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Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)Zepbound insurance coverage — what worked for you? Page 2

Zepbound insurance coverage — what worked for you?

TomFromTexas Fri, Feb 28, 2025 at 5:07 AM 10 replies 1,530 viewsPage 2 of 2
DataDave
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Feb 28, 2025 at 7:57 AM#6
carlos_SATX 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.

Last edited: Feb 28, 2025 at 8:57 AM
13 16VendorMark, COA_Karl, MikeFit_NJ and 10 others
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wendy_avl
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Oct 2024
Asheville, NC
Feb 28, 2025 at 8:14 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. 🎉

Last edited: Feb 28, 2025 at 2:14 PM
17 19DoseLogDan, SleepFixSam, PurityPaulOR and 14 others
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ingrid_STO
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Stockholm, SE
Feb 28, 2025 at 8:31 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: Feb 28, 2025 at 11:31 AM
14 17MikeFit_NJ, InsuranceTom, WendyG_ATL and 11 others
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InsuranceTom
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Feb 28, 2025 at 8:48 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!

46 18matt_MKE, Dr.ReproEndo, lucas_SP_BR and 43 others
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