Anonymous
Post 10/11/2023 21:43     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.


BCBS FEP will cover Wegovy for BMI. Ozempic is for people who are diabetic/prediabetic. I have Wegovy covered on it. I have BMI and another factor (high cholesterol) but not sure if you need that to get coverage. Call the customer service number and see what they say.


Let me try this again. Yes, I know BCBS will cover Wegovy for BMI, and I have been prescribed Wegovy, and BCBS will pay for it, however there is no Wegovy to be had anywhere in the US at the starting dose of 0.25.

I'm not purchasing bathtub meth "compounded" Wegovy that isn't regulated by the FDA, for the low low price of $500/month. It's not even the same active ingredient and there have been numerous adverse reports:
https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/medications-containing-semaglutide-marketed-type-2-diabetes-or-weight-loss

I would be interested in knowing of an insurance plan -- any plan -- that pays for Ozempic for people without diabetes mellitus.



NONE. There are NO insurance companies that are covering Ozempic without evidence of diabetic or prediabetic A1C numbers.
Anonymous
Post 10/11/2023 21:41     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.


Get a 90 day prescription for metformin asap and you may be able to get Ozempic. Metformin is a first step medication and most insurers won’t approve Ozempic or similar meds without some step therapy.


I am newly on metformin for something unrelated to diabetes and it definitely has killed my appetite and made me feel nauseous all the time. I’ve lost several lbs just from food disgusting me. If you can get it prescribed to you it might have the same effect as one of the injectables. Worth a try. But I don’t know if it’s something you can just “ask” for.
Anonymous
Post 10/11/2023 21:36     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.


BCBS FEP will cover Wegovy for BMI. Ozempic is for people who are diabetic/prediabetic. I have Wegovy covered on it. I have BMI and another factor (high cholesterol) but not sure if you need that to get coverage. Call the customer service number and see what they say.


Let me try this again. Yes, I know BCBS will cover Wegovy for BMI, and I have been prescribed Wegovy, and BCBS will pay for it, however there is no Wegovy to be had anywhere in the US at the starting dose of 0.25.

I'm not purchasing bathtub meth "compounded" Wegovy that isn't regulated by the FDA, for the low low price of $500/month. It's not even the same active ingredient and there have been numerous adverse reports:
https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/medications-containing-semaglutide-marketed-type-2-diabetes-or-weight-loss

I would be interested in knowing of an insurance plan -- any plan -- that pays for Ozempic for people without diabetes mellitus.

Anonymous
Post 10/11/2023 21:26     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.


BCBS FEP will cover Wegovy for BMI. Ozempic is for people who are diabetic/prediabetic. I have Wegovy covered on it. I have BMI and another factor (high cholesterol) but not sure if you need that to get coverage. Call the customer service number and see what they say.
Anonymous
Post 10/11/2023 20:33     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:I'm about 155, size 10. Age 50. I barely eat and yet my crappy menopausal metabolism has kept me at this size for about 4 years.
I have a few rolls, I look pretty dumpy. I have tried all sorts of diets--intermittent fasting, keto, on and on. My baseline intake is like 1200 calories---I can literally look at food and gain weight these days (stupid perimenopause).

The thing is, I don't qualify for Ozempic or Mounjaro, etc. If I was 20 pounds heavier I would. I'm part of an online weight loss group and countless women my age and 20 pounds heavier to start (maybe a size 12, 14) are reaching 130, 140---size 4 or 6. They just happened to have 20ish more pounds on them to begin with.

It's just... frustrating.


I am you. Got it from a Med spa (mounjaro generic). Feel Amazing. Only week 3. Down 7 pounds…
And I never lose weight.


There is no generic Monjauro. What you’re getting is a compounded drug. NOT OKAY. Totally unsafe. You have no idea what you’re actually getting.
Anonymous
Post 10/11/2023 20:28     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.


Get a 90 day prescription for metformin asap and you may be able to get Ozempic. Metformin is a first step medication and most insurers won’t approve Ozempic or similar meds without some step therapy.
Anonymous
Post 10/11/2023 20:03     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?


You can't. That's the answer. The 0.25 starting dose of Wegovy is just not available, anywhere. The manufacturer admits this. The highest doses of Wegovy are available though.

I think many people on this thread are taking Ozempic. What I'd like to know is, which insurance companies are covering this wildly expensive drug for people who DON'T HAVE DIABETES? for people who are just fat? Because I need to switch to that insurance plan during open season. My BCBS plan with the feds will absolutely not pay for Ozempic just because I have a high BMI.
Anonymous
Post 10/11/2023 19:59     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:OP here
Most of these replies are not me. Just wanted to get that out there.

My metabolism has definitely slowed. I still exercise--in fact I exercise far more than I ever did before and I lift weights. I'm not flabby.

Maybe your metabolism hasn't slowed but mine has. I probably eat 1/3 of what I did in my 30s and yet I am a much larger size, have rolls of fat, etc. I am strong but I also have far more fatty tissue on my body.


Where have you tried to get it? I have been on it since spring. Started at 28+ BMI and pre-diabetic A1C. Not covered by insurance so I pay out of pocket. I have lost more than 30 lbs and am now size 8-10 - so your agonizing about being a size 10 don't exactly resonate with me, I am happy to be a size 10 and my BMI is down to 23.


You pay $1000 every month for this medication?
Anonymous
Post 10/11/2023 19:58     Subject: I am super jealous of people who qualify to take Ozempic, etc.

I just got a prescription for Wegovy but can’t find it. Where are people getting actual Wegovy prescriptions filled (not compounded)?
Anonymous
Post 10/11/2023 18:37     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:Try try try to understand this.

OZEMPIC is indicated diabetics. If you do not have diabetes insurance will not cover it. The dosing is designed for diabetes not for weight loss. Again, OZEMPIC is for diabetes.

WEGOVY is the same drug. It can be covered by insurance if pt is obese. The dosing is designed for weight loss. Again, WEGOVY is for weight loss.

Why would you be talking about Ozempic if you’re looking for weight lass?


They're the same drug with different name for marketing purposes. Try try try to understand this - - it's an attempt by the drug company to maximize profits. Save the mansplaining for something you understand.
Anonymous
Post 10/11/2023 18:08     Subject: I am super jealous of people who qualify to take Ozempic, etc.

I guess gain 20 lbs and you can get it too, if it’s that important to you. Btw, I’m 50 and weigh 155 and I look great. I guess it’s all how you view yourself.
Anonymous
Post 10/11/2023 16:46     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:I'm about 155, size 10. Age 50. I barely eat and yet my crappy menopausal metabolism has kept me at this size for about 4 years.
I have a few rolls, I look pretty dumpy. I have tried all sorts of diets--intermittent fasting, keto, on and on. My baseline intake is like 1200 calories---I can literally look at food and gain weight these days (stupid perimenopause).

The thing is, I don't qualify for Ozempic or Mounjaro, etc. If I was 20 pounds heavier I would. I'm part of an online weight loss group and countless women my age and 20 pounds heavier to start (maybe a size 12, 14) are reaching 130, 140---size 4 or 6. They just happened to have 20ish more pounds on them to begin with.

It's just... frustrating.


I am you. Got it from a Med spa (mounjaro generic). Feel Amazing. Only week 3. Down 7 pounds…
And I never lose weight.
Anonymous
Post 10/11/2023 16:43     Subject: Re:I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:
Anonymous wrote:Anyone can qualify, you just have to pay cash.


How?

I tried to pay cash through relflexmd.com and I was screened out for not having a high enough BMI. Mine is just under 28.


Why not lie?
Anonymous
Post 10/11/2023 16:18     Subject: Re:I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:Anyone can qualify, you just have to pay cash.


+1 I know a lot of people on it who in no way qualify BMI wise
Anonymous
Post 10/11/2023 15:57     Subject: I am super jealous of people who qualify to take Ozempic, etc.

Anonymous wrote:I qualify because anti depressants added 40 pounds and Covid gave me a heart attack. No reason to be envious of me at all.

This is a great drug and they’re basically printing money so I have no doubt it will become available for vanity pounds eventually too.


This ^^.