The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from the outside.
The question I want answered is what actually works on a prior-authorisation denial, as opposed to the list of things that sound like they should work.
Tell me what I have not thought of.
A1cHero_PHX said:The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from…
My insurance denied my PA related to cost and coverage. Has anyone successfully appealed? I'm considering going compounded instead.
PeptideChemSF said:My insurance denied my PA related to cost and coverage.
Insurance coverage hack for cost and coverage: if your insurance denies brand Wegovy/Ozempic, consider these alternatives:
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View ResultsA1cHero_PHX said:The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from…
Second this. The detail I would add is minor and it is already implied above.
From the other side of the consultation, briefly.
Financial impact of cost and coverage weight loss beyond medication cost:
Net impact after medication cost: approximately BREAKING EVEN. The medication pays for itself through reduced food spending and healthcare costs. This surprised me.