The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from the outside.
What I actually want to know is what actually works on a prior-authorisation denial, as opposed to the list of things that sound like they should work.
Practical detail welcome, however dull — the duller the better.
ingrid_STO said:The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from…
Financial impact of cost and coverage weight loss beyond medication cost:
- Groceries: SAVED $253/month (eating less)
- Restaurants: SAVED $203/month (fewer meals out)
- Alcohol: SAVED $153/month (stopped drinking)
- Life insurance: Premium REDUCED by $43/month (lower BMI)
- Copays: SAVED $53/month (fewer BP/cholesterol meds)
Net impact after medication cost: approximately BREAKING EVEN. The medication pays for itself through reduced food spending and healthcare costs. This surprised me.
LibrarianMeg said:Financial impact of cost and coverage weight loss beyond medication cost: Groceries: SAVED $253/month (eating less) Restaurants: SAVED $203/month…
Telehealth prescriber review for cost and coverage: I've used 3 different telehealth platforms to get my GLP-1 prescription. Comparison:
| Feature | Platform A | Platform B | Platform C |
|---|---|---|---|
| Initial Consult | $55 | $85 | $0 |
| Monthly Follow-up | $35 | Included | $55 |
| Prescription Speed | Same day | 24-48 hours | Same day |
| Lab Monitoring | Required | Optional | Required |
I settled on the one that required labs — it shows they care about safety, not just prescribing volume.
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Shop Reference Standardsingrid_STO said:The list price and the price I actually pay differ by a factor of six depending on which of four routes I use, and none of that is transparent from…
Same experience, arrived at from the opposite direction.
From the other side of the consultation, briefly.
My insurance denied my PA related to cost and coverage. Has anyone successfully appealed? I'm considering going compounded instead.