Reply to Fed here. Need weight loss meds. Which insurance?

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[quote=Anonymous][quote=Anonymous]I'm on Wegovy now (have been for around 6 months). I have BCBS Basic and the cost is going from $25/month to $700...so I'm switching to a compound, likely through Weight Watchers, where it will be $200/month (ish), including the WW plan, and their clinic. I looked at other plans (GEHA looks like it might cover Wegovy), but for our family, the predictability of a fee for service plan outweighs other considerations. The formularies for all plan are available online for you to investigate. Or you can call them.[/quote]

NP and this is what I am going to have to do as well. Same exact scenarios. First was on ozempic bc of obesity, pre diabetes, and high blood pressure. Than federal BCBS stopped coverage for ozempic.  Switched to Wegovy for the same reasons and was paying $25/month for a year. And now fed BCBS is reducing coverage on that for 2025 and confirmed it will be $771.26/month for the same dose and supply and drug. I’m just so deflated and depressed. This drug has kept me from becoming diabetic, and helped with my blood pressure and chronic pain issues related to obesity/joints.

I am now planning to look at other programs like WW for the compounded versions bc I cannot afford a jump from $25 to almost $800 a month.

I also called Wegovy and they said bc of a “law” they are unable to provide manufacturer coupons or discounts to anyone who has a federal insurance. So they couldn’t help either. Screwed on both ends.

My advice - don’t bother.  [/quote]

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