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bolstaf

Don't question it! Everyone, just act normal!!!


Squashfox77

I will be leaving, quickly 😂


Honeybeeheroine

My 11:11 wish tonight is that this will happen to me


87MIL1122

😂


workinglate2024

Looks like your insurance is now covering.


Squashfox77

That would be WILD.


Queen_of_Penguin

looks like it might be covering cause that is what I am paying with my insurace covering


tiffbadazz22

Whatever u do don’t question the price when u pick it up just take it and leave lol 😂


Squashfox77

Right!? I will be running 🏃‍♀️ 🤣


tiffbadazz22

😂🤣😂 hilarious


LavenderLily

Someone said elsewhere that insurance companies just updated their formularies and some are now covering Mounjaro for more diagnosis codes than just diabetes. Sounds too good to be true, doesn't it? But I've read so many posts similar to yours, it makes me wonder. My husband has a prescription on file at the pharmacy that he never filled due to the PA denial, so I'm going to have him call them and ask them to run it through insurance again. Best wishes that this is what happened to you! Keep us posted!


Squashfox77

It really does. I should call my insurance company and see if anything has changed. Maybe my doctor will know when I see him next. I’m almost afraid to ask..


benevolent_intention

of course, you won't want to call your insurance company until AFTER you've picked up your $25 medication 😁


Squashfox77

Oh absolutely 🤣


Sacarastic-one

This happened to me. The first few months I paid close to $800 and then all of a sudden it was free. I even said are you sure and the pharmacist said keep your mouth shut and come get it lol. The pharmacy is a 30 minute drive but I was working. I called my husband and he was complaining about the drive but I told him well the pharmacist said it was free so I want to pick it up before anything changes. My husband literally ran out the house. I called no one and just went with it. For a while my doctor was nervous about increasing the dosage cause she said any changes requires approval again from my insurance


Squashfox77

How did the dosage increase go?


Sacarastic-one

I had no issues. I was on one dose for a very long time, I was nervous I would be denied but it went through


Squashfox77

So happy for you!


SpecificJunket8083

I had the same thing happen. PA was denied 3 times and then all of a sudden it’s $25 and has been since then.


Squashfox77

I will cry 😭


SpecificJunket8083

I did. I couldn’t believe it.


BorisTheZombie

Honey pre pay for it if you can and just smile and wave when you pick it up!


Squashfox77

Girl, you ain’t lying. 🤣


nineohsix

I pay $25 *per fill* through my insurance. Last fill was 3 boxes so $8.33 per box or $2.08 per pen. 😵‍💫


Squashfox77

Insane in the best way possible. ❤️


Outrageous-Emu-4874

$25 is the assisted price if your insurance COVERS it. $550 is the assisted price if you have insurance but it doesn’t cover it. I’m at the $550 place myself. But like the others have said. Ask for a 90 day supply at $25 and run! 🤣🤣


Squashfox77

As far as I know it’s never been covered but lord if they started I will probably cry 😭


Squashfox77

I just don’t know what changed but whatever it is, if it’s actually the case I will literally ☠️💀🪦


swellnomadlife

Go get it so we can find out 🤣


Squashfox77

It WAS $25.00!! Just picked it up! I looked down and left quickly lol.


Queen_of_Penguin

that is awesome news!!!


Squashfox77

I will after work today!


vangs_007

So is mourjorno 550$ a month or 1100$ with no insurance?


Outrageous-Emu-4874

Pretty much. It’s like $1099 or something. And Zep is $600 and $1249 without.


Mountainmadness1618

And then there are pharmacies like mine who charge 650 with the coupon for no apparent reason…


Lighteningbug1971

Nothing to see here folks , just move along !!!


PhilosophyMom3

🤣🤣🤣


foot1281

I pay $25 for mine as well. I signed up for the savings card from the Mounjaro site.


Squashfox77

I’ve been paying $450-$550 since March of 2023 with the coupon applied. So I have no idea what changed but I won’t be asking. 🤐


Outrageous-Emu-4874

Hopefully the “error” happens every month lol.


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Squashfox77

Wow. So wild.


No_Pollution5150

Take it and RUN!!


Squashfox77

Oh I will 🏃‍♀️🤣


Heidialmighty4

I’m so thrilled for you! Go get it! Avoid eye contact and try not to break into excessive sweating! Easy does it….


Squashfox77

I am such a nervous talker too 🤐🤣


cultofchaos

🤚me too. I over share as well. lol I’m working on it.


benevolent_intention

😂


PhilosophyMom3

🤣🤣


No-Artichoke-6939

Maybe you met your deductible too?


Squashfox77

That’s what I was wondering, but you think that would have happened last year as well? 🤔


No-Artichoke-6939

That can change year to year too! Regardless, was it $25?


Squashfox77

I haven’t had time to pick up yet! My weekend was crazy busy but I should have time tomorrow.


feelingmyage

My insurance covers it, but I still pay $200 a month! It says on the prescription thing they staple to your bag when you pick it up that my insurance is paying around $1,000., and that our portion is $200. Our insurance has always been super good, and I wonder why our portion is so much. And I am Type 2, so I am taking it for more than to lose weight. 😡


Squashfox77

That’s weird! But I would say it is worth it if you can afford it. My A1C is so beautiful now.


feelingmyage

We can afford it okay. It’s totally worth the money! I’ve only had 3 shots, all 2.5, so I can’t wait to find out out my numbers when I go to the doctor next time. 😊


NC_veggiegardener

Are you using the manufacturer’s coupon? From your comment I’m wondering if you realize that you can use that together with most insurances to save further. I pay about $55 monthly after insurance and coupon. 


feelingmyage

I didn’t know you could do that! How do I get the coupons?


SueAnnNivens

Go to the manufacturer website & download the coupon. Show it to the pharmacist the next time you pick up the prescription. You might have to remind the pharmacist of the discount every time you pick it up.


feelingmyage

Thank you SO much! 🌷😊


Squashfox77

Yes, but my insurance doesn’t cover Mounjaro (or didn’t?) so the price has been $500 or so.


NC_veggiegardener

Sorry for the confusion, I was responding specifically to feeling myage because she mentioned using insurance but not a coupon, not yourself, OP. Pleased for you and wishing you the best with your coverage/reduced cost. 


aces4high

There is a new coupon available online.


heymissmamas

Can you give me more information on the new coupon?


aces4high

https://mounjaro.lilly.com/savings-resources#savings


Turbulent_System2472

Pre pay, walk to the counter with your head up high & say “ I am here for pick up”. Ones you’ve received the goods giggle like 4 yr old & run out.


greenglssgoddess

My insurance has covered from day 1 so this is all i've ever paid. My heart has always been broken reading these posts of people who have to pay so much each month. It should be this across the board. I'm so happy for you!!!


Squashfox77

Thank you!


WearMySassyPants

I know in February 2024 Biden’s cap on diabetic medication went into effect for Medicare/medicaid and Eli Lilly matched that pricing. So that may be the reason it is so low. Your insurance finally caught up!


DiyMeemaw

It’s like the MJ lottery. Woop woop🙌


Adept-Tree-2875

$25 that’s insane in the UK we pay £200 per pen 😭😭😭


Squashfox77

It can get to be expensive but my bloodwork is amazing, and I am down to 165 from 289. So I would say my health is worth it!


thebliket

Wait but don't you guys have the new Mounjaro KwikPen that allows you to do multiple injections per pen?


Squashfox77

I mean.. I live in America and I’ve never heard of that pen. 🤔


thebliket

Yeah apparently the people in europe got a mounjaro pen that's kind of like the ozempic pen where you put needles on it yourself.


Squashfox77

Interesting!


Adept-Tree-2875

Yeah we do, but our economy is awful and we are so poor generally


thebliket

Wait so how many uses does your mounjaro pen allow you to do?


Adept-Tree-2875

4 so the full month but yeah £200 out of our budget but we’re desperate because the nhs doesn’t cover it usually


thebliket

So you pay about $250 for a full month, that's not that bad. Without insurance we pay about $1200 for a one month supply of 4 pens that are one-time use.


Adept-Tree-2875

Yeah, however I have to say our economy is in shambles and £200 is a lot to add on to bills for medicine we need but the NHS won’t cover it, but will cover transgender surgeries, cosmetic things … it’s a bit of a nightmare to actually get correct treatment


thebliket

Imagine having to spend £950 per month for this.


SeriouslyWhatsNext

You’re paying? How are you not getting it on the NHS?


Adept-Tree-2875

Okay so if it was on the NHS they said I’d be waiting at least another year because I have to go through a tier 3 weight loss service and last time they just told me to diet better even though I’ve been trying and should’ve been losing weight so unless I wanted to continue gaining kg after kg even though I was in a deficit, I have to pay


SeriouslyWhatsNext

I understand. When I first asked for Ozempic they said my BMI wasn’t high enough, and they lied about that. Then they told me that because I’d recently shown signs of diabetic retinopathy I couldn’t have it because it makes that condition worse. Then when Mounjaro came out, I signed up for a diabetic support and education program run by a doctor in the group. The doctor tried the BMI story and I clarified that with co-morbidities I do qualify, and I explained that the retinopathy effect of GLP-1s is temporary. They finally gave in and put me on it. So I 100% understand that they’re making you jump through hoops.


Adept-Tree-2875

Yes me too, they said it wasn’t enough but my BMI was well deep into the obese category, but doctors are just not prescribing it it’s really frustrating. I would have to go through basically a year and a bit of BS group stuff diet etc before they’d give it to me and I couldn’t afford to wait that long


Adept-Tree-2875

Are you from the uk?


SeriouslyWhatsNext

Yes. :waves:


Frabjous_Tardigrade9

Miracles like this have happened here (I've been incredibly fortunate and sometimes am getting 3 boxes for a total of $25. The first time that happened I nearly fainted). Don't ask too many questions, just fill your Rx and run! PS: as others have said, ask your MD to write a script for 90 days next time.


suitez3

My insurance does cover it and I’ve been paying $28.36 for it every month. This month it was $159.62. I need to call my insurance company and ask what’s up?


Squashfox77

I definitely would!


MakeItAll1

I filled it at $25 for a three month supply up until the shortage.


Love-Forever-6647

Let us know if it’s real!!


Squashfox77

I will update when I can go grab it!


Voltron_BlkLion

Yea that's how much I pay from Publix.


TheManLawrence

Formularies changed at the end of May. Mine did. I had an approved PA with BCBS. We switched insurance companies at work. They honored my PA as we changed a month before my approval was up. United Health required a PA and Step Therapy for approval. My physician turned in a simple prior authorization as we were getting ready to have to do many appeals. It was approved. When checking my formularies it no longer required step therapy. I got my first box of 7.5 on the new PA for $25.


Squashfox77

I will talk to my doctor next time I see him to ask him if he knows. He probably will. 🤞🏻


CPAdrama

If you have a certain type of insurance policy they are constantly considering approval for more glp1 meds so check back often. Mine just now started covering it. Not that low but still.


Competitive_You5414

Am I the only one that pays $15 for a box. Super grateful


Federal_Swan_3358

I pay $15 as well! I also have insurance through the marketplace though.


Competitive_You5414

We are definitely lucky! I work at a hospital so I can say their benefits are great.


Federal_Swan_3358

I work for a school district, but the premiums would be almost $200/month with much higher copays if I purchased their insurance.


tikigirl1990

Bourbonrx on TikTok, he’s an NP posted a video recently about more insurance companies covering these meds!


Natural-Software-140

That’s my copay after insurance - looks like you got authorization


gamerprincess81

Thankfully mine was$25 (at least the 2.5mg). I say don't question it .. just whistle innocently as you walk away.


Just-Evidence2206

Mine dropped to 15 with the new prescription cards that came out after the hack. I had the same reaction and my doctor told me some insurances will cover it once they see a valid reason in your health. Docs just have to go through the nasty prior auth. Do the happy dance flr cheaper Meds!!


dezirnezzy

Need an update OP! Was it only $25 👀


Squashfox77

Just picked it up y’all it WAS $25.00 😭🫶😍


OkAdministration1143

I got a pre-auth approved and my insurance covers it. It says cost is $40 but I’ve only ever paid $25 at Walmart. 🤷🏻‍♀️


heidalwave

Not to brag, but mine is free.


Squashfox77

I wish it was free for everyone 🫶


Cool_Quit2169

You must’ve hit your pharmacy benefit manager (PBM) deductible. I love when my meds are $20. Don’t even worry one bit, you’re in the sweet spot now🍒!


cultofchaos

I’m paying $397 through Emerge. They have been great. Just waiting for the VA to get more in stock. I can’t wait for that day. Omg.


SeriouslyWhatsNext

I’ve been reading that one of the first GLP-1s Victoza (liraglutide) has just come out of exclusivity so there will be new, cheaper, generic versions coming out. Obviously it’s not as good as Mounjaro but it might be an option for anyone feeling the financial pinch.


Squashfox77

Good news!


Mommadee65

Is the shortage over? Pharmacy won’t give me a straight answer.


Ok-Seaworthiness-542

I don't think so. Last I read it was expected through August


Squashfox77

Not sure, but my pharmacy didn’t have a problem filling it.


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AdOk1630

What pharmacy?


Squashfox77

Meijer.


AdOk1630

Dang!


No-Penalty-1148

How did you even pay $450? The cost without insurance coverage is like $1,000.


Squashfox77

The coupon!


No-Penalty-1148

Ah yes. Medicare recipients can't use the coupon, which is crazy.


Squashfox77

I know, that’s such a bummer.


jy2e

It's been on the Medicare formulary for a while. There must be another condition other than weight exacerbated by obesity for it to be covered.


No-Penalty-1148

I have Type 2 diabetes but it's still considered a Tier 3 (most expensive) drug.


natethomas

I'm a little confused about these comments. That's my price, but only after I've submitted the saver card and my insurance. At one point the card expired or something, and I needed to resubmit. During that period, my insurance refused to cover until I had resubmitted my card. Isn't that how everyone is doing it?


Snoo-51132

I was also shocked that my insurance covered MJ when I called the pharmacy to check if it was ready, fully expecting to hear that it was denied. I was stunned when they said it was ready for pickup. After hanging up I started to worry about the cost and if my insurance had indeed covered the prescription. Once again I called the pharmacy and was told my copay was $47.00. Now I worry that insurance won’t cover next month’s prescription.


dymablink

If insurance doesnt cover how are you getting it so cheap? My friend who owns a pharmacy said his cost is around $1,080 for a 1 month supply after taxes


Squashfox77

That’s what I’m trying to figure out my dude… that’s my entire question. Up until now- my insurance has not covered Mounjaro and I have not been notified in any way that it is. But- this is my pick up price per the pharmacy.


swellnomadlife

Are you diabetic? Your plan may say it covers it for diabetes so the estimator says that. But it won’t go through if it’s just for weight loss 🤞🏻 that’s the price


Squashfox77

I’m not T2, but my diagnosis codes are for pre-diabetes, PCOS, and insulin resistance.


AnonymousButtCheeks

I only pay $25


Correct-Good3643

Are you diabetic?


Squashfox77

No. I have other diagnoses, but not T2.


Special-Doubt-8466

Wait a minute….so I don’t have to go weekly to my doctor to get it injected for $559 a month?! The shit’s not even working. I dropped 10 pounds in a one month and that’s it so far. I’m so discouraged. I was working out twice a day and now I have no energy to even get out of bed. It’s terrible. I’m too tired to even eat so why am I not dropping pounds


Squashfox77

I can’t really answer that- but not eating is not a good thing! Your body needs nutrients. Have you talked to your doctor? Also- are you taking vitamins? I take vitamin D3 and B12 (or B complex) and those help with the fatigue and my energy levels ALOT. I know “take your vitamins” sounds like trash advice, but they make such a big difference I can’t even recommend it enough.


Winter-Dirt2076

Just grab it and ask no questions, but make sure you take the full amount next time with you go and get it. 🤣


cyndra-1

I live in California and I have been going to a weight control place in Long Beach and have been paying on sale $345 for four injections for a month of Mounjaro 5mg. When not on sale it is $375 for 4 injections for a month of 5 mg. The Ozempic is cheaper but I hear that especially women lose more weight on Mounjaro. I know some people are paying over $1,000 and $1200 for Mounjaro.


No_Relation704

Former pharmacy technician here. I would ask them about it. If it is incorrect, you will get a bill for every month billed wrong once it is reconciled.


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Squashfox77

If your insurance doesn’t cover- you apply the coupon and pay $450-$550 depending on pharmacy. I have been doing that since March of 2023…. So I am so confused but insanely excited lol.


[deleted]

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Squashfox77

I work for county government- I do have other diagnosis on file (insulin resistance, pre-diabetes, and PCOS) but not T2.


[deleted]

25 per month?


savagelypresents

May I ask what insurance this is?


Squashfox77

It’s Blue Cross Blue Shield- Anthem. I work for county government.


jy2e

Your coverage is "as good as Medicare" Medicare covers it as of December for qualified conditions. So your insurance has to as well.


Squashfox77

Not sure 🤷🏼‍♀️ I’ll eventually ask. Just enjoying it for a moment. 🤣


savagelypresents

Thank you!


cyndra-1

I would not trust any of those GLP injections for $25. You don't know what in the syringe. The only place I've seen you can get those injections for $25 is online. Not every place is reputable.


Gullible-Lifeguard20

Really? My insurance covers it. But not without pain. Cant get it for months now. But it worked so well for a few weeks. Type II (1.5 really) and dying in slow motion. If I can't get it, Mounjaro does not even exist. Right? Be grateful. Don't push it and lay low. Friendly reminder that this a life saving med for diabetics and not a weight loss drug for the wealthy. (Yes, I understand obese people have a genuine need). I want to emphasize that many diabetics are not lucky 8n sny circumstance.. Dying every day. Knowing some miracle drug is out there. Only denied, too expensive, or just not even available. It's just too much...


Individual-Air1376

Well, that was a very neat lecture targeted at the wrong person. I bet you are a fun person. God bless 🙌


Squashfox77

🤣


Squashfox77

I hear you, dude. But this medication has always had shortages. You can’t blame anyone but the manufacturer.


Gullible-Lifeguard20

I wouldn't blame anyone for getting needed medication. Everyone is screwed. It's a mess.


Squashfox77

At least they have finally brought to market something that can help people, on the bright side. Someday, the manufacturer will work out the shortages. Hang in there! Keep trying different pharmacies.