Lmaooooo good luck to all of you January 2024, especially if you have BCBS!!! |
Meh, I've got enough refills to last me several months into 2024, and then I'll switch to Wegovy. |
What's going on with BCBS in January? |
This is crazy - I lost 25lbs on Wegovy but when my stomach started cramping so badly that I was literally doubled over in pain, I called my doctor, she said stop immediately and go to the ER to get antibiotics, and I did exactly that. I can't imagine not listening to her and enduring that for 5 months. What an idiot. |
+1. Yes, so tell. FEP BCBS has already released their 2024 formulary for open season and it has Wegovy on there. I use Standard, so Tier 2 it’s about $250 for a 30 day supply, but $90 for a three month mail order, once you’re on the maintenance dose. FEP BCBS It covers Mojourno and Ozempic for diabetes as Tier 2. Zepound will list for $300 less and is more effective, so there’s no reason they won’t cover it. My bariatric an says they expect BCBS FEP to pick up Zepbound the week after Thanksgiving. (12/1, I guess). OPM is requiring covering of at least one GLP-1 drug for federal plans. Ozempic isn’t covered under BCBS. But Wegovy is. https://www.opm.gov/healthcare-insurance/healthcare/carriers/2023/2023-01.pdf |
BCBS is asking for prior authorizations for everyone who wants ozempic or Mounjaro, and not approving unless you’re type 2. |
Right. They are approving PAs on Wegovy (which is the same med as Ozempic, but different dosing for obesity) and almost certainly will for Zepbound (same thing as Monjourno). YoU also can’t get a PA for Wegovy or Zepbound for DM without being overweight. You have to take the afDA approved version of the drug appropriate for your condition. But the drugs will still be covered. |
Huh? You got antibiotics for a tummyache? |
I'm confused as to why you are laughing your ass off, none of this is funny. You need to check yourself. |
NP. Don’t pay attention to the PP. She is one of the psychopathic posters who are absolutely losing their minds over the idea that obesity isn’t moral weakness. They are wildly ignorant as a whole and furious over the existence of the drug. It’s bizarre to watch. I’m not on Ozempic and I find these folks absolutely insane. I seriously think they would rather a lot of people literally die than accept the fact that it appears that hunger and obesity can be largely handled by a weekly shot. They are seriously nuts. |
I don't get it either. I'm on BCBS and Wegovy. I have a PA, good till Feb. That's not new. |
Can somebody clarify what's going on with Wegovy and BCBS, if anything? It's open season and the 2024 benefits look the same to me ...
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You don’t think it’s nuts that 42% of our population has this “illness” that requires extreme medication to manage? Obesity is complicated. It’s not physiological but rather it’s a physiological, psychological, and societal illness. You can’t and don’t want to “cure” it this way. |
If you mean we could address it by changing our food system, workday, school day, city design, etc ... I agree with you. But that's not happening on any kind of timeline. We tell people they are individually responsible for their weight. Fine. Meds are an individual solution to support healthy behaviors (which you still have to choose, every day). Telling people they are individually responsible for something with psych, biochem, and social causes, and then denying them meds that can help them take healthful action, sucks. |
Which "extreme" medication are you talking about? None of the ones under discussion in this thread are even slightly "extreme." |