Ozempic for prediabetes?

RememberDrei

GLP-1 Novice
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May 30, 2025
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Salt Lake City
My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
 
My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
Same story here. I have PCOS and high cholesterol and need to control my weight. My doctor said Ozempic could help. But my insurance doesn’t cover Ozempic for weight loss. It's incredibly frustrating.
 
My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
Can you afford 85 cents a week out of pocket? Or for better A1C reduction than semaglutide (generic Ozempic), $5 a week for tirzepatide (generic Mounjaro)?
 
My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
I gave up fighting my insurance after they denied my appeal twice. It's a losing battle. I found a weight loss website called Slimvive through reddit. The whole setup is that you buy one of their coaching packages and the Ozempic just comes with it. I got a month's supply for 499, no prescription.
 
BCBS sucks, went from $60 copay covered by manufacturer assistance card to $726 per month copay! F*** - BCBS. Brello Health 399 for Semaglutide for 3 months supply, 499 for Tirzepatide for 3 months supply, any dose was a great option. Now gray is way, way less with little work. Sema and Tirz is a great value in gray!
 
I gave up fighting my insurance after they denied my appeal twice. It's a losing battle. I found a weight loss website called Slimvive through reddit. The whole setup is that you buy one of their coaching packages and the Ozempic just comes with it. I got a month's supply for 499, no prescription.
You didn't have to prove your case to them or anything? You just... bought it? And it's not some weird off-brand version?
 
My insurance company just denied me. Doctor submitted a prior authorization with my prediabetes diagnosis and everything. I feel like this medicine is only for people with perfect insurance or who are rich. Is there any other way?
You have options. You haven't explored them well enough. Read and learn. Nothing is easy.
 
Insurance is useless need to buy from other sources. I tired ozempic for 4 months was 1200 not covered. Now on Reta paying about the same for a kit for 1 year (I did domestic not international)
 
I gave up fighting my insurance after they denied my appeal twice. It's a losing battle. I found a weight loss website called Slimvive through reddit. The whole setup is that you buy one of their coaching packages and the Ozempic just comes with it. I got a month's supply for 499, no prescription.
$499/month for Sema is highway robbery.

READ THE FORUM. Stop using telehealth.
 
You didn't have to prove your case to them or anything? You just... bought it? And it's not some weird off-brand version?
Yeah, you can buy the name brand stuff at the pharmacy for $500. You do have to get the manufacturer's coupon but its not that hard to do. $500 a month is still too expensive for most people though. That's almost my mortgage payment. My first grey purchase was a 1-2 year supply (depending on how I dose it) I didn't even buy from the cheapest supplier.
 
If you need help becoming comfortable with the grey-market approach that most people on this discussion board use, bear in mind that Ozempic isn't FDA-approved for pre-diabetes anyway. No medication is.

Your doctor embraced off-label treatment, which is in the spirit of off-brand grey-market generics...sort of.
 
If you need help becoming comfortable with the grey-market approach that most people on this discussion board use, bear in mind that Ozempic isn't FDA-approved for pre-diabetes anyway. No medication is.

Your doctor embraced off-label treatment, which is in the spirit of off-brand grey-market generics...sort of.
Pfft ... How do we know the FDA is looking out for out best interests anyway? The only difference I see between the grey market and the pharmacy is who is collecting the money and how much.
 
That's more expensive than getting the name brand from the pharmacy. With the manufacturers coupon its $499 a month at all doses. What a rip off. And yes, that IS compounded. Its a really nice counterfeit though, I'll hand them that. Look at the pen .. it doesn't say "wegovy" or "ozempic" it just says "semaglutide"
 
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Its a really nice counterfeit though, I'll hand them that. Look at the pen .. it doesn't say "wegovy" or "ozempic" it just says "semaglutide"
I finally used a box of actual Mounjaro autoinjectors after months and months of grey tirz from an insulin syringe ... and I HATED them! The thwack-and-wait, while not actually painful per se, felt like a disturbingly violent sensation. I don't know why anyone would seek out clones of them at any price.
 
I don't know why anyone would seek out clones of them at any price.
And I'm having a hard time understanding why people would seek out this particular forum just to discuss the negatives of insurance authorizations, physicians' limitations, and the absurd expense of buying GLP1s retail.

There are plenty of decent subreddits to do that.

Confession: I'm usually a pretty sweet old lady but this thread has me shaking my damn head in frustration. Feels like I suddenly dropped into upside-down world.

I was amazed and amused by our friend @AndyPanda's kind reply up at the top here. And a lot of our longtime forum members are being very patient, and I appreciate them ...

Cuz today, I don't feel patient. Today, I'm with @YoYoFat ... Read the Damn Forum.
 
What's even odder is that OP's intro thread says "I started semaglutide 6 weeks ago (0.25mg from a local clinic)," and reports great success. Almost certainly "some weird off-brand version," and probably very obviously so. Reconstituted and highly price-marked-up grey peptides.
 
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I finally used a box of actual Mounjaro autoinjectors after months and months of grey tirz from an insulin syringe ... and I HATED them! The thwack-and-wait, while not actually painful per se, felt like a disturbingly violent sensation. I don't know why anyone would seek out clones of them at any price.
I have no experience with the Mounjaro pen, but the ozempic pen isn't much different than the reusable pens that most of us buy and use for grey. The main difference that I see is that the cartridge is sealed inside the outer plastic shell. The wegovy pen, while comfortable to use, didn't allow you to adjust the dosage yourself. Even more wasted plastic for the sake of ensuring maximum profits for themselves.
 
And I'm having a hard time understanding why people would seek out this particular forum just to discuss the negatives of insurance authorizations, physicians' limitations, and the absurd expense of buying GLP1s retail.

There are plenty of decent subreddits to do that.

Confession: I'm usually a pretty sweet old lady but this thread has me shaking my damn head in frustration. Feels like I suddenly dropped into upside-down world.

I was amazed and amused by our friend @AndyPanda's kind reply up at the top here. And a lot of our longtime forum members are being very patient, and I appreciate them ...

Cuz today, I don't feel patient. Today, I'm with @YoYoFat ... Read the Damn Forum.
Well .. because the name of this site is "GLP-1 Forum" Not "illicit products I bought from China forum" Everyone here has actually stayed on topic. What I find most offensive in this thread is that there are people managing to sell the "fake" stuff for a higher price than the "real" stuff actually costs an the people buying it actually believe that its genuine. Although the terms "fake" and "real" aren't really the best labels because its all the same stuff.
 
Well .. because the name of this site is "GLP-1 Forum" Not "illicit products I bought from China forum" Everyone here has actually stayed on topic. What I find most offensive in this thread is that there are people managing to sell the "fake" stuff for a higher price than the "real" stuff actually costs an the people buying it actually believe that its genuine. Although the terms "fake" and "real" aren't really the best labels because its all the same stuff.
Fair enough, Gizmo ☮️

And I realize I am thinking of this forum in terms of who and what it was created for originally, not to mention who it was created by.

But things have changed in the marketplace, notably with the tightened compounding regulations ... thus the face of membership here has changed as well.

The forum has gone mainstream, and so be it. I truly do wish the OP and all of you well.

Please forgive my morning crankiness, everyone.

Love,

Old lady no longer yelling at cloud
 
Fair enough, Gizmo ☮️

And I realize I am thinking of this forum in terms of who and what it was created for originally, not to mention who it was created by.

But things have changed in the marketplace, notably with the tightened compounding regulations ... thus the face of membership here has changed as well.

The forum has gone mainstream, and so be it. I truly do wish the OP and all of you well.

Please forgive my morning crankiness, everyone.

Love,

Old lady no longer yelling at cloud
That's quite alright. Although re-reading the thread what I find REALLY odd is the people talking about the telehealth thing are talking exclusively to each other .. like we are reading a script to a commercial. No response to us at all.
 
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