Verbatim response from Claude
This is a really common situation right now. Here are your honest options:
Compounded GLP-1s (Semaglutide)
Possible sources:
- Hims & Hers - widely available, telehealth included
- Ro (Body) - strong medical support structure
- LifeMD/Rex MD - another solid telehealth option
Important caveats:
- FDA has warned about quality/dosing inconsistencies
- Now that Wegovy is off the shortage list, compounded semaglutide's legal status is uncertain - the FDA has moved to restrict it
- Quality varies significantly between compounding pharmacies
Other Options Worth Considering First
Appeal your denial - success rates are higher than people expect, especially with a doctor's letter documenting medical necessity
Manufacturer savings programs:
- Novo Nordisk's savings card can bring Wegovy to ~$650/month or less for cash-pay patients
- Worth checking eligibility at wegovy.com
Zepbound (tirzepatide) - may be covered when Wegovy isn't, and some find it more effective
Lilly's savings program can reduce Zepbound costs significantly
My Recommendation
Talk to your doctor about appealing the denial and exploring Zepbound before going the compounded route, given the current regulatory uncertainty around compounded semaglutide.
Would you like more detail on any of these paths?