NP, I am running into this issue as well. Has anyone had success in appealing? My employer has always had great to excellent insurance coverage, including for really expensive stuff like infertility treatment/meds, so it seems like this is something that they could rationally consider and cover given the reasons my PCP prescribed (BMI, labs, history, etc.).

Anonymous wrote:The compounding pharmacy I use charges $75 for a 2.5mg vial. They compound it, send it to a lab for testing, then dispense it. It’s a local pharmacy in Leesburg that’s been around forever. I haven’t had any issues getting it and it works as expected.

I may go this route as my insurance no longer covers my prescription. Is it still working well for you?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Have you looked at health outcomes for people who start a drug that must be taken for life, and yet there are no long term studies available?

Semaglutide has been in use, as Ozempyic, for nearly 20 years. I'm on Wegovy. There was a study released last summer that says that people on it have a 20% decrease in the risk for stroke, heart attack and heart disease. With my family history of stroke, and the fact that my formerly high cholesterol is now in normal range-the outcomes look pretty good from my end.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Have you looked at health outcomes for people who start a drug that must be taken for life, and yet there are no long term studies available?

Like blood pressure meds?
Like antidepressants?

Anonymous wrote:I am Type 2 and need it to lower my A1C and have a prescription for Ozempic but my insurance will only pay half. It’s still $500/month. I am not obese and my BMI is in the normal range. Not everyone with Type 2 is obese or overweight.

Correct. Type-2 diabetes doesn't require obesity. Some people will simply have fewer fat cells and thus won't get obese. The obesity is a protection mechanism against high blood sugar. Your body will not be able to push more glucose into cells at some point. If you have more fat cells, you will get fatter, but not show as "diabetic" for longer, though you will still suffer from insulin resistance and metabolic syndrome. If you have fewer fat cells, you won't have that extra time until being detected as diabetic. EIther way, the problem is the same.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Have you looked at health outcomes for people who start a drug that must be taken for life, and yet there are no long term studies available?

Ozempic is Wegovy, branded under a different name. And Ozempic has been around for a while. I’m comfortable with the safety data. And with how I feel at 75 pounds lighter, off BP meds, with normal cholesterol and a low A1c. Plus all the strength training, pilates and yoga I’ve put in over the last 10 months. I love seeing the muscles instead of fat. And having the ability to enjoy exercise and outdoor activities. Hate way. I feel great.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Have you looked at health outcomes for people who start a drug that must be taken for life, and yet there are no long term studies available?

Like COVID vaccines?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Have you looked at health outcomes for people who start a drug that must be taken for life, and yet there are no long term studies available?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.

Have you looked at health outcomes for obese people?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our insurance covered after a pre auth but can’t find a damn pharmacy that has it.

Eat less exercise more

This is for my DH. I’m fit thanks. If your tip worked for everyone, these medications wouldn’t be so popular. And it doesn’t make sense (well if the point of our health care system weren’t profit) why insurances wouldn’t cover these medication that might help other costs associated with obesity in the future.

Stupid question:
If these medicines just turn off the food buzz in your head, then that means that the obese people weren't truly eating less all the time? Now we don't want to eat?
There were so many stories of folks really cutting the calories and the weight stayed on because they had body types that even with fewer calories their weight did not drop. But now it does? Does Wegovy do something besides have you eat less?

Yes. It slows down food passing through your digestive system and acts somehow that I don’t understand because not a STEM person, on your metabolism by boosting insulin production. Zepbound adds a hormone that increases the metabolism of fat. Plus, don’t discount the value of turning off food noise.

Wow, you make it sound so, so safe.