At my wits end – Optum RX keeps denying Mounjaro and similar meds because I am not diabetic but need to lose weight. Is there anything I can to get it covered?

Okay in context, here's my situation.

I am not diabetic, in fact my A1C is well within range.

I do have a BMI of 40, combined with a history of asthma and gout as well as both obstructive and Central sleep apnea.

My current weight is 270 and I would love to obviously lose as much as possible.

I do work out using the elliptical had a really good Pace and I'm a vegan and do watch what I eat but I still just have issues losing weight. Also, with my history of gout, I can't seem to get into a consistent pattern of exercise because physical issue will pop up that makes me stop for A period of time.

I have United healthcare choice Plus plan and it keeps denying Mounjaro as well as all other similar drugs because I am not diabetic, or in the case of Wegovy it just isn't covered.

Is there anything I can do to get one of these medications covered? Is it worth filing an appeal for Mounjaro?

Thanks in advance for any help.

submitted by /u/theorangecrush10
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