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Diet, Nutrition & Weight Loss
Reply to "Prescription for Wegovy but $1500?!?! "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous] Some (most?) insurance plans have a specific exemption for weight loss meds. My otherwise fantastic Cigna plan does. [/quote] but they arent exempted for non-weight loss purposes I assume? PCOS is a metabolic disorder. -not OP[/quote] Correct - those exemptions are usually tied to a specific ICD Code. But if you need a PA, there are very specific ICD codes they will accept to cover it. For example, for Ozempic for me, there’s a weight loss exemption. You need Type 2 diabetes to get it covered. So getting it written for PCOS still won’t help. Form what I understand, this is super common but worth trying on your own. Note that a lot of insurance will do 1-2 courtesy fills while you seek a PA so the fact that the first month or two is covered doesn’t necessarily mean it worked.[/quote]
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