Wegovy…so confused about coverage

So, the insurance I have through my employer classifies Wegovy as a tier 02-preferred brand drug. My coverage through OptumRx also states the drug is not covered through the plan. HOWEVER!, it requires prior authorization AND enrollment in a program called Calibrate. I have been enrolled in the Calibrate program since last September, with a script sent in and approved since September as well. I just now (5.3.24) had the script filled and I am told I have to pay retail price. I was told by an insurance rep before I signed up that enrollment in the program would make it so the drug IS covered (which is why I am thinking I needed the prior auth.). Now I am told I have to pay full retail price. I am so confused, does anyone have any idea what the issue may be? I am willing to offer up any other non personal details if needed. I am trying to figure out what the deal is before I go drop 1350 bucks on a month's supply. I just don't understand how it can be full retail with it being approved.

submitted by /u/cmh5175
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