My apologies for this very long response time. I will try and briefly update
United Health refused to cover my brand specific metformin. Described on my prescription label as
Metformin OSM ER 500 mg Lup
Even at Sam's Club the cost remains above 600$
The pharmacist at Sam's club guesses that Lupin considers their formulation not generic and is able to charge accordingly. She also said maybe because it is an osmotic, which I have been meaning to google.
Then United Health refused to cover my Trulicity which bc bs had covered no questions asked. They said I needed to go through the step processes of starting with victoza etc and work my way up if that did not work. I have never been on victoza. Ever.
The insurance company was literally dictating my care above the doctor
I asked my endo to write a letter requesting the Trulicity. They wanted to charge me for the letter. His practice is going concierge, meaning he will offer better services for those who pay a fee, but that discussion is for another topic. I paid the doctor the fee, his nurse wrote a letter to United HeAlth and they agreed to cover Trulicity but only after my 3500$ deductible was met. So I'm still basically paying out of pocket for 6 months worth of Trulicity anyway. I still find it very effective with morning bg in the 70s and 80s.
I am very very fortunate to be able to cover these drugs at this time and I understand that. I am paying for insurance that will not cover my medical needs and then paying out of pocket. It is insane
I keep thinking that if I loose more weight I can get more control and maybe drop the Trulicity.
Does anyone have any experience with victoza and then Trulicity. I have no interest in a daily injection, but I do know there continues to be some concern with some long term impact of Trulicity and tumor growth. Etc. my endo says the studies are flawed and not to worry. However he also generally does not favor insulin for his type 2 s and I know this is Controversial as well.
Have covered many topics here Will try and post separate question on victoza v Trulicity
Would appreciate anyone's input