MounjBrad said:

Denied on prior authorisation twice, approved on the third attempt after a peer-to-peer, and the only thing that changed was who was doing the…

Financial impact of cost and coverage weight loss beyond medication cost:

• Groceries: SAVED $244/month (eating less)
• Restaurants: SAVED $174/month (fewer meals out)
• Alcohol: SAVED $124/month (stopped drinking)
• Life insurance: Premium REDUCED by $34/month (lower BMI)
• Copays: SAVED $64/month (fewer BP/cholesterol meds)

Net impact after medication cost: approximately BREAKING EVEN. The medication pays for itself through reduced food spending and healthcare costs. This surprised me.

Dr.KarenChen said:

Financial impact of cost and coverage weight loss beyond medication cost: Groceries: SAVED $244/month (eating less) Restaurants: SAVED $174/month…

My insurance denied my PA related to cost and coverage. Has anyone successfully appealed? I'm considering going compounded instead.

MounjBrad said:

Denied on prior authorisation twice, approved on the third attempt after a peer-to-peer, and the only thing that changed was who was doing the…

This matches mine closely enough to be worth saying so out loud. Nothing to add that would improve it.

From the other side of the consultation, briefly.

Telehealth prescriber review for cost and coverage: I've used 3 different telehealth platforms to get my GLP-1 prescription. Comparison:

I settled on the one that required labs — it shows they care about safety, not just prescribing volume.