Weight loss medications

goldensrbest · ‎03-10-2010

ON medicare,have aarp advantage, question is there a way to get one of these medications,at a reduced price,73 and on trulicity?

When you lose some one you L~O~V~E, that Memory of them, becomes a TREASURE.

Kachina624 · ‎03-10-2010

@goldensrbest. Some drug companies have programs for low-income customers. The hoops you must jump through to participate are pretty ridiculous. You need to call the company to inquire and get specific information.

New Mexico☀️Land Of Enchantment

Mz iMac · ‎07-26-2014

@goldensrbest You need to go to the drug maker website. CALL their CR dept & ask if they have a Prescription Assistance Program. Then do the necessary.

Most if not all drug companies have one even if NOT listed on their website.

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Carmie · ‎10-25-2010

If you are prescribed this or any medications for weight loss, Medicare will not pay for them...not under any drug or advantage plan, as they are excluded.

If you are prescribed drugs for a medical issue like diabetes, they will probably be covered as a tier 3 drug which means you will need prior approval and there will posssibly be quality limits.

Your best bet is to go to Trulicity.lily.com and read the info there. They do offer a savings card for those who qualify. Those who have any form of Medicare are not eligible for their savings card.

Medicare is very stringent on enforcing their rules for weight loss drugs. If you do have diabetes, be sure to look at different Medicare Advantage Plans starting in October to find one with a lower cost for Tier 3 drugs.

10sluvr · ‎03-10-2010

my husband has been on injectables, for diabetes, for a couple of years. Medicare + Priority Health covers some of it. After a certain point -the "donut hole" kicks in and he pays less. It's a quagmire to me, but he understands it.

smoochy · ‎03-10-2010

the short answer is no. They will not pay. Period. I've investigatedthis every way from Sunday. The moment the insurers, whether Medicare or private, read or hear the words weight loss, they are out.

MICHIGAN STATE MOM

patbz · ‎03-10-2010

There's been a lot of recent publicity on the resulting excess skin if you are successful on one of these drugs and as you age skin definitely doesn't snap back. Dealing with surgery for excess skin is a real problem ( expensive and hard on you), especially as you age.

juanitalinda · ‎03-11-2010

@goldensrbest

My husband has been on Trulicity for a few years. But at his last appointment his doctor recommended he switch to Monjouro to control his insulin better.

Since he is diabetic, it was covered.

Carmie · ‎10-25-2010

@10sluvr wrote:
my husband has been on injectables, for diabetes, for a couple of years. Medicare + Priority Health covers some of it. After a certain point -the "donut hole" kicks in and he pays less. It's a quagmire to me, but he understands it.

There is no more donut hole for RX drugs.

That benefit was cancelled on January 1, 2025. Now, the most you will pay out of pocket for any covered drugs per calendar year under any Medicare RX insurance is $2000. That's the law.

Icegoddess · ‎03-19-2010

Most prescription assistance programs will not work with Medicare. My Gyn wanted to put me on Veozah (not a weight loss drug; it's for night sweats). Being that it was a new drug, it was uber expensive. She sent me a link for their assistance program and as soon as I checked the box for having any government assistance, which Medicare is, it booted me out of the process.

Under the new rules getting rid of the donut hole, it might've been worth it to me because I think it would also help with my cold intolerance, but at least for the night sweats a small dose of gabapentin works fine.