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Most patients complete the dose escalation phase within 12 to 20 weeks, after which they maintain a stable maintenance dose at the same weekly injection time indefinitely
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The HDHP math problem: A patient on an HDHP with a $5,000 deductible and Wegovy on Tier 4: Pays 100% of Wegovy cost ($1,349.02/month) until deductible is met Reaches deductible after 4 months ($5,396.08 paid) Then pays Tier 4 copay ($150 to $400/month depending on plan) Total year-one cost: $6,596 to $8,596 For comparison: Compounded semaglutide: $3,564 to $4,164 annually ($297 to $347/month) Wegovy savings card (if eligible): reduces copay to $0 to $25/month, but only for commercially insured patients not on HDHPs or government plans, and only up to $13,500 annual benefit maximum The savings card eligibility criteria exclude the majority of patients who need cost assistance most
