Anonymous
02/24/2024 02:09
Subject: Mournjaro now approved for weight loss under name Zepbound
Anonymous wrote:Anonymous wrote:I just got Zepbound at Walgreens. FEHB covered it with a $25 copay. Crossing my fingers that it will help me.
Did you get a prior approval? What insurance do you have? When I search for it on the drug cost tool for FEPBlue, it shows that I will be paying $504.97 per month.
$354. There is a $150 savings coupon.
Anonymous
02/22/2024 17:54
Subject: Mournjaro now approved for weight loss under name Zepbound
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I just got Zepbound at Walgreens. FEHB covered it with a $25 copay. Crossing my fingers that it will help me.
Did you get a prior approval? What insurance do you have? When I search for it on the drug cost tool for FEPBlue, it shows that I will be paying $504.97 per month.
Yes on prior approval but it was approved within a day or two. United Healthcare is the insurance company.
I know health insurance plans are all about the deal they have with your employer, but can you say more about what the prior authorization involved? I know my plan doesn't cover Zepbound at all, but it does cover Mounjaro with a prior authorization. But I don't have Type 2 diabetes (yet).
NP. I also have UHC and my prior approval was denied. They said they won't approve unless I first try Qsymia, but I'm unwilling to take that due to side effects. The letter implied that if I tried Qsymia and it didn't work, they might approve (though it doesn't say that outright).
This is PP who was approved. I did try Qsymia and a few other things first, which is probably why they approved it quickly. (I don’t remember side effects from Qsymia, but it just didn’t work for me.)
Anonymous
02/22/2024 17:27
Subject: Mournjaro now approved for weight loss under name Zepbound
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I just got Zepbound at Walgreens. FEHB covered it with a $25 copay. Crossing my fingers that it will help me.
Did you get a prior approval? What insurance do you have? When I search for it on the drug cost tool for FEPBlue, it shows that I will be paying $504.97 per month.
Yes on prior approval but it was approved within a day or two. United Healthcare is the insurance company.
I know health insurance plans are all about the deal they have with your employer, but can you say more about what the prior authorization involved? I know my plan doesn't cover Zepbound at all, but it does cover Mounjaro with a prior authorization. But I don't have Type 2 diabetes (yet).
NP. I also have UHC and my prior approval was denied. They said they won't approve unless I first try Qsymia, but I'm unwilling to take that due to side effects. The letter implied that if I tried Qsymia and it didn't work, they might approve (though it doesn't say that outright).
Anonymous
02/22/2024 17:07
Subject: Re:Mournjaro now approved for weight loss under name Zepbound
Anonymous wrote:Anonymous wrote:Anonymous wrote:Over $1,000.00 a month?? Yeah, my HMO is NOT covering that!
Okay but look at from another perspective. At $1K a month for Zepbound you're essentially exchanging out expensive, bad for you food habits like fast food, Door Dash, eating out, Starbucks lattes, and booze which easily add up to $1K a month if not more. Adding to that most people using it for weight loss will be on it for a relatively short period of time as compared to a life saving drug that someone may need to be on for their entire lives. So all in all you may spend $6K-$8K on the meds while saving a ton on foods you would ordinarily be buying - and if you take the time to learn good food habits while you're on the drug then you can successfully get off the drug and stay off, or cycle off and on. That part is up to you since you're in control of what you choose to eat.
Wow, you are so uninformed. It's laughable at this point. Really!
Seriously. PP is clueless. It’s a lifelong drug. Studies have shown folks will gain the weight once they stop taking the drug. Most people don’t have $12K a year to spend for life and while the drugs continue to be this expensive, zero chance insurance companies will continue paying without some serious comorbidities.