This episode provides a comprehensive guide on navigating the complexities of obtaining insurance coverage for the medication Zepbound. 

Zepbound is a GLP-1 weight loss medication made by Eli Lilly

We outline the steps involved with both private insurance and Medicaid, explaining key terms like prior authorization (PA), deductibles, and copays. The texts emphasize the importance of documenting weight-related comorbidities and the recent FDA approval of Zepbound for obstructive sleep apnea (OSA) as factors that can increase the likelihood of coverage, particularly with Medicare. Furthermore, they detail the appeal process for denials and offer cost-saving strategies, including manufacturer savings cards and patient assistance programs.

We have a companion blog post with all the details for this episode on getting Zepbound insurance coverage here on the GLP-1 Tribe web site.

https://www.glp-1tribe.com/how-to-get-zepbound-covered-by-insurance-and-save-money/