Anonymous
Post 01/02/2025 12:43     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:
Anonymous wrote:My first fill for 2025 is at CVS and estimated at $643. Had been paying $25.


JFC I am annoyed by this and the greed of BCBS. I do not understand how an insurance company can justify this price change. It's criminal. I just started Wegovy last month. I'm not entirely sure what to do now. What are the chances of getting a Tier exception?


I think they are zero. Move to a compound.
Anonymous
Post 01/02/2025 12:40     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:My first fill for 2025 is at CVS and estimated at $643. Had been paying $25.


JFC I am annoyed by this and the greed of BCBS. I do not understand how an insurance company can justify this price change. It's criminal. I just started Wegovy last month. I'm not entirely sure what to do now. What are the chances of getting a Tier exception?
Anonymous
Post 01/02/2025 12:24     Subject: Wegovy moving Tiers on BCBS FEP
My first fill for 2025 is at CVS and estimated at $643. Had been paying $25.
Anonymous
Post 12/25/2024 19:35     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:I’m very late to this info. I just got my letter from BCBS FEP right before Xmas. I will be able to apply the manufacturer coupon, but still have to pay $450 out of pocket. My question is - can I use FSAFEDS to get reimbursed for the $450 out of pocket cost? My doctor did prescribe wegovy. I increased my FSA by $1500 this year not knowing this would happen. Next year I’ll look into changing my insurance.


Yes you can apply this to FSAFEDS. I will see how much January's costs, but I will likely move to a compounding option my doctor offers, which is $250 a month and try to come totally off of it by June.
Anonymous
Post 12/25/2024 17:44     Subject: Wegovy moving Tiers on BCBS FEP
I’m very late to this info. I just got my letter from BCBS FEP right before Xmas. I will be able to apply the manufacturer coupon, but still have to pay $450 out of pocket. My question is - can I use FSAFEDS to get reimbursed for the $450 out of pocket cost? My doctor did prescribe wegovy. I increased my FSA by $1500 this year not knowing this would happen. Next year I’ll look into changing my insurance.
Anonymous
Post 12/21/2024 15:08     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:
Anonymous wrote:Recommend you do a 90 day supply. As your last subscription under current plan. This is common when people are trying to get a prescription before current policy expires.

My pharmacy won’t dispense 3 months of Wegovy. They will only do one month at a time. They said it is due to the shortage, but I thought the shortage was over.


Same, they won't do a 3 month supply.

The state of the shortage is summed up well here: https://www.goodrx.com/classes/glp-1-agonists/semaglutide-shortage
Anonymous
Post 12/21/2024 09:24     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:Recommend you do a 90 day supply. As your last subscription under current plan. This is common when people are trying to get a prescription before current policy expires.

My pharmacy won’t dispense 3 months of Wegovy. They will only do one month at a time. They said it is due to the shortage, but I thought the shortage was over.
Anonymous
Post 12/21/2024 01:42     Subject: Wegovy moving Tiers on BCBS FEP
*prescription (fast fingers)
Anonymous
Post 12/21/2024 01:41     Subject: Wegovy moving Tiers on BCBS FEP
Recommend you do a 90 day supply. As your last subscription under current plan. This is common when people are trying to get a prescription before current policy expires.
Anonymous
Post 12/19/2024 19:58     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:Ugh, picking up my last $24.99 box today. Stayed with FEP BCBS standard for multiple reasons, but now the financial pain of my Wegovy is fixin' to hit.

Picking mine up tomorrow 😭
Anonymous
Post 12/18/2024 16:18     Subject: Wegovy moving Tiers on BCBS FEP
Ugh, picking up my last $24.99 box today. Stayed with FEP BCBS standard for multiple reasons, but now the financial pain of my Wegovy is fixin' to hit.
Anonymous
Post 12/17/2024 18:15     Subject: Wegovy moving Tiers on BCBS FEP
Anonymous wrote:Another fed here. My doctor told me there are locations in DMV that compound the medication. It is out of pocket, but she said she has heard from other patients that it is significantly cheaper. I am going to explore.


My doctor told me that this is not something that is safe "to explore" and she won't write a script for it.
Anonymous
Post 12/17/2024 09:31     Subject: Wegovy moving Tiers on BCBS FEP
Use a compounding pharmacy and pay cash. (Don't run it through insurance.)
Anonymous
Post 12/17/2024 09:22     Subject: Wegovy moving Tiers on BCBS FEP
Another fed here. My doctor told me there are locations in DMV that compound the medication. It is out of pocket, but she said she has heard from other patients that it is significantly cheaper. I am going to explore.
Anonymous
Post 12/05/2024 15:38     Subject: Wegovy moving Tiers on BCBS FEP
I get it filled on amazon and i don't even pay $25. Its literally been $0 for more than a year