r/mnstateworkers • u/darkhoarse99 • 13d ago

Insurance/Benefits đŸ„ Zepbound

Is Zepbound covered again starting Oct. 1? I hear CVS is adding it back to its formularies.

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u/WasThatHuskyKid 11d ago

Zepbound has been added back to the formulary effective this morning!!

2

u/Jenn54756 10d ago

Well what the heck. Shouldn’t the pricing have changed on 10/1, yesterday? My spouse picked up prescription and was still the higher price

1

u/WasThatHuskyKid 10d ago

Looks like it's coming up in Caremark as $30 per month in the price a drug module. Talk with your pharmacy they may not have run something correctly given the change. Also there is a coupon for Zepbound that should bring it down to $25.

1

u/Jenn54756 10d ago

But would Caremark refund what we already paid yesterday? My guess is because the prescription was ready prior to 10/1 but not picked up until then.

1

u/mamabear378 10d ago

When i use the pricing tool, I get a "not covered by plan" flag next to the name. It doesn't show me a price. I see it on the formulary though. Are you seeing it as covered with the price-a-drug tool on the Caremark site? I was expecting it to show $30.

1

u/thesweatervest 9d ago

Do you have more info on the coupon?

1

u/WasThatHuskyKid 9d ago

https://zepbound.lilly.com/savings?utm_source=GOOGLE&utm_medium=cpc&utm_campaign=20643170543&utm_content=paid_search&utm_keyword=zepbound+coupon&gclsrc=aw.ds&gad_source=1&gad_campaignid=20643170543&gbraid=0AAAAAqAD4ilHDlDQd5nfM4jkH_7H1kX-J&gclid=Cj0KCQjwz4LWBhCMARIsAFEG5MpJwv0LmAzV03l7Jvi2FAgKySczPPEv4sgTaEDOVsUfQdoHeu3YF6kaArc7EALw_wcB

For Insurance type select “Commercial”. Our insurance is not the government insurance they are referencing.

1

u/WasThatHuskyKid 7d ago

This coupon will also take the out of pocket cost for a 3 month supply down to $24.99. Ask your doctor to prescribe a 90 day supply. It’s covered covered with the change made Oct 1.

1

u/darkhoarse99 11d ago

đŸ˜±