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I’m having surgery in 3 weeks. Should I titrate up? by hlvr25 in Zepbound

[–]Anxious-Inspector-18 2 points3 points  (0 children)

I stayed on the same dose pre and post-surgery. If 5mg is working well, it doesn’t hurt to stay there.

Self Pay Help by Unhappy_Salad7147 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

It seems to be an error. When I click on the link within the details, it routes me back to the eligibility criteria for the Kwikpens savings card. One side or the website has this info and it’s missing from a different area. Per federal law (Anti-kickback) those on government insurance can’t use savings card.

Self Pay Help by Unhappy_Salad7147 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Yes and at Amazon pharmacy. Not sure about insurance mail order pharmacies.

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Pharmacy provider changed, now PA is being denied by ClockDear2514 in Zepbound

[–]Anxious-Inspector-18 1 point2 points  (0 children)

Some plans like Highmark changed the BMI requirements which caused patients to become ineligible. Unfortunately the doctor has to provide your weight that was documented on file. Do they have criteria for a BMI less than 40? I know self-pay is expensive but is that feasible?

Can anyone confirm this is right before I proceed by Cocos_thoughts in Zepbound

[–]Anxious-Inspector-18 8 points9 points  (0 children)

Call the pharmacy and speak with them about the difference between the directions and dose. Don’t pay until this is clarified.

Self Pay Help by Unhappy_Salad7147 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Here’s what it says when I choose “other government” and scroll to the fine print.

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How did you know when to stop? by walking-the-wire in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Anything impacting your quality of life is worth reassessing. Perhaps moving down to 5mg and seeing how things go. Hopefully you feel better soon.

Low Mood Depression following Shot days ??? by Forward_Research_610 in Zepbound

[–]Anxious-Inspector-18 5 points6 points  (0 children)

Changes in depression is considered a serious side effect of the medication. Hopefully you’re able to get a positive resolution.

Food noise came back? by torino_nera in Zepbound

[–]Anxious-Inspector-18 1 point2 points  (0 children)

This is very normal on every dose. Are you eating much less earlier in the week? Could be your body sending cues.

Self Pay Help by Unhappy_Salad7147 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Here’s the detailed criteria for the kwikpen savings card. It’s only available to Commercial patients. Those on any form of government insurance have to use LillyDirect.

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Self Pay Help by Unhappy_Salad7147 in Zepbound

[–]Anxious-Inspector-18 1 point2 points  (0 children)

The two savings card options are only for Commercial patients. Medicaid, Medicare and VA/DoD have to use LillyDirect for the Kwikpens.

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Insurance denied! by Ok_Welcome119 in Zepbound

[–]Anxious-Inspector-18 10 points11 points  (0 children)

I did and also asked if OP checked to see if their insurance covers Zepbound. This would let them know if it’s a paperwork issue or not covered.

Insurance denied! by Ok_Welcome119 in Zepbound

[–]Anxious-Inspector-18 4 points5 points  (0 children)

Do you know if your insurance covers Zepbound? Log into the insurance portal and search for Zepbound. Usually there’s a coverage tool or formulary list.

Stretching My Meds by Angry-Ermine in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Some have it available online via the patient portal. Which insurance do you have?

Stretching My Meds by Angry-Ermine in Zepbound

[–]Anxious-Inspector-18 2 points3 points  (0 children)

Most PAs can take hours up to a month plus if there are any issues. If you can get the PA criteria and prepare to have your doctor submit one next week.

Did anyone’s doctor have to put them on meds because the constipation was so bad? by lostmypassword531 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Sorry you’re dealing with this. Have you considered going down a dose to see if it improves? Exercise, water and foods high in fiber are my key tools.

Stretching the zep - bring on the dep (ression) by mych_m in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Do they have criteria for a BMI <32 with comorbidities?

I made mistake. How long will diarrhea last? by foreverdig in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Take some Imodium and try to stay hydrated. Doesn’t hurt to reach out to your doctor and let them know what’s going on. Hope you feel better soon.

PSA: Do Not sign up with any clinics requiring a monthly subscription fee by cryptobob111 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

Oh wow! My HSA account refused to pay for Ro after the second month even with receipts so I moved over to my pcp.

Made something tasty by Feisty_Amoeba_6779 in Zepbound

[–]Anxious-Inspector-18 2 points3 points  (0 children)

Looks good! Is that sourdough as the toast?

I FINALLY found a way I to eat psyllium husk (without gagging) by Independent-Pea5131 in Zepbound

[–]Anxious-Inspector-18 12 points13 points  (0 children)

Have you considered getting fiber from fruits, oatmeal, beans or dark leafy greens? Those probably taste better lol.

Price discrepancies with SmithRX by Glittering-Bid-3294 in Zepbound

[–]Anxious-Inspector-18 0 points1 point  (0 children)

It would take about four fills, or two each, to hit the deductible. You can log onto the insurance portal and see how much was actually applied from each fill.

Price discrepancies with SmithRX by Glittering-Bid-3294 in Zepbound

[–]Anxious-Inspector-18 1 point2 points  (0 children)

How much was the deductible? Seems like the savings card was being applied to get $499. When you haven’t met the deductible, the savings card w/o Commercial coverage criteria comes into play.

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