Applicable Procedures Code: J2327
In this category, a member usually completes a virtual clinical evaluation with a licensed provider, receives a written prescription routed either to a retail pharmacy for FDA-approved brand products or to a 503A compounding pharmacy for compounded semaglutide or tirzepatide, and then continues with scheduled follow-up
When they stop, its not just weight that comes back
A small but significant improvement in psychological well-being has been noted in studies where GLP-1 RA treatment was compared to control groups [67c7]
Dulaglutide (Trulicity) is sometimes noted in Long-acting versions (taken once weekly) provide a steady level of the drug, which can lead to more persistent but milder symptoms for some people
Brand Name Medication Costs (Without Insurance) If you walk into a pharmacy without insurance and ask for brand-name GLP-1 weight loss medications, heres what youll pay: Wegovy (semaglutide for weight loss): $1,300-$1,500/month Zepbound (tirzepatide for weight loss): $1,000-$1,200/month Ozempic (semaglutide for diabetes, often used off-label): $900-$1,000/month Mounjaro (tirzepatide for diabetes, often used off-label): $900-$1,100/month At these prices, a year of treatment costs $10,000-$18,000
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