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

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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]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.[/quote]

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.[/quote]

Ozempic isn’t for prediabetes. But op probably already knows this. Metformin is for prediabetes. [/quote]

i don't know what prediabetes is, technically, and i am unfamiliar with metformin. i pretty sure i don't want to take it.[/quote]

DP here - In your initial post, you said you were "marginally pre-diabetic" and have repeated that several times.  But now you don't know what prediabetes is?

Look, OP, it's clear you want Ozempic to lose weight, and are looking for a way to make that happen.  Just own it.  [/quote]

i am owning it from the very first post. i am telling you what my doctor, who gave me a prescription for ozempic, told me, and what her justification was. if i can milk that diagnosis to get ozempic, i will do so. yes, i want to take advantage of these new medicine to lose weight, like a gazillion of other people.

i am also prescribed wegovy by a different doctor in the same practice. i am still waiting for approval there.[/quote]

It's not about punishing you.  It's increasing irritation with people like you who try to game the system, up to and including committing outright insurance fraud.  We know, we know, you're special, and you *deserve* for your insurance to pay thousands of dollars to cover this drug even though [b]you don't meet the established criteria[/b].  But you're really not different than thousands of other people, despite what you think, or have been told.  [/quote]

what are you talking about? i meet all the cigna criteria for wegovy. you misread the insurance criteria, then accused me of insurance fraud because... you want me to lose the weight the hard instead of an easy way.

rather than lecturing me on food and exercise and insurance policies, you need to reflect on why you are so invested in having fat people punished.[/quote]

First, I'm not that person.  Second, the bulk of this thread is you whining about not getting Ozempic - it's right there in the title.  You apparently don't meet that criteria, as you yourself state.

Third, persisting with this "punishing fat people" nonsense isn't a great look.  [/quote]

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