🍪 The GLP Lounge uses cookies to improve your experience, analyze traffic, and personalize content. By continuing to use this site, you agree to our Cookie Policy.
Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)Zepbound insurance coverage — need advice Page 4

Zepbound insurance coverage — need advice

FDA_TrackerJim Thu, Mar 7, 2024 at 3:12 PM 17 replies 2,120 viewsPage 4 of 4
lori_vegas
Member
378
1,678
Aug 2024
Las Vegas, NV
Mar 10, 2024 at 5:25 PM#16
chris_chi24 said:
FDA_TrackerJim said: ...regarding the discontinuation data for cost and coverage...

Can confirm. Same sequence, different timescale.

Last edited: Mar 10, 2024 at 7:25 PM
17 15amy_econ_NJ, bbq_ray_KC, oliver_london and 14 others
Reply Quote Save Share Report
Dr.SportsMedIN
Senior Member
1,456
6,789
Feb 2024
Indianapolis, IN
Mar 11, 2024 at 3:09 AM#17
DanielChem_CHI said:
FDA_TrackerJim said: ...my insurance denied cost and coverage coverage because...

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

  • Groceries: SAVED $282/month (eating less)
  • Restaurants: SAVED $212/month (fewer meals out)
  • Alcohol: SAVED $162/month (stopped drinking)
  • Life insurance: Premium REDUCED by $32/month (lower BMI)
  • Copays: SAVED $62/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.

Last edited: Mar 11, 2024 at 8:09 AM
18 16lisa_labSD, adam_van, Dr.SurgeonPGH and 15 others
Reply Quote Save Share Report
TomFromTexas
Member
645
2,890
May 2024
Austin, TX
Mar 11, 2024 at 12:53 PM#18
DanielChem_CHI said:
FDA_TrackerJim said: ...my insurance denied cost and coverage coverage because...

Thank you for spelling out the reasoning rather than just the conclusion. I will report back once I have actually tried it.

19 17Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 16 others
Reply Quote Save Share Report

PeptideMeter — Independent Peptide Analytics

Community-driven peptide testing and vendor rating platform. Transparent results. Unbiased analysis. Trusted by thousands.

View Results
sarah_TO
Member
278
1,234
Sep 2024
Toronto, CA
Mar 11, 2024 at 10:38 PM#19

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:

FeaturePlatform APlatform BPlatform C
Initial Consult$58$98$0
Monthly Follow-up$48Included$58
Prescription SpeedSame day24-48 hoursSame day
Lab MonitoringRequiredOptionalRequired

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

20 18carl_compliance, DanielChem_CHI, marco_milano and 17 others
Reply Quote Save Share Report
mike_mod
Moderator
7,234
19,823
Nov 2023
New York
Online
Mar 12, 2024 at 8:23 AM#20

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Tagging this one for the weekly digest.

Last edited: Mar 12, 2024 at 10:23 AM
42 15PurityPaulOR, MaxMetOK, MounjBrad and 39 others
Reply Quote Save Share Report

Similar Threads

SURMOUNT-5: Tirzepatide vs semaglutide head-to-head — full results11 replies
SURPASS 1-5 program: tirzepatide T2DM efficacy data compilation6 replies
Tirzepatide dual agonism: GIP + GLP-1 synergistic mechanism18 replies
5mg → 10mg → 15mg titration — clinical guidance and real-world data8 replies
Zepbound insurance coverage — payer-by-payer breakdown 20268 replies
ForumsNewTrendingMembersAccount

Log In

Forgot password?
No account? Register