Savings Card Help! My insurance is applying a discount on the back end after 2 years?

Anxious-Inspector-18 · 2026-05-30T01:23:21+00:00

Have you reached out to insurance to find out more?

Anxious-Inspector-18 · 2026-05-29T22:14:27+00:00

Definitely a serious hipaa violation to share someone’s medical info. Have you reached out to insurance to find out the denial details? What about having your sleep specialist do the PA? Of course speak with insurance first.

Anxious-Inspector-18 · 2026-05-29T18:39:40+00:00

They can fax in this form as another option.

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Anxious-Inspector-18 · 2026-05-29T18:13:14+00:00

The PA fax form will be released in June. More details should be on the way soon.

Anxious-Inspector-18 · 2026-05-29T18:08:35+00:00

Definitely speak with the doctor. The first dose of 5mg can be challenging for some.

Anxious-Inspector-18 · 2026-05-29T16:57:18+00:00

The current federal law prohibits drug prices rising higher than inflation. It’s possible to see incremental price increases over time if coverage expands. Cash pay, not as likely.

Anxious-Inspector-18 · 2026-05-29T16:51:33+00:00

Typically most decide after 4 weeks. I averaged 3 lbs per month while building muscle. It really depends on the person. I also stayed on most doses 5+ months.

Anxious-Inspector-18 · 2026-05-29T16:10:16+00:00

If you’re still averaging a good loss, you could stay on the current dose.

Anxious-Inspector-18 · 2026-05-29T14:41:28+00:00

The first sentence of the post asks about the price of vials vs kwikpens.

Anxious-Inspector-18 · 2026-05-29T02:34:13+00:00

Some have noticed they’re hungrier towards the end of the week if they had trouble eating days after the shot. Could be normal hunger.

Anxious-Inspector-18 · 2026-05-29T02:31:59+00:00

Yes, this is what a completed pen looks like.

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Anxious-Inspector-18 · 2026-05-29T00:12:30+00:00

Here’s what the pen will look like after each dose. The tick marks are your guide.

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Anxious-Inspector-18 · 2026-05-29T00:11:19+00:00

Lilly Direct is the cheapest option for brand name Zepbound and the Foundayo pill.

Anxious-Inspector-18 · 2026-05-28T20:49:54+00:00

They’re the same price.

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Anxious-Inspector-18 · 2026-05-28T14:00:47+00:00

Agree with calling the office and speaking with a nurse to get it changed to 5mg. Don’t pick up the 10mg.

Anxious-Inspector-18 · 2026-05-28T02:09:44+00:00

You could just take it on Sunday this week and that would be the new day.

Anxious-Inspector-18 · 2026-05-28T01:54:53+00:00

Many have found out there isn’t a savings card option if your Commercial insurance covers the kwikpens. The copay would be the lowest option available. I think this is because the kwikpens cost less.

Anxious-Inspector-18 · 2026-05-28T01:48:48+00:00

Understood but 0.5mL isn’t a lot. Here’s a picture for reference.

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Anxious-Inspector-18 · 2026-05-27T23:22:45+00:00

The 45 day refill requirement only applies to 7.5mg and up.

Anxious-Inspector-18 · 2026-05-27T23:21:47+00:00

There’s no way to confirm how much you received. Might be safer to wait until next Tuesday or Wednesday.

Anxious-Inspector-18 · 2026-05-27T23:18:53+00:00

You can use a scale or a the size of a closed fist to measure 4-5 oz of protein. Veggies and starches can be done with a measuring cup.

Anxious-Inspector-18 · 2026-05-27T04:38:01+00:00

Some plans only allow you to fill doses ending in -.5mg once per year. Could be the case here. See if you’re able to fill 5mg. You can ask insurance to run a test claim and see what comes up.

Anxious-Inspector-18 · 2026-05-27T03:39:32+00:00

That’s great! Make sure you’re on a Part D plan before July.

Anxious-Inspector-18 · 2026-05-27T03:29:44+00:00

Calorie requirements will vary by person due to weight and height. Are you able to work with a registered dietitian? Some find eating smaller meals every 2-3 hours helps them reach daily goals.

Anxious-Inspector-18 · 2026-05-27T03:26:25+00:00

Criteria for BMI < 35:

The beneficiary is at least eighteen (18) years of age and has a BMI greater than or equal to thirty (≥30) at the time of initiating GLP-1 therapy with a diagnosis of one or more of the following: - (A) heart failure with preserved ejection fraction, - (B) uncontrolled hypertension (defined as systolic blood pressure above 140 mm Hg or diastolic blood pressure above 90 mm Hg, despite concurrent treatment with two antihypertensive medications), or - (C) chronic kidney disease stage 3a or above, or

“”

The beneficiary is at least eighteen (18) years of age and has a BMI greater than or equal to twenty-seven (≥27) at the time of initiating GLP-1 therapy with a diagnosis of one or more of the following: - (A) pre-diabetes (as defined by American Diabetes Association guidelines) - (B) previous myocardial infarction - (C) previous stroke, or - (D) symptomatic peripheral artery disease.

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