Zepbound

denied by

insurance. Now what?

It’s common for
medications like
Zepbound
to be denied by insurance.
Here’s why it happens and how to get covered again –fast.
Start an apPeal
Understand my Denial

Why did I get denied?

Choose the scenario that best fits your denial to learn more about why you were denied – and what you can do about it.

How to appeal an

Zepbound

denial

Start My Appeal
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Our Work and Stories Covered In:

Why

Zepbound

is

commonly denied

And what insurers often require in order to cover it.

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Learn more about

Zepbound

You have questions, we have answers.

Don't see your question? Contact us.

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What’s in a strong appeal

Claimable’s AI-powered platform crafts custom appeals backed by clinical evidence, policy insights, and your unique health story. Each appeal delivers powerful arguments to boost your chances of overturning the denial.

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Each month, I endure about eight major episodes, each one leaving me exhausted, unable to concentrate, and too unwell to take part in daily life.

The frequency and unpredictability of these symptoms have isolated me socially and limited my capacity to take part in activities most people take for granted.

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Compelling evidence published by Hackenmueller et al. (2016) confirms that the accepted reference range for normal sucrase activity is approximately 54 μmol/min/g, with a CSID diagnosis established by a sucrase activity level of ≤25 μmol/min/g.

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Your denial is also contrary to established insurance precedent. Multiple independent review organizations and appeal panels have overturned denials for Sucraid in cases matching my own (see Precedent Summary).

These decisions emphasize that insurance plans must align their criteria with current scientific understanding rather than deny on arbitrary or outdated cutoffs

Claimable makes it easy.

Start My Appeal

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Updates
Sounding The Alarm: Legal Action Against CVS Caremark’s Zepbound Denials
CVS Caremark has been served with a class-action lawsuit after dropping Zepbound from their formulary. Here's what's happening – and how Claimable appeals helped make it happen on behalf of patients.
Advocacy
The Cost of Asthma Denials: An Open Letter from The Schmidtknecht Family
In this letter, parents and advocates Bil & Shanon Schmidtknecht share why improving access to insurance coverage for asthma medications is so important.