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ForumsTirzepatide (Mounjaro / Zepbound)Zepbound vs Mounjaro — same molecule, insurance headache explained Page 2

Zepbound vs Mounjaro — same molecule, insurance headache explained

InsuranceTom Sun, Mar 1, 2026 at 2:06 AM 6 replies 323 viewsPage 2 of 2
AmyNC_wife
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Jun 2024
North Carolina
Mar 1, 2026 at 4:56 AM#6
BariatricNurseD said:
I gave up on insurance and went compounded. Paying $250/month out of pocket. Is it ideal? No. But I wasn't going to wait...

We don't judge anyone's path to treatment here. Compounded tirz has its own risk/benefit profile and we have dedicated threads for discussing quality and sourcing. What matters is that you're getting treatment.

That said — for anyone still fighting the insurance battle, DON'T give up before requesting the peer-to-peer. the advice above is spot-on.

36 8JessicaM_2024, TomFromTexas, mike.trainer_LA and 33 others
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stefan_berlin
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Oct 2024
Berlin, DE
Mar 1, 2026 at 5:13 AM#7

UPDATE: Peer-to-peer worked!!!! Approved for 6 months, then re-review. I could cry. Starting 2.5mg next week.

Kelly, Jessica — thank you. The peer-to-peer really was the magic bullet. My endo cited SURMOUNT trial data and my specific comorbidities and the insurance doc approved it in 15 minutes after the call.

DON'T GIVE UP PEOPLE. 🎉

40 1JessicaH_TX, KevinCompounds, TirzTom and 37 others
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bri_stats
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May 2024
Seattle, WA
Mar 1, 2026 at 5:30 AM#8

SO happy for you Rob! And the 6-month review is standard — just make sure your endo documents your progress at each visit. If you're losing weight and your comorbidities are improving, reauthorization is almost always straightforward.

The hardest part is getting through the door. You did it. 💪

Last edited: Mar 1, 2026 at 9:30 AM
40 0TomFromTexas, mike.trainer_LA, sarah_nash92 and 37 others
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MeganSA_TX
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Jun 2024
San Antonio, TX
Mar 1, 2026 at 5:47 AM#9

Rob that's amazing!!! Welcome to the tirz club! 🎊

Quick tip for your first fill — call the pharmacy 3-4 days before you need it. Zepbound availability is better now than it was last year but some pharmacies still need to order it. And get your savings card set up ASAP. Good luck!

35 6TomFromTexas, mike.trainer_LA, sarah_nash92 and 32 others
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