I just went through this battle myself. And my insurance even approved it, but I’m traveling overseas for two months and even though they tell me my benefit covers a “vacation override” they wouldn’t approve it.

I asked the pharmacy how much it would cost to pay out of pocket. $1300 for 4 weeks, so $2600 to cover my trip.

Luckily my Dr was able to give me “samples” to get me through my trip.

Also, another thing that I learned in the past year. What your insurance will cover and how much they’ll cover changes depending on your history.

Spend a three day weekend in the ER/ICU and suddenly I DO need Ozempic and they’re giving me thousands of dollars worth of CGMs for free.

It’s all a cost/benefit analysis for them.