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[Canada] Ontario sourcing - todays discussion

Started by Brighter75Life · · 25 replies · 184 views
#21

Ontario too and my turnaround came when my doc's office resubmitted with a prior-auth note attached - plan flipped to covering it within a couple weeks. Also can vouch for pharmacy-hopping until you find one that holds stock; my 39 lb loss came steady once the supply side stopped being a scramble each month.

#22

Ontario as well - my trick was calling pharmacies early in the month before the rush, since stock always seemed to dry up by mid-month. Also had better luck asking about coverage over the phone with my insurer directly instead of going through the pharmacy, they gave clearer answers. Good luck, it gets easier once you find your rhythm.

#23

Not in Ontario myself (Oklahoma here on Saxenda) but the early-month pharmacy calling trick worked for me too, stock always seemed to vanish fast around here as well. Watching this thread since I'm still early in the game with only 5 lbs gone and the supply headaches sound universal.

#24

Ontario here too - the prior-auth route worked for me after my first claim got denied, and calling around the first week of the month is the only way I found steady stock. Down 23 lbs since it finally clicked, so hang in there, the logistics are the hard part early on.

#25

Fellow poster here from the US side (Nashville, on compounded semaglutide) so I can't speak to Ontario insurers, but the early-month calling thing is true down here too - I always had better luck the first week. The prior auth tip from the last reply sounds like the real unlock, glad it worked out and congrats on the 23 lbs, I'm sitting at 24 myself.

#26

Ontario here as well - the prior auth route is what finally got mine covered too after an initial denial, so that tracks. I found calling pharmacies right after refill day saved me from driving all over the city. 19 lbs down so far and the supply hunt is honestly the most annoying part of the whole process.

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