Anonymous
Post 01/20/2023 19:58     Subject: Mounjaro Help
Anonymous wrote:
Anonymous wrote:I’m on Mounjaro and my CVS just filled my prescription for $25! So so happy. My insurance covers nothing.

I started back in September and have the “original” savings card. On 10mg and moving up to 12.5


Do you have Type2 diabetes?


No I don’t - I’m Obese, my BMI was 51 and is now 44. Still a long way to go though.
Anonymous
Post 01/20/2023 18:31     Subject: Mounjaro Help
Anonymous wrote:
Anonymous wrote:I’m on Mounjaro and my CVS just filled my prescription for $25! So so happy. My insurance covers nothing.

I started back in September and have the “original” savings card. On 10mg and moving up to 12.5


Do you have Type2 diabetes?


DP. If you downloaded the savings card before 11/10 (I believe) you don’t need a T2D code.
Anonymous
Post 01/20/2023 18:30     Subject: Mounjaro Help
Anonymous wrote:I’m on Mounjaro and my CVS just filled my prescription for $25! So so happy. My insurance covers nothing.

I started back in September and have the “original” savings card. On 10mg and moving up to 12.5


Same! I keep hearing stories but it’s been working without a hitch since Nov 1.
Anonymous
Post 01/20/2023 14:06     Subject: Mounjaro Help
Anonymous wrote:I’m on Mounjaro and my CVS just filled my prescription for $25! So so happy. My insurance covers nothing.

I started back in September and have the “original” savings card. On 10mg and moving up to 12.5


Do you have Type2 diabetes?
Anonymous
Post 01/20/2023 11:41     Subject: Mounjaro Help
I’m on Mounjaro and my CVS just filled my prescription for $25! So so happy. My insurance covers nothing.

I started back in September and have the “original” savings card. On 10mg and moving up to 12.5
Anonymous
Post 01/18/2023 21:37     Subject: Mounjaro Help
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I've been on MJ since August and have lost about 35 lbs. On 12.5mg now. Struggled to get it last month from PillPack with my savings card, switched to Walmart and had no problem. Now I'm trying to move up to 15mg and Walmart says no one can use their savings card with out a Type 2 Diabetes diagnosis after the first of this year (despite my card not saying this, I got it before that was a requirement and it doesn't expire till 12/23). They send a prior authorization to my doctor because I do have some insurance coverage, but that's gone nowhere thus far and I don't have a lot of faith that it will get covered even with a PA. I think they will require me to do step therapy at best ... which I would do if needed.

I'm just at a loss of how to get this now ... paying $1000+ a month is not realistic for me. Anyone else trouble shooting this as well right now and have advice? I'm super frustrated by it all. I get that the demand is HUGE, but some of us truly do need this for weight loss for our health. I want to lose at least another 85 lbs, so I'm not taking this for pure vanity purposes. I wish they'd maybe but a BMI minimum on this to start vs completely trying to restrict it for weight loss only.


Try to get your script transferred to CVS - never had a problem with coverage or supply. I'm not T2, strictly weight loss. I'm in Fairfax, fwiw.


DP. I’ve also been getting it from a CVS in Fairfax but they’re all backed up now with no idea when they’ll get their orders in. Can you tell me which location so I can check there? TIA


Make friends with your pharmacist! I’m on 10mg now. I call my pharm the day of my drs appt and ask him what he can get. He tells me what’s available and then I tell my dr what to send over. I haven’t gotten my Jan script yet so I don’t know if my savings card will still work or not.
Anonymous
Post 01/18/2023 21:25     Subject: Re:Mounjaro Help
Anonymous wrote:Wegovy has been approved for weight loss. It’s considered a Tier 2 drug. Mail order won’t cover it. I am told retail is $1,289 for 28 days. My fed plan says I would have to pay $386.85 for 28 days. If there is any availability.
Wegovy is better than Ozempic because it can escalate to a higher dosage.
FEP is paying for Ozempic.
It seems like drug companies are holding this class of drugs hostage due to cost or availability.


FEP here. For Ozempic I am paying the max cost for 90 days of name brand drug. I want to say $125 for 90 days. It’s nice to know I have a 90 day supply in fridge. I believe that with Wegovy being approved for weight loss, Ozempic will become readily available.
It feels like I’m in the Hunger Games! Haven’t been eliminated yet.
Anonymous
Post 01/18/2023 21:00     Subject: Re:Mounjaro Help
Anonymous wrote:
Anonymous wrote:Wegovy has been approved for weight loss. It’s considered a Tier 2 drug. Mail order won’t cover it. I am told retail is $1,289 for 28 days. My fed plan says I would have to pay $386.85 for 28 days. If there is any availability.
Wegovy is better than Ozempic because it can escalate to a higher dosage.
FEP is paying for Ozempic.
It seems like drug companies are holding this class of drugs hostage due to cost or availability.


How much are you paying for ozempic with fep?


I’m paying $24 with my Cigna Insurance. Work for a large public school system.
The highest dosage for Ozempic is 2.0mg. Wegovy goes to 2.4mg. That’s higher, but not that much.
Anonymous
Post 01/18/2023 20:55     Subject: Re:Mounjaro Help
Anonymous wrote:Wegovy has been approved for weight loss. It’s considered a Tier 2 drug. Mail order won’t cover it. I am told retail is $1,289 for 28 days. My fed plan says I would have to pay $386.85 for 28 days. If there is any availability.
Wegovy is better than Ozempic because it can escalate to a higher dosage.
FEP is paying for Ozempic.
It seems like drug companies are holding this class of drugs hostage due to cost or availability.


How much are you paying for ozempic with fep?
Anonymous
Post 01/18/2023 20:49     Subject: Re:Mounjaro Help
Ordering from Canada instructions:

I use Randy Moss at Push Health.

He has a savings code with mark's marine pharmacy and I think one other pharmacy in Canada.

It's around $350 for the biggest pen of ozempic

Hope this helps, good luck with your weight loss!
Anonymous
Post 01/18/2023 20:43     Subject: Re:Mounjaro Help
Wegovy has been approved for weight loss. It’s considered a Tier 2 drug. Mail order won’t cover it. I am told retail is $1,289 for 28 days. My fed plan says I would have to pay $386.85 for 28 days. If there is any availability.
Wegovy is better than Ozempic because it can escalate to a higher dosage.
FEP is paying for Ozempic.
It seems like drug companies are holding this class of drugs hostage due to cost or availability.
Anonymous
Post 01/18/2023 20:16     Subject: Mounjaro Help
I get ozempic through cvs caremark by mail
Anonymous
Post 01/18/2023 19:38     Subject: Mounjaro Help
Anonymous wrote:
Anonymous wrote:I've been on MJ since August and have lost about 35 lbs. On 12.5mg now. Struggled to get it last month from PillPack with my savings card, switched to Walmart and had no problem. Now I'm trying to move up to 15mg and Walmart says no one can use their savings card with out a Type 2 Diabetes diagnosis after the first of this year (despite my card not saying this, I got it before that was a requirement and it doesn't expire till 12/23). They send a prior authorization to my doctor because I do have some insurance coverage, but that's gone nowhere thus far and I don't have a lot of faith that it will get covered even with a PA. I think they will require me to do step therapy at best ... which I would do if needed.

I'm just at a loss of how to get this now ... paying $1000+ a month is not realistic for me. Anyone else trouble shooting this as well right now and have advice? I'm super frustrated by it all. I get that the demand is HUGE, but some of us truly do need this for weight loss for our health. I want to lose at least another 85 lbs, so I'm not taking this for pure vanity purposes. I wish they'd maybe but a BMI minimum on this to start vs completely trying to restrict it for weight loss only.


Try to get your script transferred to CVS - never had a problem with coverage or supply. I'm not T2, strictly weight loss. I'm in Fairfax, fwiw.


DP. I’ve also been getting it from a CVS in Fairfax but they’re all backed up now with no idea when they’ll get their orders in. Can you tell me which location so I can check there? TIA
Anonymous
Post 01/18/2023 12:24     Subject: Mounjaro Help
Anonymous wrote:
Anonymous wrote:You may need to switch to Ozempic. It's approved for weight loss, where Mounjaro is not (yet).


Ozempic is absolutely not approved for weight loss. And it won't be given that Novo also manufacturers Wegovy, which does have a weight loss indication.


Ozempic and Wegovy are chemically the same drug. Just different doses.
Anonymous
Post 01/18/2023 11:39     Subject: Mounjaro Help
Mark's Marine Pharmacy