My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
Ozempic for prediabetes?
- Thread starter RememberDrei
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This is the other way friend! Look around the threads. You will learn everything you need if your read use the question icon and if you don’t find an answer just ask someone. We’re all here helping each other try to live healthy lives.
Same story here. I have PCOS and high cholesterol and need to control my weight. My doctor said Ozempic could help. But my insurance doesn’t cover Ozempic for weight loss. It's incredibly frustrating.RememberDrei said:
I gave up fighting my insurance after they denied my appeal twice. It's a losing battle. I found a weight loss website called Slimvive through reddit. The whole setup is that you buy one of their coaching packages and the Ozempic just comes with it. I got a month's supply for 499, no prescription.RememberDrei said:
BCBS sucks, went from $60 copay covered by manufacturer assistance card to $726 per month copay! F*** - BCBS. Brello Health 399 for Semaglutide for 3 months supply, 499 for Tirzepatide for 3 months supply, any dose was a great option. Now gray is way, way less with little work. Sema and Tirz is a great value in gray!
You didn't have to prove your case to them or anything? You just... bought it? And it's not some weird off-brand version?MariMar95 said:
Insurance is useless need to buy from other sources. I tired ozempic for 4 months was 1200 not covered. Now on Reta paying about the same for a kit for 1 year (I did domestic not international)
$499/month for Sema is highway robbery.MariMar95 said:
READ THE FORUM. Stop using telehealth.
Or at least use telehealth that is much cheaper like Brello Health.
Yeah, you can buy the name brand stuff at the pharmacy for $500. You do have to get the manufacturer's coupon but its not that hard to do. $500 a month is still too expensive for most people though. That's almost my mortgage payment. My first grey purchase was a 1-2 year supply (depending on how I dose it) I didn't even buy from the cheapest supplier.RememberDrei said:
If you need help becoming comfortable with the grey-market approach that most people on this discussion board use, bear in mind that Ozempic isn't FDA-approved for pre-diabetes anyway. No medication is.
Your doctor embraced off-label treatment, which is in the spirit of off-brand grey-market generics...sort of.
Your doctor embraced off-label treatment, which is in the spirit of off-brand grey-market generics...sort of.
I just filled out a form on their site and they approved me the same day. And yeah, it’s the real FDA-approved pen, not a compound.RememberDrei said:
Pfft ... How do we know the FDA is looking out for out best interests anyway? The only difference I see between the grey market and the pharmacy is who is collecting the money and how much.indolent said:
What about the coaching thing, do you have to go through that? and the shipping?MariMar95 said:
You can skip the coaching part. And iirc shipping took 4-5 days on my end. Packaging was good too, it came in a sealed cold container.JRob93 said:
Is it this site? https://slimvive.com/program/MariMar95 said:
Yeah. Different tier for each dose.RememberDrei said:
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