Zepbound prior auth after weight loss and stopping meds for a year
I was on tirzepatide for 2 years and lost 150lbs and made it a BMI of 26.6 I had to stop taking it due to cost.
Now I'm about a year out and I'm starting to gain the weight back. My insurance is FINALLY covering GLP-1s including Zepbound but I would not meet the BMI requirement anymore. But I need to be back on maintenance.
If I can show my old prescription and records of my weight loss, would that be enough for an insurance company for a prior authorization? Has anyone been in this situation?
u/Analog_Hedgehog — 12 hours ago