Any other options?

My insurance “covers” Wegovy for $1275 and the coupon card brought it down $1200.

What is your deductible? How close are you to meeting it? What is your yearly out of pocket limit (for yourself, not your whole family if you are on a family plan)? Do you have FSA or HSA funds?

The coupon from the manufacturer website should take $225 off the price, not $75. Are you using the coupon from https://www.wegovy.com/coverage-and-savings/save-on-wegovy.html

Not medical advice: Obviously, talk to your doctor, but a rough breakdown of some of your potential options:

  • Looking into your coverage situation for ozempic, keeping in mind that Ozempic pens retail about $900 and can be split for up to 56 days of use with doctor's permission provided you don't need the max dose.

  • Using personal funds until deductible and then out of pocket max is met, which understandably might not be possible.

  • Trying a cheaper anti-obesity medicine. Cash pay options for non-GLP1s exist for under $100 a month, such as contrave and qsymia.

  • Review your coverage options next year, including exploring if you can afford a plan with a lower deductible (that still covers obesity meds), electing to fund an FSA or HSA and so on, and deciding to start treatment then.

/r/Semaglutide Thread