Aetna Coverage Issue (High Deductible)
Has anyone had success getting a manageable copay on a high deductible plan? I am not getting covered until I meet the deductible. (Until deductible met it would cost $600+/month.). The Novo Nordisk discount putting it at appx. $200/month, which is out of budget for me now, too. I do not have comorbidities.
I was told that they would approve the generic for Saxenda before deductible (at reasonable cost). Once my doctor put it through, it was even more than Wegovy or Zepbound. I was successfully taking Wegovy, with Rx at a reasonable cost (under $50/month) until January when my plan changed. In a time where I feel so many people are getting it prescribed for a normal co-pay, I am at a loss why I cannot.
I have a history of doing well with GLPs. I have only had to stop when insurance has changed, which is a few times in a few years now (all same employer). I have PCOS and extensive negative family cardiac history, as well as BMI of 36.
Any success in this scenario (high deductible)?