Jul 28, 2024 at 2:33 AM#21
HPLC_Greg said:VendorMark said: ...compounded vs brand cost and coverage...
This is exactly what I could not find anywhere else.
13 11Dr.SleepRoch, laura_annarbor, JenMemphis and 10 others
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Aug 3, 2024 at 12:59 PM#22
From the other side of the consultation, briefly.
HPLC_Greg said:...regarding the discontinuation data for cost and coverage...
I want to reframe the discontinuation narrative. We don't say "insulin fails because blood sugar rises when you stop it." We don't say "antihypertensives fail because BP goes up without them."
Why do we apply different logic to anti-obesity medications? The answer is stigma. We still, unconsciously, believe obesity is about willpower rather than biology. The discontinuation data actually PROVES it's a chronic biological condition requiring ongoing treatment.
This reframing isn't semantic — it has implications for insurance coverage, treatment duration, and patient expectations.
14 12Dr.SurgeonPGH, rachel_ABQ, traveltech_sara and 11 others
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Aug 9, 2024 at 11:22 PM#23
paige_pharma said:HPLC_Greg said: ...regarding the discontinuation data for cost and coverage...
This matches mine closely enough to be worth saying so out loud.
Last edited: Aug 10, 2024 at 3:22 AM
15 13AussieAnna, BethLabQueen, ChrisMacros and 12 others
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Janoshik Analytical — Independent Testing
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Browse GL BiochemAug 16, 2024 at 9:41 AM#24
paige_pharma said:HPLC_Greg said: ...regarding the discontinuation data for cost and coverage...
Telehealth prescriber review for cost and coverage: I've used 4 different telehealth platforms to get my GLP-1 prescription. Comparison:
| Feature | Platform A | Platform B | Platform C |
|---|---|---|---|
| Initial Consult | $53 | $93 | $0 |
| Monthly Follow-up | $43 | Included | $53 |
| Prescription Speed | Same day | 24-48 hours | Same day |
| Lab Monitoring | Required | Optional | Required |
I settled on the one that required labs — it shows they care about safety, not just prescribing volume.
16 14pam_columbus, nick_SD_fit, ben_calgary and 13 others
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Aug 22, 2024 at 7:56 PM#25
paige_pharma said:HPLC_Greg said: ...regarding the discontinuation data for cost and coverage...
Insurance update relevant to cost and coverage: I just got my prior auth approved through Cigna after 4 attempts.
What finally worked: a letter from my endocrinologist documenting BMI history (>3 years), failed diet attempts, comorbidities (NAFLD + metabolic syndrome), and referencing the SELECT 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.
17 15tampaLisa73, KarenAZ_mom, zoe_NC and 14 others
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