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Available at: [34] Bond, P., Smit, D.L., de Ronde, W

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Scenario 4: Zepbound Pens (Cash-Pay) - Highest Cost Option Annual Cost (First year): $14,195 Average Monthly (First year): $1,183 Additional Fees and Potential Extra Costs According to ro.co, members may incur additional charges: Additional Provider Consultations : Included : Up to 24 discrete consultations per year Beyond 24 : $15 per additional consultation Automatic Billing : Charged to payment method within 7 days of service At-Home Lab Collection Kit : Cost : $75 (if Quest unavailable or member preference) Free : In NY, NJ, RI, ND, SD, WY (states without Quest) Quest Testing : Included for most members Additional Lab Testing : If provider orders testing beyond initial metabolic panel Costs vary by specific tests ordered Quest may bill insurance directly Automatic Recurring Billing Important Details Membership Billing : Automatic : Payment method charged $145 monthly on renewal date Charged Regardless Of : Whether medication received that month Whether insurance authorization pending Whether consultations used Whether program actively engaged Cancellation Requirement : Must cancel at least 48 hours before renewal date to avoid charge Medication Billing : Separate : Medication costs billed separately from membership Timing : Varies by fulfillment method LillyDirect: Billed when order processed NovoCare: Billed when order processed Insurance: Copay paid directly to pharmacy at pickup Manufacturer Savings Programs for Cash-Pay Members For members with commercial (non-government) insurance who pay cash or whose insurance doesn't cover medication: Wegovy Savings Offer (via Novo Nordisk): Potential Savings : Up to $225 per monthly prescription Duration : Up to 13 fills Eligibility : Commercial insurance (not Medicare, Medicaid, TRICARE, VA) Prescribed Wegovy for FDA-approved indication Insurance doesn't cover or denies coverage Other eligibility criteria per program terms Access : WegovySavingsCard.com Verification Required : Check current program terms and eligibility Zepbound Savings Card (via Eli Lilly): Availability : For Zepbound pens (not vials) Eligibility : Commercial insurance holders Savings : Varies by current program offers Access : Zepbound.LillyDirect.com Verification Required : Check current program terms Savings Program Limitations: Cannot be combined with government insurance (Medicare, Medicaid, TRICARE, VA)

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