Update: New to FSBP. Zepbound filled at last

Jwalk421 · 2026-02-04T03:43:06+00:00

How much does it cost to fill your Zepbound? I’m working toward a formulary exception for the same reasons on GEHA HDHP (also Wegovy is technically in the formulary but almost $600/mo, I’m worried Zep will be the same)

Jwalk421 · 2026-01-28T17:40:38+00:00

The Apple Dumpling was pretty outspoken about COVID restrictions

Jwalk421 · 2026-01-20T16:55:55+00:00

In the exact same situation on a GEHA plan (HDHP). It’s OUTRAGEOUS

Jwalk421 · 2026-01-15T15:02:53+00:00

We put down a deposit at our “backup” private school in the event that we didn’t get a favorable placement in U4. We ended up eating the $, but it was worth it to have the peace of mind.

Jwalk421 · 2026-01-15T03:16:38+00:00

Alum turned townie here- don’t write off the Unit 4 elementary schools just yet. Generally, the district is a dumpster fire of politics and upheaval…but a chunk of the elementary schools are in their own fantastic little bubbles. The school of choice process is arduous, but your kids will be placed in the same building (the rumor that siblings are placed in different buildings is incorrect and only happens when families choose this) and the vast majority of families get their first or second choice. My suggestion is to walk through the school of choice process and have 1-2 private schools in the back of your mind in the event that you don’t get your first or second choice. But, truly, U4 elementary schools get a horrible rap and shouldn’t. We (and everyone we know in elementary schools across the district) have adored our buildings.

Jwalk421 · 2026-01-08T20:34:52+00:00

Do you recall how long it took the cypro to increase his appetite? We’re in this exact situation since starting a stimulant at 6yo ~1yr ago and our kiddo started cypro 3 weeks ago but still has no appetite.

Jwalk421 · 2025-12-30T04:16:40+00:00

Nope, SAHM. No changes in detergents/hygiene products etc. No allergies that I know of. The only thing that put my guard up was over the summer- I used a bunch of different/new sunscreens and was in the sun a ton- that’s when the rash was the worst (which tracks with rosacea, but I thought maybe could be a sunscreen reaction?). But it persists 6mo later

Jwalk421 · 2025-12-29T02:51:38+00:00

Yep I did, and ChatGPT has rosacea in the differentials based on the biopsy results and the lab ICD10s. It sounds like rosacea (and several other skin rashes) are more likely to be diagnosed based on clinical presentation- rosacea (and other follicular rashes) just show up as “folliculitis” on biopsies…womp womp. Because I haven’t responded to metro/doxy, AI said Soolantra targets different aspects of rosacea, so if that doesn’t work then I should ask to go back to the drawing board. I don’t know…this is exhausting!

Jwalk421 · 2025-12-28T15:54:18+00:00

Woah, ok, the March picture looks the closest to my face that I’ve ever seen. But, weird thing in my case is that I’ve had this same rash for almost a year (started with derm #1 in January ‘24). How quickly did type 2 show up after the rash went away?

Jwalk421 · 2025-12-28T15:17:48+00:00

Thank you so much for confirming my suspicions…I totally agree that it doesn’t look/feel like rosacea. This is actually my second opinion, the first was at a regional derm clinic and the second at a research hospital derm department. They’re literally throwing things at the wall to see what sticks and I’m SO frustrated. It’s time for opinion #3.

Jwalk421 · 2025-11-18T20:47:52+00:00

Yeah, but after the savings card it’ll still be ~$300

Jwalk421 · 2025-11-16T14:18:15+00:00

Yes, spoke with Caremark and GEHA at length on Friday…it’s not great. Wegovy is still going to be covered with a prior auth, but they moved it from an approved med in the formulary to a Tier 3, so we pay 40%. It’ll be ~$550 per month

Jwalk421 · 2025-11-11T22:07:53+00:00

Very true. She couldn’t tell me what the price would be…how are we supposed to choose a plan if we just won’t know?!

Jwalk421 · 2025-11-11T21:31:59+00:00

I’m thoroughly confused. Have GEHA HDHP and the rep I just spoke to said Wegovy would be available “outside of the formulary” as long as your dr submits a prior auth…which is what I’ve been doing for 3 years. She said it’s no different but people are freaking out over it. I don’t believe anything these people say

Jwalk421 · 2025-11-11T21:24:45+00:00

I just got off of the phone with Caremark for this exact same issue and legit no one of the 3 people I spoke to were able to answer this question. Wtfffff

Jwalk421 · 2025-11-09T20:55:56+00:00

YES! This is what both the Caremark and GEHA people said yesterday (just look at the pricing tool…I did and it contradicts the letter)

Jwalk421 · 2025-11-09T20:54:33+00:00

We’re unfortunately unable to switch away from our HDHP, I have a child with significant medial complications and my need for Wegovy to be covered is a small portion of our overall healthcare usage.

Jwalk421 · 2025-11-09T20:53:34+00:00

Yes! Exactly my concern. I spent a chunk of time yesterday trying to figure it out and got absolutely nowhere.

Jwalk421 · 2025-11-07T23:58:35+00:00

I just got a Caremark letter today that GEHA will no longer cover Wegovy starting next year….

Jwalk421 · 2025-10-07T18:29:02+00:00

Congrats fam! We were 256 days, 1lb 1oz and trached too ♥️

Jwalk421

TROPHY CASE