Injectable anti-obesity drugs can run close to $1000 per month, so patients rely on physicians to find affordable pharmacy options.
"Does your insurance cover anti-obesity drugs?" Laura Davisson, MD, once again asked the patient before her. She said these cost-of-care conversations are now a daily occurrence.like Ozempic hold tremendous promise in tackling diabetes, obesity, and other disorders, costs remain a significant concern and, for some patients, a roadblock. Physicians must have nuanced discussions with patients about how to afford the high-cost treatments as they increase in popularity, Davisson said.
Like most other treatments, coverage for GLP-1 drugs varies widely based on payer and diagnosis. Davisson said physicians should consider patients' insurance benefits when advising them on the medication's high costs.Confusingly, insurance companies will typically cover GLP-1s, like Ozempic and Mounjaro, with a diabetes diagnosis but exclude the US Food and Drug Administration-approved versions for weight loss, such as Wegovy or Zepbound.
The cost rises quickly."We've had patients on the highest dose at a compounding pharmacy paying $600. If they use the coupon card with their commercial insurance, they can get it for less, about $550 a month, from an actual legitimate pharmacy," said Davisson.
Revenue Insurance Obesity Obese Health Insurance Electronic Health Records Electronic Health Record EHR Medicare Drug Costs Drug Cost Medication Costs Drug Price Drug Pricing Medication Price Medication Pricing Weight Management Social Determinants Of Health SDOH Social Determinants Of Health (SDOH) Generics Generic Drug Generic Medication Weight Loss
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