I’ve been waiting for this shoe to drop. People are flocking to this drug to lose weight and are probably taking more than recommended. For if one is good, then two or three a day is better, right? No one pays attention to possible side-effects until it is too late.
We changed insurance from Humana to Florida Blue. We had already been approved with Humana, and she has been on it for at least 8 months. It has lowered her A1C significantly, with the beneficial side effect of weight loss, which also helps with the Type 2 diabetes. First time we went to get the prescription filled, they needed to authorize it again. After 3 days, they disapproved it. They are adhering strictly to the criteria; previously have to have tried Metaformin, then insulin. Her doctor tried the first, didn't like the results (nor did Mrs cport like the side effects), and made a judgment call on the insulin and went straight to the Ozempic. Humana didn't approve it right away either, but did allow the doctor to call and explain, then they approved. No such outreach by Florida Blue. Her dr is going apeshit on the phones. Hes a good patient advocate. He's trying to figure out a way around it. He did rattle enough cages to get a one time emergency auth, but thats only for a month. By next month, I hope we get this done