Many health plans will cover GLP-1s if they're prescribed to treat diabetes, but not if they're prescribed for weight loss.6 So the prior authorization process in that case would be to confirm that the patient has diabetes and that's the reason for the prescription. Services That Require ...
we have a very frank conversation. We explain to them we will not lie or deceive the insurance company or medicare about their health, so if they don't have diabetes, we write that. And if they're not approved, it's going to cost them...
Explanation of the manufacturer’s savings program: The Zepbound Savings Card program allows eligible patients to get their prescription for as low as $25 a month, with a maximum savings of $150 every 28 days or $1,800 a year. Eligibility requirements: To be eligibl...
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Basaglar is not a generic equivalent of Lantus. It’s also not considered interchangeable with Lantus. If you’re prescribed Lantus and would like to switch to Basaglar, your prescriber will need to write you a new prescription. Your pharmacist cannot automatically substitute one for the other...
The rule would require Medicare and Medicaid to cover weight-loss drugs like Wegovy or Zepbound for a large segment of Americans who are obese.