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dazzaji | 11 months ago

> No one actually pays that price. The $1000 misrepresented in the article…

With respect, that is absolutely incorrect. People absolutely pay over $1000 and do so monthly. For example, Kaiser of Northern California makes it very difficult for their doctors to prescribe these, and nearly impossible to get a prescription for Monjaro (which is particularly effective). Therefore, Kaiser patients/insured for whom these drugs are of immense benefit but who must have their prescriptions from out of network physicians receive ZERO insurance coverage. This means they get neither the negotiated insurance price discount nor any co-pay on the full cost. I am directly aware of this. And it is a travesty. Yet the benefits of these drugs is so significant and uniquely available through these drugs that in a sense, if it is possible to pay, then pay one must. Because in effect they are invaluable.

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phil21|11 months ago

They would buy direct from LLY for $550/mo or pay the $650/mo via manufacturer coupon for Zepbound. If their primary care provider refuses to prescribe telehealth will trivially do it in 10 minutes for about $150 every 6mo.

The only folks not covered by the latter mostly either have no insurance or Medicare.

That said, many folks take a few months to figure out these programs exist, and some consumers simply never do the research.