@rupalmathurmd: Whoa, CVS Caremark created a loophole through which some patients can get covered for Mounjaro without diabetes diagnosis. Wild! #mounjaro #glp1 #zepbound #weightloss

Rupal Mathur, MD, DABOM, CISSN
Rupal Mathur, MD, DABOM, CISSN
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Region: US
Wednesday 30 July 2025 02:44:10 GMT
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unfazed_mama
Unfazed_mama :
Just got approved for Mounjaro, but my copay is $150 a month. I know it’s a lot less than what people pay oop, but still not affordable for me right now.
2025-10-21 01:40:05
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donna.g386
Donna G :
I have Aetna/CVS Caremark and they were previously letting me get my Mounjaro. Now they have required a PA and have denied it. My doctor tried to get it approved and still denied it. What can I do to get an appeal approved?
2026-05-03 17:04:09
0
jamie.elizabethxo
jamie.elizabethxo :
My insurance gave me a pa through July 2026 but my provider said they are not allowed to write me a prescription for mj without a t2 diabetes. Help!
2025-11-06 18:25:18
1
goldstarfish8
GoldStarFish8 :
Where do I start if I don’t have insurance and I don’t know which GLP is best for me. I have PCOS and binge eating issue.
2025-08-13 00:11:16
4
inthisbangtan4life
inthisbangtan4life :
Thank you for this. Just had to switch to wegovy for this exact reason. So far the side effects are worse. What qualifies as failure and how long do we have to try. Was doing so well on Zepbound.
2025-07-30 03:06:38
14
liorab73
LioraB :
Tried Wegovy for how long?
2025-08-03 02:19:04
1
nikkichamberlin83
Nikki :
Just got mine approved after this whole fiasco
2025-08-28 03:05:50
0
paaauuulllaaa74
Paula :
Not sure why but i did get approved for mounjaro but went from 15mg zep to 5 mg mounjaro
2025-09-09 20:43:05
0
chiccationplanner
Brisha | Travel Agent :
I have been on Mounjaro and changed employers and now have Caremark and they’re about the make me blow a gasket. Denying my prior authorizations
2026-01-26 08:17:23
4
laurenpants
Lauren :
They denied me for mounjaro… I failed Wegovy. My doctor is really not helping me 😩
2025-10-02 18:39:40
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susangrant21
Susan Grant :
My husband got approved for Mounjaro does that mean I would get approved as well, either of us have type 2 diabetes and have cvs Caremark
2025-08-04 22:00:14
2
jennifer.lynn465
Jennifer Lynn :
I thought it was illegal for doctors to prescribe if patients doesn't have diabetes.
2025-08-28 11:24:57
1
jessioknows
Jess Ocasio :
I have had mounjaro covered for almost 3 years without diabetes. with cvs caremark. Just got told they aren't covering anymore. what should I do now? try and do zepound?
2025-08-31 18:41:53
2
streaks333
❤️Lee Lee❤️ :
I’m on maunjaro and now not covered they want me on ozempic. I’m worried about this medication
2025-10-06 21:03:22
3
califlower17
Califlower :
Does mounjaro have the same risks as wegovy? Why is mounjaro better
2025-09-04 05:29:11
0
soulsurgical
soulsurgical :
I didn’t try/fail wegovy first but I still got approved for Mounjaro bc I have Crohns and made a strong case for GI tolerability. While I am not at all lucky to have Crohns, I am lucky they approved triz for me.
2025-10-13 07:10:50
2
naturalkenya50
it'sme🎀dimples :
I'm so mad...last month I was covered though my ins, and had CVS Caremark got approved for Mounjaro (MJ), and effective 9-1 our company now has BCBS and it not covered at all! So I was only on MJ for just 1 month and I'm only pre-diabetic not diabetic as this is what only covers through BCBS!!! I was tempted to buy gray market, but looked it up and all thats sold on TT is fake medications for Mounjaro etc.
2025-09-15 01:19:55
3
jabbey42
FirstClassMailLady :
I had Zepbound from cvs Caremark however I had to try Wegovy which made me really sick and my doctor got monjuro covered
2025-12-12 15:58:51
2
wisewords_speak
wisewordsspeak :
I got the letter, but they continued to cover it. I believe because a few ppl in our company benefits department are on it.
2025-08-17 13:50:15
2
venushollerich
sam :
I start Monjaro this week I don't have diabetes.....will it be ok or will my blood sugar drop
2025-11-11 01:44:54
0
karenschaeferbuehler
Karen Schaefer Buehl :
What is the criteria to get Wegovy
2026-01-28 00:27:34
0
personal4privacy72
CynthiaRoberts00 :
Information please
2026-02-14 15:31:57
0
blondemcdonaldsfarm
BlondeMcDonaldsFarm :
I was on Wegovy for a year, then was on Mounjaro for 2 years before Zep even came out. When zepbound came out, they kicked me back to wegovy but would not cover Zep at all (I work for them so it was never covered for us). I was then on wegovy for another year, gaining.. then out of nowhere, Mounjaro got approved for another year. Then last month my refill gets denied after 3 appeals, so back on wegovy
2025-12-10 19:43:27
0
jdlc41
Jessica Mireles 🤍🍃 :
Anthem has stopped covering for wagovy😢
2025-10-17 23:29:05
0
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