Whether you can get a 90-day supply of GLP-1 medications depends on your insurance, prescriber, and pharmacy. Many insurance plans prefer 90-day supplies for maintenance medications, offering lower copays than monthly fills. However, some insurers limit GLP-1s to 30-day supplies initially to monitor tolerance and side effects. During drug shortages, 90-day supplies may be restricted to ensure more patients can access medication. Your prescriber must write the prescription specifically for a 90-day supply with appropriate refills. Mail-order pharmacies more commonly dispense 90-day supplies than retail locations. If paying cash, you can usually get 90-day supplies if the pharmacy has adequate stock. Benefits of 90-day supplies include: lower per-dose costs, fewer trips to the pharmacy, better medication adherence, and reduced risk of running out during shortages. Downsides include: higher upfront cost, potential for waste if medication is discontinued, and difficulty storing multiple boxes if refrigerator space is limited. Ask your prescriber to specify 90-day supplies if desired.
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