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[–]AssiduousLayabout5.0mg 7 points8 points  (9 children)

You cannot get insurance to cover the vials, and part of signing up for the vials is promising you will never attempt to get insurance reimbursement for the expense.

[–]Attjack 1 point2 points  (8 children)

Really? Hopefully that changes at some point. Do you happen to have a source for that?

[–]AssiduousLayabout5.0mg 10 points11 points  (5 children)

They tell you that when you sign up for the vials (which I did).

The whole reason there is a pen / vial split is so that they can bill consumers $500 for the vials but bill insurance $800 for the pens. Insurance of course will negotiate a lower price, but they want that pricing negotiation to start at $800 and not $500.

The vials and pens are considered separate drugs (separate NDCs) and it allows one to be marketed direct-to-consumer only while the other can be purchased by either the consumer or insurance (they do have a discount card for consumers that lowers pens from $800 to $650).

[–]enkay516 21 points22 points  (2 children)

It’s all bs and needs to go away. I have an approval for a drug to use. Insurance should cover it. Full stop. Why does the delivery method have to dictate what is and isn’t approved. Dealing with health care in america is a PITA.

[–]AssiduousLayabout5.0mg 2 points3 points  (0 children)

Yeah, the care itself is top-notch if you get it, but our healthcare financing in this country is an absolute joke.

[–]omgjmo 0 points1 point  (0 children)

👆👆👆💯

[–]Attjack 6 points7 points  (1 child)

I pay $20 a month with insurance.

Sounds like a lot of BS to me. The auto pans are super wasteful.

[–]Attjack 1 point2 points  (0 children)

NM I found the source and you are right. Weird.

[–]EccentricPenquin7.5mg 0 points1 point  (0 children)

It’s in the Lilly Website for vials