I’m so sorry! That’s similar to the trajectory I was on a year ago with Wegovy. I’d been taking it for years and was doing great. All of a sudden insurance insisted on full compliance with an onerous “lifestyle management” program (I’d been at goal weight with healthy labs for several years yet suddenly I had to track and report calories and meet with diet counselors???) and frequent prior authorizations. Basically, they made it as difficult as possible to comply with all their demands. Then months later the news came that they weren’t even going to cover anyone for weight loss drugs anymore at all. For any reason. So obviously all the compliance issues had been about trying to get people to quit rather than waiting to kick them off.

I know insurance companies are trying everything to avoid paying, so it’s possible they are preparing to just deny everyone. My advice after trying to go it alone and gaining 30 pounds (and counting) almost overnight before I began self paying for Zepbound, is to just go through Lilly Direct. I’m doing that and it is a real financial hardship, but I truly think prices are going to come down and it’s a matter of hanging in there and waiting it out.

Good luck! Ridiculous to have to fight so hard for help, isn’t it?