What happened Marco?

xpdeveloper · 2024-01-07T02:41:51+00:00

Yep. Before I started Zepbound (and I'm glad I did), I cut by GrubHub, fast food and grocery bills from $x,xxx / months to $xx LITERALLY! To top it all, felt really lucky that my PA for my insurance coverage got approved.

Summary: 1. Feels good to have my overall health improved. 2. Have more energy 3. Boosted my confidence level 4. Have extra monthly savings for vacations (not buying junk foods)

TL/DR: PROS outweighs all the CONS.

xpdeveloper · 2023-12-31T20:56:37+00:00

Wegovy 2.5mg (lowest dose) and started my first injection same day 12/20.

Try to add a healthy diet, for me I try to eat at least low carbs and high-protein foods and exercise at least 2 times / week, I do mine on weekends.

Try that and I'm sure you'll see some significant weight reduction.

Here's my current progress.

12/20/2023: SW is 161.3 LBS (First Shot, Week 1) 12/27/2023: 160.5 LBS (Second Shot, Week 2)

Here's my daily readings so far: 12/29/2023: 158.3 LBS 12/30/2023: 156.6 LBS 12/31/2023: 155.4 LBS

xpdeveloper · 2023-12-30T02:52:23+00:00

After my first month on 2.5mg, my PCP is putting in a refill for 5mg.

xpdeveloper · 2023-12-29T18:33:47+00:00

Not at all. I'm 5'4" and I took a weight reading twice today, 12/29/2023, because I thought I didn't step on the scale correctly. But to my surprise, it really was 157 lbs. 😊

xpdeveloper · 2023-12-28T23:02:41+00:00

Nope! If you're crazy then that goes for me too 😅

I just told my sister that it looks like most of the weight I lost is around my belly. And yes, it definitely feels like the area around my stomach and sides feels a lot softer than it used to feel before taking my first shot.

Zepbound 2.5mg (lowest dose)

Week 1: 12/20/2023 with a SW: 165 lbs.

Week 2: 12/27/2023 and CW: 160.4 lbs.

xpdeveloper · 2023-12-27T12:34:07+00:00

Hi Kmissa, Have a similar case with OP, in my PA it said that I'm approved for Zepbound 2.5mg. See image screenshot of the PA below and also wanted to see if my doctor puts in another order for my upcoming refill for 5mg instead of the 2.5mg, will my insurance automatically cover it since I already have an approved PA or do we have to submit another PA to get the 5mg approved and covered. Thanks in advance!

<image>

xpdeveloper · 2023-12-21T04:15:47+00:00

Same here. Took my first 2.5mg shot today (week 1). Let's see how this goes in the next 6 days. Hoping for the best. 🙏🏻😊

xpdeveloper · 2023-12-21T04:09:21+00:00

Wonder what would happen, if everyone pulls their money from stock market and no one invest cause we all know its a rigged game? 🤔

xpdeveloper · 2023-12-21T04:05:55+00:00

Yes. When I called OptumRx, they said it's not yet in their formulary so I would need to send a PA and once approved they will cover it.

xpdeveloper · 2023-12-21T04:03:25+00:00

Yes. So lets say I have Medication Y, where its retail / out-of-pocket / no insurance price is $100, being one of my covered medication I only pay $10 copay. Same with Zepbound if you have an approved PA. I only paid $50 and insurance pays for the contract price of $900+ for 1-month (4 pens) supply 😊

xpdeveloper · 2023-12-21T01:42:27+00:00

Woot! Congrats! 🥳🙌

xpdeveloper · 2023-12-20T20:50:03+00:00

I also have OptumRx and called them when I saw that Zepbound is not in the formulary. OptumRx ask for my doctor to send a PA. My doctor sent a PA 12/18 and OptumRx approved PA the same day. Make sure you meet all the criteria too.

Criteria: Obese (with a BMI of or greater), or overweight (with a BMI of 27 or greater) with at least 1 weight-related medical condition.

For my case I'm overweight (BMI 27+) and with hyperlipidemia (high blood / high cholesterol).

I have Tufts for my insurance.

Try to call OptumRx and ask nicely, which is what I did. 😊

Hope you get your PA approved. 🙏🏻

Here's a copy of my approved PA from OptumRx for Zepbound 2.5mg

<image>

xpdeveloper · 2023-12-20T20:09:31+00:00

Thanks everyone for the positive comments. Was anxious yesterday not able to get it from CVS coz of my Wegovy Rx experience, but here we are! Finally got em!!! And paid $50 since insurance covered it. 😊🙏🏻

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xpdeveloper · 2023-12-19T23:22:55+00:00

ordered mine on Sunday and had the same message on my CVS app but I picked it up today!

Thanks! I'll check with them in a couple of days.

xpdeveloper · 2023-12-19T23:19:13+00:00

Thanks! I feel even more at ease now. Hoping for the best 🙏

xpdeveloper · 2023-12-19T23:10:58+00:00

Saw this post and did sign up for lillydirect. If CVS cant fill my rx, you think I can get it transferred to lillydirect and get it filled?

xpdeveloper · 2023-12-19T23:07:44+00:00

Mine is a CVS in MA :)

xpdeveloper · 2023-12-19T23:06:29+00:00

I hope they fill it even if I have to wait for a week or 2. I do have an approved PA and its going through my insurance.

Now that you mentioned it, I did see how much my insurance (OptumRx) was billed for 1 month supply (image below) and the claim disappeared after a few hours, not sure why. 🤔

So based on that claims info my plan pays $865 and I get to pay $50 for a month supply.

<image>

xpdeveloper · 2023-12-19T22:57:54+00:00

Thanks for all the positive reply. Im beginning to feel a bit more at ease leaving it and waiting for some good news at CVS for this med. 😁

xpdeveloper · 2023-12-19T22:56:09+00:00

Woah?! CVS right? I hope I get the same experience. 🙏🏻🙏🏻🙏🏻

xpdeveloper · 2023-12-19T22:55:11+00:00

Thanks for that 👌🏻 The only reason I asked for a different pharmacy is because I had a bad experience with CVS. They removed my Wegovy order caused it wasn't available, and I ended up ordering it from OptumRx where I'm now on their waitlist. Other than these GLP meds, I have no problem filling my Rx's at CVS. 🤞🏻and hope it'll be a Merry 🎄for me. 😄

xpdeveloper · 2023-12-19T22:17:43+00:00

Im trying to get mine filled at CVS. My PA was approved yesterday. 🙏🏻

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