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ForumsInsurance & AccessAetna Wegovy coverage — need advice Page 3

Aetna Wegovy coverage — need advice

anders_CPH Fri, Sep 26, 2025 at 9:16 AM 11 replies 1,176 viewsPage 3 of 3
Dr.RenalNash
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Sep 26, 2025 at 7:14 PM#11
Dr.DermMIA said:
Steady state is the thing most people miss.

That holds for the injectable. The oral formulation has different absorption behaviour and the dose numbers are not interchangeable, which is worth saying out loud because people quote them as if they were.

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TomTeleRx
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Sep 26, 2025 at 10:27 PM#12
NauseaFreeNow said:
All true, with one condition: that curve is for people who reached the dose on schedule.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. Printing the relevant bit and taking it with me.

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hyun_seoul
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Sep 27, 2025 at 1:40 AM#13
Dr.DermMIA said:
Steady state is the thing most people miss.

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

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LabKate
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Sep 27, 2025 at 4:53 AM#14
anders_CPH said:
Denied on prior authorisation twice, approved on the third attempt after a peer-to-peer, and the only thing that changed was who was doing the…

My insurance denied my PA related to cost and coverage. Has anyone successfully appealed? I'm considering going compounded instead.

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Admin
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Sep 27, 2025 at 8:05 AM#15

Moderator note: a couple of off-topic posts removed. Carry on.

Last edited: Sep 27, 2025 at 12:05 PM
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