GLP-1 Medications

[#1hoosierfan]

My insurance does not cover it. I pay $300 a month for a compounded version of Zepbound. I get it from a local pharmacy.

 

[LoveSpringsteen]

I have a doctor appointment on Monday. It’s to discuss my latest TSH lab results (it’s higher than it has ever been) I am going to discuss the GLP-1 and see if she can find if it is covered. I found a list that Zepbound is covered at the nonperferred rate, which is what I expected. I wasn’t able to look into the others and now can’t find where I found the list when I looked on my phone earlier. I am okay with $100 for 3 months, if it covered for my situation

Also ask if any of the options have a free trial. I take Zepbound now, but for the first month, I had a free trial of Wegovy 2.5 mg. I wish you well.

 

[disneychrista]

I have an doctors appointment on Monday and will be discussing the possibility of Zepbound, which does appear to be covered by my insurance as others are currently on it.

 

[LadybugsMum]

Well, Wegovy is going up to $1047/mon for me. I signed up for the coupon program again; so let's see if that works to bring it back down. If not, then I'll see if it's cheaper to get it from Novo Nordisk directly.

 

[Tatebeck]

Well, Wegovy is going up to $1047/mon for me. I signed up for the coupon program again; so let's see if that works to bring it back down. If not, then I'll see if it's cheaper to get it from Novo Nordisk directly.

Should be $349 per month with the coupon if your insurance stopped covering it all together. There is a $199 introductory offer, but that is only if you haven't used the Wegovy coupon in 2025 at all

 

[LadybugsMum]

Should be $349 per month with the coupon if your insurance stopped covering it all together. There is a $199 introductory offer, but that is only if you haven't used the Wegovy coupon in 2025 at all

My original coupon started in late 2024; so I'm hoping that this new one will get me back to the $349.

 

[disneychrista]

Also ask if any of the options have a free trial. I take Zepbound now, but for the first month, I had a free trial of Wegovy 2.5 mg. I wish you well.

There is a coupon for Zepbound that with my insurance brings the cost down to $25/month.

 

[Tatebeck]

There is a coupon for Zepbound that with my insurance brings the cost down to $25/month.

The coupons when used with an insurance that covers part of the cost pays for up to $100 per month of your cost down to $25. So just because someone uses the coupon does not mean it will be $25. If it worked for $25 for you then your insurance copay was likely $125 or less before using the coupon.

"Pay as little as $25 (maximum savings $100/month)"

It works much differently in your instance than for someone whose insurance doesn't cover it and the cost is still over $1000.

 

[Tatebeck]

My original coupon started in late 2024; so I'm hoping that this new one will get me back to the $349.

You should be good for the $349, just not for the $199 introductory offer. That is only for new patients who haven't used a coupon at all in the last 365 days

 

[Tatebeck]

My original coupon started in late 2024; so I'm hoping that this new one will get me back to the $349.

Well after looking at it more it depends. For the $349 offer the patients "cannot be government beneficiaries, including, but not limited to, Medicare and Medicaid patients"

So if you have medicare, medicaid, or a governmant job plan, then it won't work. If you have private insurance through the marketplace or your job it should work.

 

[disneychrista]

The coupons when used with an insurance that covers part of the cost pays for up to $100 per month of your cost down to $25. So just because someone uses the coupon does not mean it will be $25. If it worked for $25 for you then your insurance copay was likely $125 or less before using the coupon.

"Pay as little as $25 (maximum savings $100/month)"

It works much differently in your instance than for someone whose insurance doesn't cover it and the cost is still over $1000.

Which is why I said WITH MY INSURANCE brings it down to $25.

 

[Tatebeck]

Which is why I said WITH MY INSURANCE brings it down to $25.

Yes, I realize that. But it does have other limits and will not work that way for everyone if their copay is higher than yours was. So it is better to have the full terms out there for everyone (Can bring it down to $25 but will only pay a max of $100) vs just saying that in your specific case it will bring it down to $25 with insurance. That's all

 

[LoveSpringsteen]

There is a coupon for Zepbound that with my insurance brings the cost down to $25/month.

That great. I pay $450 out of pocket now. My insurance doesn’t cover it. I’ll check to see if I can find any offers or lower price through GoodRX. Thank you

 

[Tatebeck]

That great. I pay $450 out of pocket now. My insurance doesn’t cover it. I’ll check to see if I can find any offers or lower price through GoodRX. Thank you

GoodRX typically doesn't help much, if at all on newer brand name medications like these. Typically it is trying to get your cost down to around the pharmacies' medication order costs. In this case it is still over $1000 for the pharmacies to order these medications. It really only helps on older generics that are cheaper in actual cost, but have an inflated base cost in the pharmacy systems for insurance billing reasons (bleh).

They typically charge the pharmacy a fee to even use the card each time and so many small pharmacies won't use discount cards like that at all, or will have a single discount card that they will use exclusively for a small fee from the processor. It is also sketchy in other ways that I won't get into lol

 

[LoveSpringsteen]

GoodRX typically doesn't help much, if at all on newer brand name medications like these. Typically it is trying to get your cost down to around the pharmacies' medication order costs. In this case it is still over $1000 for the pharmacies to order these medications. It really only helps on older generics that are cheaper in actual cost, but have an inflated base cost in the pharmacy systems for insurance billing reasons (bleh).

They typically charge the pharmacy a fee to even use the card each time and so many small pharmacies won't use discount cards like that at all, or will have a single discount card that they will use exclusively for a small fee from the processor. It is also sketchy in other ways that I won't get into lol

Ah, ok thanks for letting me know. I appreciate it.