Comment by sgerenser

Yep, check out lillydirect. Relative of mine barely missed the cutoff for insurance coverage (in terms of starting BMI) but lillydirect will sell you actual zepbound for something like $399/month. The cost is also reimbursable with an HSA if you have one.

You do need a prescription, but generally most physicians will write you one if you are overweight even if you don't meet the high bar for insurance coverage.