Anyone on Medicare been prescribed Zepbound for sleep apnea

Posted by luvrofthelord @luvrofthelord, Jul 24 12:49pm

Has anyone with sleep apnea ever had medicare approve Zepbound for weight loss to help improve their sleep apnea?

Interested in more discussions like this? Go to the Sleep Health Support Group.

luvrofthelord | @luvrofthelord | Sep 30 5:49pm

Wellcare

luvrofthelord | @luvrofthelord | Sep 30 5:50pm

In reply to @luvrofthelord "@autnchris What insurance do you have?" + (show)

@luvrofthelord I have Medicare part D through Wellcare.

akabarracuda | @akabarracuda | Oct 1 3:56pm

That has helped me immensely! (I'm 56 - was 135 now 120lbs, 5' 4") I also started hormone replacement therapy through midi.com and THAT has been a game changer. I have an estrogen patch, along with 100mg progesterone at night. It's like an anti-anxiety cure and sleep aid. I gave the CPAP 6 months and it would strangle me in my sleep.

kdalda75 | @kndaustin71 | Oct 1 6:02pm

I believe the best way to go is to be on Medicare then pick a secondary provider. STAY AWAY from the Advantage plans etc. Just pick up a secondary to your existing medicare. I have a deductible as well and because I am on high cost COPD medications meet it by February and don't pay anything after that.

3oakley2 | @3oakley2 | Oct 12 1:19pm

In reply to @gravity3 "@bp486 My friend is on medicare but zepbound coverage was denied. Any ideas to pass on..." + (show)

@gravity3 has she had a sleep study to check for obstructive sleep apnea. That seems to be the only way right now to get Zepbound with medicare. I’ve been on compound for a year and a half. It wasn’t ok’d when I started for sleep apnea. Good luck with your friend!

merrychristmas | @merrychristmas | Oct 13 10:21am

The FDA approved Zepbound for sleep apnea . Medicare doesn’t approve it for wt loss. You have to word your prior approval carefully. Anyway—- I am on it for sleep apnea

merrychristmas | @merrychristmas | Oct 13 10:25am

In reply to @3oakley2 "@gravity3 has she had a sleep study to check for obstructive sleep apnea. That seems to..." + (show)

@3oakley2
First have your Dr make sure it’s for sleep apnea not wt loss
Dr has submit to your Medicare plan d
The plan D company doesn’t have to covered
Search for another Plan D

merrychristmas | @merrychristmas | Oct 13 10:27am

Cigna

tls85 | @tls85 | Oct 20 4:41pm

In reply to @bp486 "Yes, I am on Medicare and am taking Zepbound for sleep apnea. ( covered by Medicare)..." + (show)

@bp486 I just got coverage from Medicare for Zepbound for sleep apnea but it is $500 a month, is your copay better than that? Has it been beneficial to you?

3oakley2 | @3oakley2 | Oct 20 8:08pm

In reply to @tls85 "@bp486 I just got coverage from Medicare for Zepbound for sleep apnea but it is $500..." + (show)

@tls85 Lilly Direct with no insurance costs $349 at the 2.5mg starting dose for a vial-4 doses. You can go to Lilly Direct and check out prices with and without insurance. Sometimes without is less for some on the lower doses. I do hear they will be having higher doses at a later time.