When should Ozempic be discounted?

Whether the patient meets the indications for reimbursement is decided by the doctor and places the appropriate payment on the prescription. You can read more about this in the following article: https://www.gdziepolek.pl/artykuly/kiedy-lek-nalezy-sie-na-znizke The reimbursement indication of Ozempic is the occurrence of type 2 diabetes, in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months, with HbA1c ≥ 8%, with obesity defined as BMI ≥35 kg / m2 and a very high cardiovascular risk understood as: 1) confirmed cardiovascular disease, or 2) damage to other organs manifested by: proteinuria or left ventricular hypertrophy or retinopathy, or 3)the presence of 2 or more major risk factors among those listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking. A prescription with a 100% fee can be received, m.in, by those patients who, in the opinion of the doctor, may benefit from the use of Ozempic, but do not meet any or several of the above conditions. I encourage you to familiarize yourself with our studies, which may be useful: https://www.gdziepolek.pl/artykuly/ile-kosztuje-zycie-z-cukrzyca https://www.gdziepolek.pl/artykuly/czym-rozni-sie-cukrzyca-typu-1-od-cukrzycy-typu-2 https://www.gdziepolek.pl/kategorie/leki-na-cukrzyce

To @Joanna:

Reimbursement indications for Ozempic are outlined in the pinned response. The lack of diagnosed diabetes excludes the possibility of reimbursement of the drug.

I have a BMI over 35, high blood pressure, inlulino resistance (I use metformax3x1000), I smoke. Is it eligible for a refund of ozepic?

To @Hugo:

No, all indications must be met.

Hello.
Is one of the listed indications sufficient for reimbursement of Ozempic, e.g. obesity BMI over 35? Best regards

To @Emil:

Code E74 is the code of the disease entity according to the International Classification of Diseases ICD-10. This code can be placed in the patient's medical history. It is not written on the prescription.

The reimbursement indications of Ozempic are described in the response pinned to the top of the post. In your case, you are not entitled to a refund.

Ozempic is a deficient drug. The amount of the preparation reimbursed on the pharmacy market does not meet the needs of all patients. Therefore, non-refundable versions of Ozempic appeared on the market, from the so-called import. If you had a prescription written for a full fee (with a 100% payment), the pharmacy could offer the medicine available in it in an imported package with a higher retail price.

Why is the drug refunded and its cost like 400 PLN where the pharmacy refused to use my prescription, explaining that it is a deficit drug and I have to pay for it as non-refundable, or almost PLN 1000? Why is there such a problem with it? Once it is full and then again there is a problem to buy it somewhere?

Am I entitled to a refund?
I: Hypothyroidism BMI 30 Insulin resistance Pre-diabetic state The homa-ir is above 28 The doctor additionally writes the code E74 on the prescription

why Ozempic is not 100% free

I died about 3 months ago. I am still not entitled to the OZEMPIC discount.

I have type 2 diabetes. I have already taken a dozen different drugs: jardiance3, merformine, gluxofage, symglix, trajenta and now I have saved vuctoze. I wanted to take Ozempic for reimbursement and I heard that no.mialam infarction No no infarction no.mialam but I have hypertension, hypothyroidism, osteoporosis, I am after cataract surgery, I am after pituitary tumor surgery and I did not get Ozempic for reimbursement. Now he buys victoze at 100% . And it has a similar effect. I would prefer to pay.less because it is a big cost considering that he buys other drugs

To @ Amadeus: The use of insulin excludes the possibility of obtaining a refund for Ozempic.

Hi I meet almost all the conditions except that 3x daily use insulin I have a chance to refund ozempic?

For @Mario: Only if you have type 2 diabetes at the same time and are not treated with insulin, but with at least two oral hypoglycemic drugs for at least 6 months and you have hbA1c ≥ 8% and obesity (BMI ≥35 kg/m2).

I do not fully understand the rules of reimbursement. Point "or 3)the presence of 2 or more of the main risk factors listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking." So if I am over 55 years old, I smoke, I have hypertension I qualify for reimbursement?

After all, in this country everything is done in such a way as to pretend to help people, but not to help them. It's such a pulling of the wool over the eyes. Pole but himself.

In response to the great interest of patients, a non-reimbursed drug Ozempic from parallel imports appeared in pharmacies. The availability of the drug in pharmacies can be checked here: Ozempic 0.5 mg https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki?pvid=275329 Ozempic 1 mg https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki?pvid=275351

It's a little scary... I have insulin resistance, I have been watching over it for several years so that it does not develop into type 2 diabetes. I take medication, so sugar is normal (insulin is still a little too much, but still normal). Ozempic helps me restore my body to the state of "0", that is, its optimal functioning. And... I am not entitled to a refund. I would have to stop taking medication and wait until my diabetes developed and then I could be treated with reimbursement. After all, this is an absurdity of some kind. Either you spend PLN 400 and prevent the disease, or you have to bring the body to a state in which it cannot cope and only then you will get drugs that could help you much earlier. Sad it's very...

For @Ola27: Reimbursement indications for Ozempic are: Type 2 diabetes, in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months, with HbA1c ≥ 8 %, with obesity defined as BMI ≥35 kg / m2 and very high cardiovascular risk understood as: 1) confirmed cardiovascular disease, or 2) damage to other organs manifested by: proteinuria or left ventricular hypertrophy or retinopathy, or 3)the presence of 2 or more of the main risk factors listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking: https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/refundacja/247367 You are not treated with at least two oral antidiabetic drugs. Therefore, you do not meet the requirements to prescribe Ozempic at a discount. A doctor of any specialization may write a reimbursed prescription for medicines included in the reimbursement notice.

If my BMI is 36, I have insulin resistance and the first step to diabetes + treatment with metformin and euthyrox (hypothyroidism) can I apply for reimbursement? Or, if my doctor just said that Ozempic would bring me only health benefits. In addition, can the endocrinologist himself (the doctor also guides me for insulin resistance and recommends various exercises and diets) issue me a prescription for this drug?

To @Krakowianka39: If you have not been diagnosed with type 2 diabetes, Ozempic is not eligible for a discount. Semaglutide (the active ingredient in Ozempic) helps to normalize sugar - it reduces blood glucose by stimulating insulin secretion and reducing glucagon secretion when blood glucose is high. However, when it is too low, semaglutide reduces insulin secretion without disturbing the secretion of glucagon.

Witam.mam hypertrophy of the left ventricle and atrium, hypertension hypothyroidism, I took metformin 0from different names, unfortunately the side effects were greater than kozysc now I have forxiga which also does not help ( I have high sugar 140-150 on an empty stomach, from hunger and after exercise, after meals is normal ) heart disease ( min I am after ablation wpw) obesity of a huge 3 degree I am before GB I have to normalize sugar for surgery. Will ozempic normalize it or only has a slimming effect? Am I entitled to a refund?

To @Mar: You are not treated with at least 2 oral antidiabetic drugs, which excludes you from the indications for reimbursement. A full description of the cases in which Ozempic is reimbursed can be found in the reply pinned at the top of the page.

Hello, I have been suffering from insulin resistance for several years, I also have Hashimoto's. My BMI 42. I used to take Glucophage, now Siofor and Saxsende. In this case, can I apply for a refund?

To @TRUSIA: One of the conditions for obtaining reimbursement for Ozempic is the treatment of type 2 diabetes in patients treated with at least 2 diabetes medicines. A full description of the reimbursement indication can be found in the answer pinned to the question at the top of the page.

If someone is over 70 years old with hypertension and medication and smokes cigarettes, can he get a discount on Ozempic?

To @Ewa: Because you are only taking one diabetes medicine, you will not receive Ozempic at a discount. I send a fragment of reimbursement indications: "in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months" - in your case the indications are not met.

Hello. My BMI is 42.1 I have been suffering from hypertension for about 17 years now I am 38 years old I have been struggling with diabetes for several years. Three years ago I got pregnant and from glucose intolerance became gestational diabetes I was on insulin now taking glucofage XR. Can I apply for a refund on ozempuc ? I quit smoking 3 years ago.

To @Tatabela@ukr.net: Through our portal you can book a medicine at a pharmacy. After that, the drug should be picked up at the selected pharmacy, upon presentation of a prescription. The availability of the drug can be checked here: https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki I encourage you to read the following entries: https://www.gdziepolek.pl/blog/najczestsze-pytania-od-pacjentow-z-ukrainy-farmaceuta-odpowiada https://www.gdziepolek.pl/artykuly/jak-zrealizowac-ukrainska-recepte-w-polsce

To @Piter: From your entry it appears that the refund will not be due in your case, because the drug may be prescribed in a discount in the patient before turning on the insulin, and you use insulin Lantus. Below are the full reimbursement indications for Ozempic. The 30% discount fee (currently PLN 107.32) applies to the following situation: "Type 2 diabetes, in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months, with HbA1c ≥ 8%, with obesity defined as BMI ≥35 kg / m2 and a very high cardiovascular risk understood as: 1) confirmed cardiovascular disease, or 2) damage to other organs manifested by: proteinuria or left ventricular hyperplasia or retinopathy, or 3)the presence of 2 or more of the main risk factors listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking Each of the mandatory conditions must be met in order for the patient to be eligible for reimbursement. I enclose additional information: https://www.gdziepolek.pl/artykuly/kiedy-lek-nalezy-sie-na-znizke https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/refundacja/247367 https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/ulotka/247367

Good evening when I can apply for a refund of the drug ozempik. I have been suffering from diabetes for over 20 years and I am treated with humalog lantus solo star jardiance and metformax 1000.Am I entitled to ozempik with reimbursement, my BMI is 36.13

So first you have to bring yourself to such a state that even ozempic will not help

For @Kaśka: Ozempic is reimbursed in the indication: Type 2 diabetes, in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months, with HbA1c ≥ 8%, with obesity defined as BMI ≥35 kg / m2 and very high cardiovascular risk understood as: 1) confirmed cardiovascular disease, or 2) damage to other organs manifested by: proteinuria or left ventricular hypertrophy or retinopathy, or 3)the presence of 2 or more of the main risk factors listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking. Treatment should be carried out with the use of at least 2 drugs that lower blood sugar levels. Your treatment is carried out using 1 preparation. In addition, Your BMI does not exceed 35 kg/m2. In this case, Ozempic is not eligible for reimbursement.

Good morning. I would like to ask if suffering from: insulin resistance, hyperglycemia, Hashimoto's with hypothyroidism, pcos, weight 92kg with a height of 166cm, I will be able to have a refund on Ozempic? For about 10 years I have been taking euthyrox (for over 2 years, a dose of 150mg), and glukophage xr1500 (this is the dose I have had for many years). Thank you in advance for your reply

Do @Nika: tam, gdzie jest napisane "oraz" warunki muszą być spełnione łącznie, a tam gdzie jest napisane "lub" wystarczy spełnienie jednego.

Dzień dobry czy aby uzyskać refundacje trzeba spełnić wszystkie warunki czy tylko część leki na cukrzycę nowej generacji