r/Semaglutide 2d ago

Trump Administration Drops Efforts to Provide Medicare coverage for GLP1s for obesity

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u/Retired_At-Last 2d ago

Thanks, very true - the difference in this instance though is the price. With the NovoCare offer it's $499. Otherwise, paying for it out of pocket it's over $1000.

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u/SnooEpiphanies1813 2d ago

Yes but why does that matter? NovoCare is just like buying direct, isn’t it? You should be able to buy without insurance same as at a retail pharmacy.

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u/Retired_At-Last 2d ago

That is what I am trying to sort out. There's is a special program for people who don't have coverage so it has some limitations. I just know if I try to get the drug from my local CVS since it isn't covered by my insurance it's $1000. I've read a lot and am still confused :)

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u/Retired_At-Last 2d ago

This is why I don't think I will be able to use NovoCare but I plan to confirm that: Patient is not eligible if he/she is enrolled in any federal or state health care program with prescription drug coverage, such as Medicaid, Medicare, Medigap, VA, DOD, TRICARE, or any similar federal or state health care program (each a government program), or where prohibited by law. Patients enrolled in a federal or state health care program may not use this program even if they elect to be processed as an uninsured (cash-paying) patient.