind word and advice and for listening to my rambling lol.

Completely understandable, OP and I’m not sure which agency you were with but my agency made its RIFs official today after folks were on admin leave since April and today in particular was sad for us all. If CareFirst covers it, then do yourself a favor and go on it with your doctor’s authorization. I think of it as an extra tool in the toolbox along with eating well and working out and right now you need some self care and prioritize taking care of yourself. If insurance can’t cover it, Mochi may be an option. It works out to around $150/mo and people seem pleased with their results from their GLP-1, which is compound but seems to get good reviews (and you don’t need your doctor’s authorization). Not advocating for compound, but it is an affordable option.

[Anonymous]

To get this eligibility did you have to have bmi over 30 or was 27 sufficient t