@cmcguire10 sorry for your trials, Lilly, the maker of zepbound for self payees whose insurance won’t cover, have a payment option for $299-399 a month, about 1/4 of over the counter cost.
It is covered by ins for sleep apnea which is how I’m getting it. Drs did have to appeal initial denial by ins. Then it was covered. Never accept initial denial, ins will attempt to get people to give up when denied. It is not the auto inject pen bit an insulin tiny needle and syringe. Very easy.
Also to lower cost, instead of weekly, you could try every other week to see if effective for you. Would be $150-200 a month then and considering how much it helps you, as it does me, you must find a way to make it accessible to you.