"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
 
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

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.
 
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.
that or go to another country, its crazy how everybody else lives, much better
 
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.

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.
 
My copay for a single month for Wegovy 750+ per month, Zepbound zero coverage. F*CK BC/BS

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.
 
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.
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 🤣🤣
 
Because I was insured and my insurance just would t cover it, I didn’t qualify for any coupons.

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.
 
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 🤣🤣

Some of us remember when the healthcare system in the US was still pretty good.
 
Last edited by a moderator:
MOD EDIT: POLITICAL CONTENT REMOVED.
 
Last edited by a moderator:
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.
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
 
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.
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.
 
In Australia, where we do have a functioning public health care system and a relatively good system to keep drug costs down, and keep payments for most drugs to about $40 aud/month or $8 for those on social security benefits. But for unapproved drugs there is a private unsubsidised system, where drugs go if they fail cost/benefit analysis or just cost too much for the government to afford.

But GLP drugs are just really expensive, and the government has to keep costs reasonable so the system can function without costs increasing exponentially, and GLPs if widely subsidised could cost 10's to 100's of billions a year if fully subsidised. But if I had to choose the US where health care is rationed by how rich you are versus here where it is rationed by need and costs and waiting , I will take the local system even with its flaws. If you have the money the private system co exists here, but at least illness does not mean bankruptcy here on a regular basis.

As it is here the only one subsidised is ozempic for diabetics , and wegovy for people with obesity if they have had a heart attack or stroke already to prevent it getting worse or recurring. Even at 58 at very high cardiovascular risk, with known cardiovascular disease and a start BMI of 52, I do not qualify , unless I have the heart attack or stroke, and I would prefer to prevent that.

They must have negotiated a reasonable price for low dose ozempic for diabetics as it is only $150/month at 1mg/week, and is the only one close to affordable , and what I used for a year or so before discovering grey versions. But for higher doses wegovy is $500-600/month and tirzepatide is $690/month. Not being employed those prices are totally impossible, and given I had pretty bad side effects from ozempic there are no options I could possibly afford, were it not for the grey versions.
 
My husband's grandmother was prescribed Tirzerpatide for diabetes after being hospitalized for a week with blood sugar levels over 600. I told her I had tirzepatide and if and when she went to get it, it wasn't affordable to not worry. Shes in her 70's, retired and only brings home around 900 a month. The pharmacy wanted to charger her 850 a month! When she said she couldnt afford it the pharmacy told her she should feel lucky cause others pays thousands. I have now bought her a year supply for less than 100. She recently went for labs after being on it for 2 months and her doctor was so happy. Said he was happy she could afford it. She said she couldnt and then said my grand daughter is getting it through the grey market. They said its working and didnt ask any other questions.
 

Trending Topics

Forum Statistics

Threads
17,745
Posts
184,345
Members
59,611
Newest
Des92
Back
Top Bottom