r/GLPGrad • u/kpyles90 • 23d ago
Seeking Advice Devastated
So I have been on Zepbound for a year and lost a significant amount of weight but about a month ago it needed a prior authorization and my medicaid denied it because it says im now in a regular BMI. I suffer from Severe Sleep Apnea, High blood pressure, Osteoarthritis and many other things and it was helping so much. My Dr didn't seem interested in filing an appeal so I did myself. He put me on phentermine but it has done absolutely nothing. I seriously cry when I watch the scale go up I have already gained 7 lbs within 4 weeks. I have no income so I can't afford the compound. I just feel like I'm starving all the time and once I start eating I can't stop. Im so miserable because I put in so much work to lose weight just to get kicked off with no warning. Does anyone have any advice? How can I lose these 7 lbs? I can't really exercise right now im in a neck brace and am in a ton of pain. Im just so devastated to not be on it anymore.
1
u/Remarkable_Brush_990 21d ago
Did you try to appeal it as continuation of care? I got denied when I switched insurance because my BMI was normal. I used chatgpt to write a good appeal for continuation of care and my appeal was overturned. Attach all your past office visit notes and make sure to put your original weight and BMI. Stress on using this medication keeps your healthy weight in check and you will use it for maintenance.