My doctor recently put me on tirzepatide. It needed a prior auth from my insurance despite me being under treatment for type 2 diabetes for the last five years. My pharmacy benefits plan requires all prescriptions be sent to a mail order pharmacy, so I asked him to send in there. The mail order pharmacy accepted the script and offered to fill it for $3,000 for a one month supply. I asked them why, and they said that prior auth was still pending. Two days later, prior auth was denied with no reason given when I called.
Two days after that, prior auth was approved and the mail order pharmacy now wanted to charge me $25 for a three month supply.
Access to this drug for most people will be a nightmare, even for those that could benefit from its on-label use for type 2 diabetes.
My doctor recently put me on tirzepatide. It needed a prior auth from my insurance despite me being under treatment for type 2 diabetes for the last five years. My pharmacy benefits plan requires all prescriptions be sent to a mail order pharmacy, so I asked him to send in there. The mail order pharmacy accepted the script and offered to fill it for $3,000 for a one month supply. I asked them why, and they said that prior auth was still pending. Two days later, prior auth was denied with no reason given when I called.
Two days after that, prior auth was approved and the mail order pharmacy now wanted to charge me $25 for a three month supply.
Access to this drug for most people will be a nightmare, even for those that could benefit from its on-label use for type 2 diabetes.