"Greatest Country in the world" (USA) residents (older folks ideally) have you all been "forced" to go gray cuz your prescription was too expensive?

Yes, like I could not optimize my health with my budget. I don't even have health insurance. Crazy how much money this can cost and how much the institutions sell this
 
Tadpole1 said:
Yes, like I could not optimize my health with my budget. I don't even have health insurance. Crazy how much money this can cost and how much the institutions sell this
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Everything is too expensive. That's what happens when you just keep printing money and going further in debt.

I used to think I was middle class 15 years ago when I made 1/3 of what I do now, but now I just feel poor.

I'm just gonna sell my house and go live under a bridge with the homeless, but I'm taking my peptides. I hope I don't get offed because one of my fellow under the bridge dwellers think my peptides are fentanyl or tranq or whatever. I should have enough to buy everyone cheap beer and wine, so maybe I'll be protected and I can get the best cardboard box available to sleep in.
 
My insurance wouldn’t cover it, even though I was obese and prediabetic, so I joined up with a telehealth place and had to pay OOP for name brand Zepbound. Because I was insured and my insurance just would t cover it, I didn’t qualify for any coupons. I was desperate, under-informed, and had just gotten a bonus, so I paid an astronomical amount over 5 months (I think it was like $1200 for 4 single-use pens). When I found another provider that offered compounded Tirzepatide, I switched right away, but was still paying $300/month for meds + membership. I’d been doing that for 2 years before I discovered gray. Finally made my first purchase and was able to cancel my telehealth sub just last month. Sure wish I’d discovered this place at the beginning of my journey.

My doctor knows I take it and has been so supportive. I’ve lost 90 lbs, my bloodwork looks fantastic, and I’ve eliminated the prediabetes. I plan to take this for the rest of my life.

My mother-in-law just turned 80 and started Zepbound last year. She was morbidly obese with severe sleep apnea (has since lost 100 lbs) and her meds are covered under her Medicare plan. I think she pays $25/month. If she had to pay OOP, I’d be sourcing gray for her, too.
 
rkbleddyn said:
Everything is too expensive. That's what happens when you just keep printing money and going further in debt.

I used to think I was middle class 15 years ago when I made 1/3 of what I do now, but now I just feel poor.

I'm just gonna sell my house and go live under a bridge with the homeless, but I'm taking my peptides. I hope I don't get offed because one of my fellow under the bridge dwellers think my peptides are fentanyl or tranq or whatever. I should have enough to buy everyone cheap beer and wine, so maybe I'll be protected and I can get the best cardboard box available to sleep in.
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that or go to another country, its crazy how everybody else lives, much better
 
ToeMittens said:
My insurance wouldn’t cover it, even though I was obese and prediabetic, so I joined up with a telehealth place and had to pay OOP for name brand Zepbound. Because I was insured and my insurance just would t cover it, I didn’t qualify for any coupons. I was desperate, under-informed, and had just gotten a bonus, so I paid an astronomical amount over 5 months (I think it was like $1200 for 4 single-use pens). When I found another provider that offered compounded Tirzepatide, I switched right away, but was still paying $300/month for meds + membership. I’d been doing that for 2 years before I discovered gray. Finally made my first purchase and was able to cancel my telehealth sub just last month. Sure wish I’d discovered this place at the beginning of my journey.

My doctor knows I take it and has been so supportive. I’ve lost 90 lbs, my bloodwork looks fantastic, and I’ve eliminated the prediabetes. I plan to take this for the rest of my life.

My mother-in-law just turned 80 and started Zepbound last year. She was morbidly obese with severe sleep apnea (has since lost 100 lbs) and her meds are covered under her Medicare plan. I think she pays $25/month. If she had to pay OOP, I’d be sourcing gray for her, too.
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When my wife first started taking Ozempic, insurance covered it and she paid $25 a month for the pens. She was pre-diabetic and very near full diabetic. Then they changed their policy and refused to pay because her A1C did not prove she is full on type 2. What a system, a drug prevents you from getting type 2 and then they take it away from you because you are not type 2. The entire medical system needs scrapped and we have to start over. They are stuck 100 years in the past and they have no desire to move forward because there is too much money to be made on aging sick people. This is their business model and they don't want it to change. So we the people have to change it because the government cannot, they are part of the problem.
 
GLP1Pharmacist said:
My copay for a single month for Wegovy 750+ per month, Zepbound zero coverage. F*CK BC/BS
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Yeah, I have the highest level BCBS and it sucks. I don't even use it any longer, my Dr doesn't take it and not using it just saves me money. I only have in case something really bad happens. Otherwise, it's a waste of money and a total scam. I'm paying $250 cash a month for compounded Tirz.
 
CandyCap said:
I don't believe anyone mentioned a year.
The Bridge Program (which will cover GLPs through Medicare) is set to start on July 1st.
The OP is frustrated that her mother's medication is costing almost $260 a month due to corporate greed and crappy prescription coverage.
Stop assuming this is about hating our country, and start understanding that it IS about lack of decent healthcare and coverage. US citizens can be mad about the system without lacking love for their country. Don't turn this into something political.
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exactly! it's precisely due to the fact that I do love my country that I am asking the questions about the direction we've taken healthcare in. I care so I want all of us to succeed... not just the people that can afford to. why do people always frame this as on or off? zero or one? oh your not a patriot if you ask hard questions? foh with that noise! ok I'm gettin all fired up 🤣🤣
 
ToeMittens said:
Because I was insured and my insurance just would t cover it, I didn’t qualify for any coupons.
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I think this is what triggered me the most about the asinine post defending big pharma and our healthcare system. he was making assumptions out the wazoo and EXTREME generalizations like 1+1=2 when it comes to healthcare in the US. Anytime I find out my mom's on a new drug I research it....and part of that is looking for those assistance type programs and it's the same deal as for you, she's never qualified.
 
bay_area_schizo said:
exactly! it's precisely due to the fact that I do love my country that I am asking the questions about the direction we've taken healthcare in. I care so I want all of us to succeed... not just the people that can afford to. why do people always frame this as on or off? zero or one? oh your not a patriot if you ask hard questions? foh with that noise! ok I'm gettin all fired up 🤣🤣
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Some of us remember when the healthcare system in the US was still pretty good. Actually great compared to the mess it is now.

I wonder what happened? /sarc
 
bay_area_schizo said:
exactly! it's precisely due to the fact that I do love my country that I am asking the questions about the direction we've taken healthcare in. I care so I want all of us to succeed... not just the people that can afford to. why do people always frame this as on or off? zero or one? oh your not a patriot if you ask hard questions? foh with that noise! ok I'm gettin all fired up 🤣🤣
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its like that nowadays sadly. true discourse is not completely dead but its on life support. I hate to mention this...but im libertarian (I hate labels because it pigeon holes) so basically far left folks see me as Trump+Dick Cheney and far right folks see me as Biden+Pelosi.

Tough time to think that both sides are right about some things, and completely wrong on other things.
 
bockscar said:
its like that nowadays sadly. true discourse is not completely dead but its on life support. I hate to mention this...but im libertarian (I hate labels because it pigeon holes) so basically far left folks see me as Trump+Dick Cheney and far right folks see me as Biden+Pelosi.

Tough time to think that both sides are right about some things, and completely wrong on other things.
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'but im libertarian' Me2. You do realize we are bad people, right? Wanting people to be able to do what they want as long as they are not bothering anyone else? Downright Jeffersonian level madness. I mean crazies like us might even let people use peptides.
 
bockscar said:
its like that nowadays sadly. true discourse is not completely dead but its on life support. I hate to mention this...but im libertarian (I hate labels because it pigeon holes) so basically far left folks see me as Trump+Dick Cheney and far right folks see me as Biden+Pelosi.

Tough time to think that both sides are right about some things, and completely wrong on other things.
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It's a big club, and we ain't in it.
 
rkbleddyn said:
'but im libertarian' Me2. You do realize we are bad people, right? Wanting people to be able to do what they want as long as they are not bothering anyone else? Downright Jeffersonian level madness.
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I dont wanna make this political...but man....I genuinely agree wholeheartedly with both sides depending on the topic. Politics has always been polarizing....but it's never been an "us vs them" type deal like it is nowadays. No more politics....let's talk gray market! LOL
 
rkbleddyn said:
'but im libertarian' Me2. You do realize we are bad people, right? Wanting people to be able to do what they want as long as they are not bothering anyone else? Downright Jeffersonian level madness. I mean crazies like us might even let people use peptides.
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Idgaf what people think about me. Both sides are two wings on the same corrupt bird.
 
rkbleddyn said:
Yeah, I have the highest level BCBS and it sucks. I don't even use it any longer, my Dr doesn't take it and not using it just saves me money. I only have in case something really bad happens. Otherwise, it's a waste of money and a total scam. I'm paying $250 cash a month for compounded Tirz.
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Me too high plan and good job... If you stick with compounding pharmacy, might want to check out Brello Health $499 for 3 months any dose, no extra fees or membership BS
 
pnewb said:
Let me ask you a question….how do you feel about frilly toothpicks?
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I'm a bit confused. But sure, I'll play...

First off, I had to look them up to see what they were... now that I know, I guess they are probably over the top for me personally. But I'm okay if others want to utilize them.

Did I pass the test?
 
bockscar said:
whats your opinion on frozen bananas?
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Given how effective the meds are at both reducing how much I eat, as well as my desire for treats… I don’t really want a frozen banana now.

But I do want a regular banana later, so….yeahhh.
 
bockscar said:
Sooo....im super salty at the moment, and this is a semi rant if you wanna save your time LOL

My mom is in her 70s, diabetic, has sleep apnea and is overweight....aka the PERFECT candidate for GLP-1s. She was previously prescribed Trulicity and then the price JUMPED up so she stopped it. (2-3 months ago) Well she went for her quarterly Dr. visit and the doc prescribed Mounjaro. Took a few days and the insurance company finally approved it.........and it was gonna be $777 for a 3 month supply. Thats not a small amount for my mother (we arent rich) and she is on fixed income....so now im trying to talk her into gray with me (shes gonna be on board cuz shes seen what the reta has done to me). Right now my plan is to just load up on 4-5 kits for her (plus the 3-4 I was already gonna order myself) and just test them very thoroughly (much cheaper overall per vial when/if I buy that many kits).....buy once cry once type deal is what im thinking.

Has anyone been in a similar situation and "forced" to go gray? The health insurance system in the US disgusts me and im literallly ashamed of it since we Americans love to let everyone know how the USA is the greatest damn country in the world! This bullcrap isnt whats supposed to happen in the best country in the world! Posting this to rant...but also in hopes that maybe someone will have some solutions.
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So I wouldn’t say “forced”, but out of being practical. My daughter got prescribed some acne medicine that was crazy expensive and insurance wouldn’t pay much. Well, turns out I can order it from India for way cheaper. I also get a lot of stuff gray and black markets because so much cheaper. As a further example, a sleep medicine that I got prescribed is cheaper to get from India than through my damn insurance. USA is a racket and a joke on prescription drugs. To each their own, but out of principle, I’m not paying more than people in every other country.
 
I legitimately am a licensed medical provider who works at an actual hospital and has insurance through my job. I am 35, obese, and have OSA. My insurance doesn’t cover it. So here I fucking am…
 
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