Seeking Affordable Self-Pay GLP-1 Options. Medicaid Denied My Wegovy & Zepbound Appeals in New Mexico.

Hi everyone 👋

I’m hoping for some guidance on finding affordable GLP-1 medication options. As of today, I have prescriptions for both Wegovy and Zepbound from my PCP, but I’ve hit a wall with insurance.

Here’s a quick rundown of my situation:

• I’ve been diagnosed with obstructive sleep apnea, fibromyalgia, and polycythemia (with dangerously high red blood cell/hemoglobin levels — all officially documented).

• I also have severe learning disabilities and neurological delays, so clear, step-by-step advice is super helpful.

• I’m on Medicaid in New Mexico. They denied my Zepbound prescription three months ago, even after an appeal. Now Wegovy has also been denied, and although my provider is submitting a prior authorization, I’ve already been through this process and know NM Medicaid tends to reject it, even though Wegovy is approved for sleep apnea. My appeal was denied too.

So now I’m looking for the most affordable way to access any GLP-1 medication (injections or pills) without insurance and without committing to a subscription service. I’m medically fragile and often react poorly to medications, so I don’t want to prepay for something that might not work for me.

If anyone has tips, I’d be incredibly grateful for:

• Reputable telehealth providers that offer low-cost, single prescriptions (no subscriptions)
• Other creative or lesser-known options I might not be aware of

Thanks so much for reading and for any help you can offer, I truly appreciate it 💙

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