Skip to product information
1 of 1

My Store

Insurance Program Consultation

Insurance Program Consultation

Regular price $69.00 USD
Regular price Sale price $69.00 USD
Sale Sold out
Shipping calculated at checkout.
Book consultation

If you have insurance coverage and are looking to obtain your medications through your health plan, we're here to assist you in exploring that option. Given the high demand for these medications, we offer a range of choices for you to select from.

Zepbound/Mounjaro (Tirzepatide)

- Type of Medication: Dual GIP and GLP-1 receptor agonist.
- Effectiveness: 22% weight loss
- How It Works: Control blood sugar, Suppress appetite, curbs cravings, feel full faster and longer by slowing gastric emptying.
- Administration Instructions: Subcutaneous injection once a week, with monthly dose escalation to minimize gastrointestinal side effects.

Ozempic/Wegovy (Semaglutide)

- Type of Medication: GLP-1 receptor agonist.
- Effectiveness: 15% weight loss
- How It Works: Control blood sugar, Suppress appetite, curbs cravings, feel full faster and longer by slowing gastric emptying.
- Administration Instructions: Administered via subcutaneous injection once weekly, with monthly dose escalation to minimize gastrointestinal side effects.

Saxenda (Liraglutide)

- Type of Medication: GLP-1 receptor agonist.
- How It Works: Control blood sugar, Suppress appetite, curbs cravings, feel full faster and longer by slowing gastric emptying.
- Administration Instructions: Subcutaneous injection once daily, with weekly dose escalation to minimize gastrointestinal side effects.

Common Side Effects for GLP-1 Meds

- Nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Reduced appetite
- Constipation
- Risk of pancreatitis

Contraindications for GLP-1 Meds

- Personal or family history of medullary thyroid carcinoma
- Multiple endocrine neoplasia syndrome type 2
- History of severe gastrointestinal disease
- Pregnancy (for some medications, consult specific guidelines)
- Allergy to the active substance or any of the excipients

Prior Authorization Process- BGS has over 70% rate of approval

- What Is It? A requirement from some health insurance companies that a healthcare provider obtains approval before prescribing a specific medication to ensure it's covered under the patient's plan.
- How Long May It Take? The process can take from a few days to a couple of weeks, depending on the insurer and the complexity of the case.
- Possible Outcomes: Approval, modification (suggesting an alternative medication), or denial.

Prior Authorization Denial

- Steps to Take: If prior authorization is denied, you can appeal the decision. This involves submitting additional information or documentation to support the necessity of the medication. The healthcare provider can assist in this process, potentially including a letter of medical necessity or additional clinical information.

For the most accurate and up-to-date information, especially for medications like Zepbound or any new indications or formulations, it's crucial to consult the latest clinical guidelines, the pharmaceutical manufacturer's information, or a healthcare professional. This ensures compliance with current medical standards and regulatory requirements.

View full details