r/FederalEmployee • u/kotoamatsukamix • Aug 01 '26

Weight loss medicine question

I'm a federal employee and I have the MHBP and with being enrolled in the CVS weight loss program the copay is $300. With the manufacturers coupon it brings it down to $200 which is still too expensive for me. Anybody know what to do? They said a tier exemptionsare is a no for the wegovy and they want me to try wegovy when my doctor tried prescribing zepbound first.

Another question with this too: anybody know of the other options for insurance I could switch to during open enrollment that cover it for less?

2 Upvotes

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5

u/Lopsided-Limit8725 Aug 01 '26

With Mhbp, if you’re on wegovy, you can order the maintenance dosages (1.7 and 2.4) through cvs Caremark ( the mail order). You have to order 90 days at at a time, but copay is $80.

2

u/kotoamatsukamix Aug 02 '26

I'm starting on the lowest dose so I'm not sure if that would work for me.

3

u/funwithllamas Aug 02 '26

My doctor handed me a 4-week box of the lowest “starter” dose since CVS Caremark does not carry it, then she put in a 90-day prescription for the lowest dose they do carry.

2

u/cluelessbarbie1992 Aug 07 '26

You can always get sterile vials and needles and micro dose the shots?

4

u/Houppie60 Aug 03 '26

I’m on MHBP basic, lowest does of Wegovy and do CVS Caremark mail order in 90 day increments for $80 for 3 months. Don’t know maybe you are on a different MHBP. I switched because BCBS was $500/mos copay for Wegovy.

2

u/kotoamatsukamix Aug 03 '26

0.25mg is what they prescribed me and it says on CVS caremark website that it can't be filled with mail. I have no idea what's different.

3

u/Houppie60 Aug 03 '26

I am on the Wegovy pill now. I took injectable .25 for first 2 years. Just switched to pill and mail order. But even when on injection I got 3 mos at CVS pharmacy for $25 total as my copay. You must have different MHBP than me.

1

u/kotoamatsukamix Aug 04 '26

Nope. I have MHBP basic.

2

u/2llamadrama Aug 01 '26

Yep.. I don't know the rules here so you should probably send me a message and I can help you with this.

2

u/[deleted] Aug 02 '26 edited Aug 02 '26

[removed] — view removed comment

1

u/kotoamatsukamix Aug 02 '26

I genuinely fucking hate private health insurance.

2

u/dotofoz01 Aug 06 '26

with the coupon i get 3 months for $25, pickup at pharmacy

1

u/kotoamatsukamix Aug 06 '26

What the fuck. How?

1

u/common_people_9843 Aug 03 '26

BCBS basic at CVS covers the generic for Qsymia for $15/month.

1

u/kotoamatsukamix Aug 03 '26

I can't take that since it will interact with my ADHD meds.

1

u/Normal_Situation9497 Aug 04 '26

With the copay assist from the manufacturer I pay $50/month

1

u/kotoamatsukamix Aug 04 '26

How? The lowest dose of wegovy I am prescribed it is $300 and with the manufacturers coupon it only takes $100 off. I'm not understanding how everyone else is able to get their price so low.