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Frequently Asked Questions

Please read as this is our most frequently asked questions regarding our weight loss program

Weight Loss with Semaglutide or Tirzepatide

Ozempic, Wegovy, and Semaglutide are all the same molecule under the generic name of "Semaglutide." Ozempic is FDA indicated for diabetes only and will not be discussed for weight loss indications. Wegovy will be used to indicate the commercially available product. Semaglutide will refer to the compounded form of the medication. 

Mounjaro, Zepbound, and Tirzepatide are all the same molecule under the generic name of "Tirzepatide" Mounjaro FDA indicated for diabetes only and will not be discussed for weight loss indications. Zepbound well be used to indicate the commerically available product. Tirzepatide will refer to the compunded form of the medication. 

How do these medications work?

Wegovy and Semaglutide are known as glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 is naturally occuring in the human body, and it is regulator of appetite regulation. The medications work by making you feel fuller faster, and delaying gastric empyting to stay fuller longer. 

Zepbound and Tirzepatide are both a GLP-1 receptor agonist and a glucose dependent insulinotripoc polypeptide (GIP). Both receptors are activated, which may help further regulate caloric intake and promote fat loss. 

Is it covered by my insurance?

Wegovy or Zepbound may be covered by commercial insurance if your employer has opted-in to weight loss benefits. The most accurate way to know is to call your insurance carrier directly and ask if Wegovy, Zepbound, or any weight loss medications are covered under your plan. 

Compounded Semaglutide or Tirzepatide is an option for those patients who's insurance does not cover Wegovy/Zepbound or those who do not have commerical insurance. 

Your plan will likely need a prior authroization for the medication, which we are happy to do. 

Other medications which may be covered include: Saxenda, Contrave, or Qsymia.

Do you take insurance for office visits?

No, Beauty Spot Rockwall is not contracted to take insurnace for office visits. The cost of the consultation is $150 with follow up vists $75. 

You may use your insurance for any lab work or prescribed medications. 

We do take FSA/HSA and Care Credit. 

What do I  need for my first visit? 

For a virtural visit: Please have a recent set of vital signs, a current and accurate height and weight. Recent labs may be uploaded to CharmEHR or emailed to SaraLembkeHealth@outlook.com. If you do not have recent labs ones can be ordered for you day of service. 

For in person visit: Please have any labs in hand or uploaded/emailed ahead of time. Please have an accurate height and weight. 

I am covered, now what?

There are guidelines that must be met to have these medications covered, and in general they are:

 

a. BMI > 30

b. BMI >27 or 28 WITH another condition: high blood pressure, high cholesterol, sleep apnea

 

If you do not meet these criteria, there is a chance that your insurance will deny coverage for these medications for obesity/weight loss.

When can I get it filled by my insurance?

At times, these medications will be on backorder for an undetermined amount of time. Currently, Wegovy is on backorder in the 0.25 mg, 0.5 mg, and 1 mg dose. Saxenda has been hard to find as well. Zepbound is the newest on the market and shortages are expected as it rises in popularity. If your choice of medication cannot be found in pharmacy due to the shortage, we will start you on the compounded version at that time. Your insurance will not pay for the compounded version, and this will be paid for out of pocket. It will qualify for FSA/HSA, Care Credit if needed.

We will likely also need to complete a prior authorization, which our office will do. These may take 1-2 weeks to complete, depending on the response time of your pharmacy benefits company. 

What about the compounded verson?

If your insurance does not cover the branded medications for weight loss, or the medication is on back order, we will start the compounded medication. Essentially, the FDA has given permission to pharmacies to buy the raw ingredient and compound it with either B12 or another additive. This is done in a sterile manner in pharmacies that are overseen by regulatory agencies. The same active ingredient is used in the formulation.

How are these medications dosed?

Saxenda (liraglutide) is a daily injectable medication. Wegovy (Semaglutide) and Zepbound (Tirzepatide) are weekly injections. The weekly injectable medications increase the dose every 4 weeks, until you get to the highest dose. If you cannot tolerate a dose, then the lowest tolerated dose will be used. Each medication is dosed differently, so please follow the instructions given.

For the compounded medications: dosing changes based on the pharmacy use. Please always ask if you are unclear on the dosing

How do I request a refill?

Contact Beauty Spot Rockwall via text, email, or using your CharmEHR portal to request a refill.

How do I pay for my medication?

You will get an invoice sent via Square Processing from Beauty Spot Rockwall for payment. Payment must be made within 14 days of the invoice to avoid any late fees.

Save your credit card with Square can avoid late fees.

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