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Diet, Nutrition & Weight Loss
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]Insurance companies decide what is covered. Not your doctor, OP. You can get a prescription, no one is stopping you. But you won’t have it covered so stop complaining, or else eat more bad food so you get full blown diabetes and then it will be covered.[/quote] insurance company does cover both ozempic and wegovy. so they already decided they would do it. and my doctors think i need them. it's weird to me that there the company needs to make additional approval to cover the medicine they already decided to cover. if they don't want to cover wegovy, fine. but why second guess my doctor? why would they know better what i need?[/quote] Because they know people would drop them if they took Wegovy off the formulary. [/quote] Most people have insurance through their employer so this idea that individuals impulsively drop carriers is a fiction. There’s only one open enrollment season anyway.[/quote]
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