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Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)Zepbound insurance coverage — need advice Page 2

Zepbound insurance coverage — need advice

FDA_TrackerJim Mon, Dec 11, 2023 at 3:12 PM 17 replies 2,120 viewsPage 2 of 4
matt_MKE
Member
312
1,345
Sep 2024
Milwaukee, WI
Dec 11, 2023 at 6:02 PM#6
hans_munich 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.

20 20andrew_nyc, Dr.EndoEP, GraceAZ_72 and 17 others
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bbq_ray_KC
Member
378
1,678
Jul 2024
Kansas City, KS
Dec 11, 2023 at 6:19 PM#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. 🎉

29 12MikeFit_NJ, InsuranceTom, WendyG_ATL and 26 others
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tom_AK
New Member
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Jan 2026
Anchorage, AK
Dec 11, 2023 at 6:36 PM#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. 💪

41 21tyler_CSCS, VanRx_Mike, steve_okc and 38 others
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LibrarianMeg
Senior Member
1,678
7,890
Mar 2024
Baltimore, MD
Dec 11, 2023 at 6:53 PM#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!

48 3JessicaM_2024, TomFromTexas, mike.trainer_LA and 45 others
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