Hi jim18 , Yes, I had another A1c test done and had gone up from 5.4 to 6.3 in just five weeks of being off of Mounjaro. My Endo appealed the decision of Anthem to discontinue twice. After downloading all of my medical records for ten years to prove to them that I had been on Metformin and had bad side effects from it they finally approved it. The entire thing was a horrible nightmare. Now, I've slowly gone back up to 7.5 mg and my endo thinks that I'll have to go back onto a 10 mg dose to get it back under control. As far as going off Anthem to Medicare part D next year -- my husband is on Medicare and had no problems with them paying for it. He does have an A1c of 6.1 at this point. I wish you the best and keep me updated on how it goes. Have a blessed day.