Telehealth prescriber directory — anyone have experience?

Dr.RheumBOS said:

Dr.SportsMedIN said: ...compounded vs brand cost and coverage...

That reframing is the part I needed.

Adding the clinical framing, because it changes how the question reads.

Insurance update relevant to cost and coverage: I just got my prior auth approved through Anthem after 3 attempts.

What finally worked: a letter from my endocrinologist documenting BMI history (>3 years), failed diet attempts, comorbidities (sleep apnea + prediabetes), and referencing the STEP trial data.

If your PA keeps getting denied, don't give up. Request a peer-to-peer review between your doctor and the insurance medical director. That's what finally broke through for me.

james_edin said:

PharmacoVig_BOS said: ...my insurance denied cost and coverage coverage because...

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

Dr.GutHealth said:

Denials are usually procedural rather than clinical, and the order that works reflects that.

Insurance coverage hack for cost and coverage: if your insurance denies brand Wegovy/Ozempic, consider these alternatives:

1. Prior authorization appeal with peer-to-peer review
2. Manufacturer copay card (for commercial insurance)
3. Patient assistance programs (Novo Nordisk, Eli Lilly)
4. Compounded medication from a 503B pharmacy ($135/month)
5. Canadian pharmacy (requires prescription, ~40-60% savings)

Don't let cost prevent access to effective treatment. There are options at every price point.

Moderator note: a couple of off-topic posts removed. Carry on.