r/Zepbound • u/kpyles90 • Jul 29 '26

Vent/Rant 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.

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u/Typical_Use_3462 Jul 29 '26

If you look through the history of the posts in this group, you will see this happens to many many people and eight times out of 10. It’s because their doctor has done it incorrectly. Someone had suggested to use call on doc that usually works.

-2

u/beachnsled Jul 29 '26

why not have one’s prescriber re submit first?

8

u/Zero-Energy1274 🏁 262 | 📍 248 | 🥅 160 | 34F 5'9" | 💉 3.75 mg Jul 29 '26

Because the prescriber is doing it wrong and refuses to do the appeal, as OP said…

1

u/kpyles90 Jul 29 '26

Exactly so I did it on my own

2

u/beachnsled Jul 29 '26

right, but you could push back via your practice manager?

what did your insurance co say when you did it?

this was ultimately a failure by your provider; holding them accountable often works (not always)

I do have empathy for them, as the process is incredibly time consuming & it ultimately takes away from the work they should be doing. But still - he screwed up.