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UPDATE: I switched back to my original insurance company which had granted a prior approval. It's being delivered tomorrow.

@catholicfollower How is an insurance company allowed to require an appeal when it’s listed as not requiring a pa? They already filed an appeal.

Is this allowed? What can I do?

@susienaps There are other reasons besides weight loss and t2d that the drugs are prescribed for. I filed the appeal and it's now covered.

@mooneyto I was on Ozempic with my previous Medicare Part D plan. I only switched to this company because a PA wasn't required and I thought it would be easier. Laughs on me.

I chose a plan because a drug I’m taking is NOT on the plans list of drugs that require PA and IS on the list of drugs that are covered. The use could be considered off label. The insurance company is denying coverage.