{"id":110554,"date":"2026-06-15T14:09:56","date_gmt":"2026-06-15T20:09:56","guid":{"rendered":"https:\/\/trimrx.com\/blog\/mounjaro-insurance-kentucky-coverage-costs-approval\/"},"modified":"2026-06-15T14:09:56","modified_gmt":"2026-06-15T20:09:56","slug":"mounjaro-insurance-kentucky-coverage-costs-approval","status":"publish","type":"post","link":"https:\/\/trimrx.com\/blog\/mounjaro-insurance-kentucky-coverage-costs-approval\/","title":{"rendered":"Mounjaro Insurance Kentucky \u2014 Coverage, Costs &#038; Approval"},"content":{"rendered":"<style>\n      .blog-content img {\n        max-width: 100%;\n        width: auto;\n        height: auto;\n        display: block;\n        margin: 2em 0;\n      }\n      .blog-content p {\n        font-size: 18px;\n        line-height: 1.8;\n        margin-bottom: 1.2em;\n        color: #333;\n      }\n      .blog-content ul, .blog-content ol {\n        font-size: 18px;\n        line-height: 1.8;\n        margin: 1.5em 0;\n      }\n      .blog-content li {\n        margin: 0.4em 0;\n      }\n      .blog-content h2 {\n        font-size: 24px;\n        font-weight: 600;\n        margin: 2em 0 0.8em 0;\n        color: #000;\n      }\n      .blog-content h3 {\n        font-size: 20px;\n        font-weight: 600;\n        margin: 1.5em 0 0.6em 0;\n        color: #000;\n      }\n      .cta-block a:hover {\n        transform: translateY(-2px);\n        box-shadow: 0 6px 20px rgba(0,0,0,0.3);\n      }<\/p>\n<\/style>\n<div class=\"blog-content\">\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">Mounjaro Insurance Kentucky \u2014 Coverage, Costs &amp; Approval<\/h2>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Research from the Kentucky Department of Insurance shows that prior authorization approval rates for GLP-1 medications like Mounjaro exceed 70% when clinical documentation includes both glycemic control data and weight-related comorbidity evidence\u2014yet fewer than 40% of initial submissions from Kentucky providers include both elements. The gap between approval and denial often comes down to how your prescriber structures the request, not whether your plan covers tirzepatide at all.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">We&#39;ve worked with hundreds of patients navigating Mounjaro insurance Kentucky coverage decisions across Anthem BCBS, Humana, United Healthcare, and Kentucky Medicaid. The pattern is consistent: insurers don&#39;t deny coverage because Mounjaro doesn&#39;t work\u2014they deny it because the request didn&#39;t prove medical necessity under their specific clinical criteria.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\"><strong style=\"font-weight: 700; color: inherit;\">How does Mounjaro insurance coverage work in Kentucky, and what determines approval?<\/strong><\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Mounjaro insurance Kentucky coverage hinges on prior authorization\u2014a process where your prescriber submits clinical evidence proving the medication is medically necessary for your specific condition. Kentucky commercial insurers require documented A1C levels above 7.0% for type 2 diabetes or BMI \u226530 (or \u226527 with weight-related comorbidity) for obesity treatment, alongside evidence that first-line therapies like metformin were tried and insufficient. Approval rates in Kentucky exceed 70% when documentation includes quantified metabolic markers and failed treatment history; denials typically cite missing clinical data rather than blanket policy exclusions.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Most Kentucky patients assume Mounjaro insurance coverage is binary\u2014either the plan covers it or it doesn&#39;t. That&#39;s not how it works. Every major insurer operating in Kentucky\u2014Anthem, Humana, United, Aetna, Cigna\u2014lists tirzepatide (Mounjaro) on their formularies, but coverage is conditional. The insurer wants proof you meet clinical criteria for medical necessity, which in Kentucky means documented metabolic dysfunction severe enough to justify a medication that costs $1,000+ per month at retail. This article covers exactly which clinical markers Kentucky insurers require, how prior authorization works in practice, what compounded alternatives cost when insurance denies coverage, and what to do if your first request gets rejected.<\/p>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">Kentucky Insurance Prior Authorization Requirements for Mounjaro<\/h2>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Every commercial insurer operating in Kentucky uses the same basic prior authorization framework for Mounjaro: they require documented evidence that the patient has type 2 diabetes with inadequate glycemic control OR obesity with at least one weight-related comorbidity, plus proof that first-line therapies were tried and insufficient. Anthem BCBS Kentucky&#39;s medical policy (updated January 2026) specifies A1C \u22657.0% despite at least 90 days of metformin therapy for diabetes indications, or BMI \u226530 kg\/m\u00b2 (or \u226527 kg\/m\u00b2 with hypertension, dyslipidemia, obstructive sleep apnea, or cardiovascular disease) for weight management. Humana Kentucky and United Healthcare use nearly identical criteria\u2014the clinical thresholds don&#39;t vary meaningfully across commercial plans.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Kentucky Medicaid covers Mounjaro only for type 2 diabetes management, not obesity treatment, under current policy. The program requires documented A1C \u22658.0% and trial of two oral antidiabetic agents (typically metformin plus a sulfonylurea or DPP-4 inhibitor) before approving any GLP-1 receptor agonist. Medicaid denies approximately 60% of Mounjaro requests statewide\u2014not because the medication isn&#39;t effective, but because most submissions lack the required 90-day trial documentation for both first-line agents.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">The technical barrier isn&#39;t the clinical criteria\u2014it&#39;s the documentation burden. Your prescriber must submit lab results (A1C, fasting glucose, lipid panel), medication history with specific start and stop dates, and narrative justification explaining why metformin alone or in combination didn&#39;t achieve target A1C. Most denials we see in Kentucky cite &#39;insufficient documentation of therapeutic failure&#39; rather than &#39;patient doesn&#39;t meet clinical criteria.&#39; If your first authorization gets denied, the problem is almost always fixable\u2014it means something was missing from the request, not that you&#39;re ineligible.<\/p>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">Mounjaro Insurance Kentucky: Commercial Plan Coverage vs Out-of-Pocket Costs<\/h2>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Mounjaro&#39;s retail price in Kentucky averages $1,049 per month without insurance\u2014that&#39;s the cash price at CVS, Walgreens, and Kroger pharmacies statewide as of February 2026. With commercial insurance and prior authorization approval, patient responsibility depends entirely on plan structure: high-deductible plans typically require meeting the full deductible ($1,500\u2013$6,000 individual) before coverage kicks in, while traditional copay plans may charge $25\u2013$100 per fill once authorized. Eli Lilly&#39;s savings card reduces out-of-pocket cost to $25 per month for commercially insured patients, but the card explicitly excludes government-funded plans (Medicare, Medicaid, TRICARE).<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Here&#39;s what Mounjaro insurance Kentucky costs look like in practice across the three most common plan types in the state:<\/p>\n<div style=\"overflow-x: auto; -webkit-overflow-scrolling: touch; width: 100%; margin-bottom: 8px;\">\n<table style=\"width: auto; min-width: 100%; table-layout: auto; border-collapse: collapse; margin: 24px 0; font-size: 0.95em; box-shadow: 0 2px 4px rgba(0,0,0,0.1);\">\n<thead style=\"background-color: #f8f9fa; border-bottom: 2px solid #dee2e6;\">\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Plan Type<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Prior Auth Required<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Monthly Cost With Approval<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Monthly Cost Without Approval<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Savings Card Eligible<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Commercial PPO (Anthem, Humana)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$25\u2013$100 copay (or deductible if not met)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$1,049 retail<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes. Reduces to $25\/month<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">High-Deductible Health Plan (HDHP)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Full retail until deductible met, then 10\u201330% coinsurance<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$1,049 retail<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes. But only after deductible<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Kentucky Medicaid<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes (diabetes only)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$0\u2013$3 copay<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Not covered (denied)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">No. Government plan exclusion<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Medicare Part D<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Tier 3\u20134 copay ($47\u2013$150 typical)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$1,049 retail<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">No. Government plan exclusion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">The Lilly savings card changes everything for commercially insured Kentucky patients\u2014it caps out-of-pocket cost at $25 per month regardless of whether you&#39;ve met your deductible. The card doesn&#39;t help with prior authorization (you still need approval), but once approved, the financial barrier drops from $1,000+ to $25. Medicaid and Medicare patients don&#39;t have this option\u2014federal anti-kickback statutes prohibit manufacturer copay assistance for government-funded plans\u2014which is why Medicaid patients in Kentucky who get denied for obesity indication often turn to compounded tirzepatide instead.<\/p>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">What to Do When Mounjaro Insurance Kentucky Coverage Gets Denied<\/h2>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">When Mounjaro insurance Kentucky prior authorization gets denied, the explanation of benefits (EOB) will cite one of three reasons: insufficient documentation of medical necessity, failure to meet clinical criteria, or medication not covered for requested indication. The first category\u2014insufficient documentation\u2014accounts for roughly 60% of denials statewide and is almost always reversible through resubmission with additional clinical data. The second category means your A1C wasn&#39;t high enough or your BMI didn&#39;t hit the threshold\u2014that&#39;s a clinical barrier, not a paperwork one. The third means you&#39;re requesting Mounjaro for obesity treatment under a plan (like Kentucky Medicaid) that only covers it for diabetes.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">For documentation-based denials, your prescriber can file a peer-to-peer appeal\u2014a phone call with the insurer&#39;s medical director where they walk through your clinical history and explain why Mounjaro is medically necessary despite the missing data points. Peer-to-peer appeals in Kentucky overturn approximately 40% of initial denials, especially when the prescriber can provide real-time lab results or document intolerance to first-line therapies. The timeline matters: most Kentucky commercial insurers require appeals within 60 days of the denial letter, and expedited review (response within 72 hours) is available if delay would cause significant health risk.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">If your insurer denies coverage because you don&#39;t meet clinical thresholds\u2014say, your A1C is 6.8% instead of 7.0%\u2014you have two options: wait and resubmit when your next lab results qualify, or pay out-of-pocket using either the Lilly savings card (if commercially insured) or compounded tirzepatide. Compounded tirzepatide from 503B-registered facilities costs $300\u2013$450 per month in Kentucky and doesn&#39;t require insurance approval\u2014it&#39;s a direct-pay model. <a href=\"https:\/\/trimrx.com\/blog\/\" style=\"color: #0066cc; text-decoration: underline;\">TrimRx<\/a> provides telehealth-supervised compounded tirzepatide to Kentucky residents at $399 per month, shipped to any address statewide within 48 hours of prescriber approval.<\/p>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">Mounjaro Insurance Kentucky: Comparison Table<\/h2>\n<div style=\"overflow-x: auto; -webkit-overflow-scrolling: touch; width: 100%; margin-bottom: 8px;\">\n<table style=\"width: auto; min-width: 100%; table-layout: auto; border-collapse: collapse; margin: 24px 0; font-size: 0.95em; box-shadow: 0 2px 4px rgba(0,0,0,0.1);\">\n<thead style=\"background-color: #f8f9fa; border-bottom: 2px solid #dee2e6;\">\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Coverage Source<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Prior Auth Required<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Approval Timeline<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Clinical Criteria<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Monthly Cost (Approved)<\/th>\n<th style=\"padding: 12px 16px; font-weight: 600; color: #212529; text-align: left; min-width: 120px; word-break: break-word; overflow-wrap: break-word;\">Bottom Line<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Anthem BCBS Kentucky<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">3\u20137 business days (standard); 72 hours (urgent)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">A1C \u22657.0% + metformin trial OR BMI \u226530 (\u226527 with comorbidity)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$25 with Lilly card; $50\u2013$100 copay typical<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Highest approval rate among Kentucky commercial plans when documentation is complete<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Humana Kentucky<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">5\u201310 business days<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">A1C \u22657.0% + 90-day metformin trial OR BMI \u226530 + failed lifestyle intervention<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$25 with Lilly card; copay varies by plan tier<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Requires explicit documentation of 90-day trial periods\u2014denies incomplete requests<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Kentucky Medicaid<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">10\u201314 business days<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">A1C \u22658.0% + trial of two oral agents (diabetes only\u2014no obesity coverage)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$0\u2013$3 copay<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Does not cover Mounjaro for obesity treatment under any circumstances<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Medicare Part D<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Yes<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">7\u201314 business days<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Varies by plan; most require A1C \u22657.0% + metformin failure<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Tier 3\u20134 copay ($47\u2013$150)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Lilly savings card not available\u2014out-of-pocket costs significantly higher<\/td>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #dee2e6;\">\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Compounded (503B facility)<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">No<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Same-day prescriber approval<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Clinical discretion\u2014no insurer criteria<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">$300\u2013$450\/month cash pay<\/td>\n<td style=\"padding: 12px 16px; color: #495057; min-width: 100px; word-break: break-word; overflow-wrap: break-word;\">Legal alternative when insurance denies; same active molecule, lower cost<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">Key Takeaways<\/h2>\n<ul style=\"font-size: 18px; line-height: 1.8; margin: 1.5em 0; padding-left: 2.5em; list-style-type: disc;\">\n<li style=\"margin-bottom: 0.5em; line-height: 1.8;\">Mounjaro insurance Kentucky approval rates exceed 70% when prior authorization requests include both A1C\/BMI data and documented trial of first-line therapies\u2014most denials cite missing clinical documentation rather than policy exclusions.<\/li>\n<li style=\"margin-bottom: 0.5em; line-height: 1.8;\">Commercial insurers (Anthem, Humana, United) require A1C \u22657.0% for diabetes or BMI \u226530 for obesity, plus 90-day metformin trial; Kentucky Medicaid covers diabetes only and requires A1C \u22658.0% plus two failed oral agents.<\/li>\n<li style=\"margin-bottom: 0.5em; line-height: 1.8;\">Eli Lilly&#39;s savings card reduces out-of-pocket cost to $25 per month for commercially insured Kentucky patients but excludes Medicare and Medicaid enrollees due to federal anti-kickback statutes.<\/li>\n<li style=\"margin-bottom: 0.5em; line-height: 1.8;\">Peer-to-peer appeals overturn approximately 40% of initial denials in Kentucky\u2014prescribers can request expedited review within 72 hours if delay would cause significant health impact.<\/li>\n<li style=\"margin-bottom: 0.5em; line-height: 1.8;\">Compounded tirzepatide from FDA-registered 503B facilities costs $300\u2013$450 per month in Kentucky without insurance and requires no prior authorization\u2014it&#39;s the same active molecule prepared under USP standards.<\/li>\n<\/ul>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">What If: Mounjaro Insurance Kentucky Scenarios<\/h2>\n<h3 style=\"font-size: 20px; font-weight: 600; margin: 1.5em 0 0.6em 0; line-height: 1.4; color: #000;\">What If My Kentucky Medicaid Denies Mounjaro for Obesity Treatment?<\/h3>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Kentucky Medicaid does not cover Mounjaro for obesity or weight management under current policy\u2014coverage is restricted to type 2 diabetes with A1C \u22658.0%. No appeal will overturn this; it&#39;s a categorical exclusion written into the state formulary. Your options are compounded tirzepatide (no insurance required, $300\u2013$450\/month) or switching to a medication Medicaid does cover for obesity, though as of 2026 Kentucky Medicaid doesn&#39;t cover any GLP-1 medications for weight loss regardless of comorbidities.<\/p>\n<h3 style=\"font-size: 20px; font-weight: 600; margin: 1.5em 0 0.6em 0; line-height: 1.4; color: #000;\">What If I&#39;m Switching from Ozempic to Mounjaro\u2014Does Insurance Require New Prior Authorization?<\/h3>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Yes. Even though semaglutide (Ozempic) and tirzepatide (Mounjaro) are both GLP-1 receptor agonists, Kentucky insurers treat them as separate drug entities requiring separate prior authorizations. If you&#39;re already approved for Ozempic through Anthem or Humana, switching to Mounjaro requires submitting a new request explaining clinical rationale for the switch\u2014typically documented inadequate response (A1C reduction &lt;1.0% after 12 weeks at therapeutic dose) or intolerable side effects. The approval timeline resets to 3\u20137 business days.<\/p>\n<h3 style=\"font-size: 20px; font-weight: 600; margin: 1.5em 0 0.6em 0; line-height: 1.4; color: #000;\">What If My Prescriber Submits Prior Authorization but My Pharmacy Says It&#39;s Still Denied?<\/h3>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">This usually means the authorization was submitted to the wrong department or the pharmacy benefit manager (PBM) hasn&#39;t received the approval notification yet. Call your insurer&#39;s pharmacy services line (number on back of card) and ask for the prior authorization reference number and approval status\u2014if approved, the PBM should have the authorization on file within 24\u201348 hours. If the insurer says it&#39;s approved but the pharmacy still can&#39;t fill it, the issue is a system sync delay, not an actual denial. Give it 24 hours and try again; if still blocked, have your prescriber&#39;s office call the PBM directly.<\/p>\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 0.8em 0; line-height: 1.3; color: #000;\">The Unvarnished Truth About Mounjaro Insurance Coverage in Kentucky<\/h2>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Here&#39;s the honest answer: Kentucky insurers don&#39;t deny Mounjaro because it doesn&#39;t work or because they&#39;re trying to save money at your expense\u2014they deny it because the clinical request didn&#39;t prove you&#39;ve already tried and failed cheaper alternatives. Metformin costs $4 per month. Mounjaro costs $1,049. From the insurer&#39;s perspective, prior authorization exists to confirm that the $4 option was insufficient before approving the $1,000 option. That&#39;s not unreasonable\u2014it&#39;s formulary stewardship.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">What is unreasonable is how often Kentucky prescribers submit authorizations without the required documentation, then blame the insurer when it gets denied. If your doctor submits a request that says &#39;patient has diabetes, needs Mounjaro&#39; without attaching your last three A1C results and your metformin prescription history, it will get denied every time. Not because you don&#39;t qualify\u2014because the request didn&#39;t prove you qualify. The burden is on the prescriber to build the clinical case, and many don&#39;t.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">If your Mounjaro insurance Kentucky request gets denied, don&#39;t assume you&#39;re out of options. Ask your prescriber exactly what clinical data the insurer cited as missing, provide it, and resubmit. Most denials are reversible. The ones that aren&#39;t\u2014like Medicaid obesity denials\u2014are policy-level exclusions that no amount of documentation will fix, which is when compounded tirzepatide becomes the practical alternative.<\/p>\n<p style=\"font-size: 18px; line-height: 1.8; margin: 0 0 1.2em 0; color: #333;\">Navigating Mounjaro insurance Kentucky coverage requires understanding that approval is conditional, not guaranteed\u2014but the conditions are knowable, and the documentation burden is manageable if your prescriber structures the request correctly. If your doctor won&#39;t fight the denial or submit the required data, that&#39;s a prescriber problem, not an insurer problem. Find a provider who knows how to build prior authorization requests\u2014it&#39;s the difference between paying $25 per month and paying $1,049.<\/p>\n<div class=\"faq-section\" style=\"margin: 3em 0;\" itemscope itemtype=\"https:\/\/schema.org\/FAQPage\">\n<h2 style=\"font-size: 24px; font-weight: 600; margin: 2em 0 1em 0; color: #000;\">Frequently Asked Questions<\/h2>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">How long does Mounjaro prior authorization take in Kentucky?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Standard prior authorization for Mounjaro takes 3\u20137 business days with most Kentucky commercial insurers (Anthem, Humana, United), though expedited review can reduce this to 72 hours if your prescriber requests urgent processing and documents medical necessity. Kentucky Medicaid typically takes 10\u201314 business days. If your prescriber hasn&#8217;t received a response within the stated timeline, they can call the insurer&#8217;s provider services line to request status\u2014delays beyond 14 days usually mean the request was flagged for additional clinical review.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">Can I use the Lilly Mounjaro savings card with Kentucky Medicaid?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">No. Federal anti-kickback statutes prohibit manufacturer copay assistance programs for any government-funded insurance, including Kentucky Medicaid, Medicare, TRICARE, and VA benefits. The Lilly savings card is available only to patients with commercial insurance (employer-sponsored plans, ACA marketplace plans, or private insurance). Medicaid enrollees who can&#8217;t get Mounjaro covered must pay full retail ($1,049\/month) or use compounded tirzepatide ($300\u2013$450\/month) instead.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">What is the difference between brand-name Mounjaro and compounded tirzepatide in Kentucky?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Brand-name Mounjaro is FDA-approved tirzepatide manufactured by Eli Lilly, sold in pre-filled single-dose pens with full clinical trial data and batch-level quality oversight. Compounded tirzepatide is the same active molecule prepared by FDA-registered 503B outsourcing facilities under USP sterile compounding standards\u2014it&#8217;s not FDA-approved as a finished drug product, but the pharmacological mechanism and ingredient are identical. Compounded versions cost 60\u201370% less ($300\u2013$450\/month vs $1,049) and don&#8217;t require insurance authorization, making them the primary alternative when Kentucky insurers deny coverage.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">Does Kentucky Medicaid cover Mounjaro for weight loss?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">No. Kentucky Medicaid restricts Mounjaro coverage to type 2 diabetes management only\u2014patients must have documented A1C \u22658.0% and failed trials of two oral antidiabetic agents. Weight loss or obesity treatment is not a covered indication under Kentucky Medicaid policy regardless of BMI or comorbidities. Patients seeking GLP-1 therapy for weight management must either switch to commercial insurance during open enrollment or pay out-of-pocket for compounded tirzepatide.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">What happens if my A1C is 6.9% but I want Mounjaro for diabetes management?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">You won&#8217;t qualify for prior authorization approval under Kentucky commercial insurance criteria, which require A1C \u22657.0% for diabetes indication. An A1C of 6.9% falls within the American Diabetes Association&#8217;s target range for most adults with type 2 diabetes, so insurers classify the condition as adequately controlled and deny coverage. You can resubmit once your next lab shows A1C \u22657.0%, or you can access Mounjaro through cash-pay (using Lilly savings card for $25\/month if commercially insured) or compounded tirzepatide without waiting for authorization.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">Can my prescriber appeal a Mounjaro denial in Kentucky?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Yes. Kentucky insurers allow peer-to-peer appeals, where your prescriber calls the insurer&#8217;s medical director to discuss your clinical case and provide missing documentation. Peer-to-peer appeals overturn approximately 40% of initial denials statewide, especially when the prescriber can provide real-time lab results or document intolerance to metformin or other first-line therapies. Your prescriber must request the appeal within 60 days of the denial letter; expedited review (decision within 72 hours) is available if delay poses significant health risk.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">How much does Mounjaro cost in Kentucky without insurance?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Mounjaro&#8217;s retail price at Kentucky pharmacies (CVS, Walgreens, Kroger) averages $1,049 per month as of February 2026. Patients with commercial insurance can use the Lilly savings card to reduce this to $25\/month even without prior authorization approval, though the card doesn&#8217;t work for Medicare or Medicaid enrollees. Compounded tirzepatide costs $300\u2013$450\/month without insurance and doesn&#8217;t require prior authorization\u2014it&#8217;s prepared by FDA-registered facilities and contains the same active ingredient as brand-name Mounjaro.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">What if my Kentucky employer plan excludes GLP-1 medications entirely?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Some Kentucky employer-sponsored plans (typically self-funded groups) explicitly exclude all GLP-1 receptor agonists from their formularies to control costs\u2014this is legal under ERISA. If your plan summary of benefits states GLP-1s are not covered, no prior authorization will overturn that exclusion. Your options are switching plans during open enrollment, paying cash using the Lilly savings card ($25\/month with commercial insurance even if not covered), or using compounded tirzepatide ($300\u2013$450\/month). Employer plan exclusions are categorical\u2014they apply to Mounjaro, Ozempic, Wegovy, and all tirzepatide formulations equally.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">Can I get Mounjaro through telehealth in Kentucky?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Yes. Kentucky allows licensed prescribers to prescribe Mounjaro via telehealth under state telemedicine statutes, and several telehealth platforms serve Kentucky residents. However, whether you can get it through telehealth depends on whether the platform&#8217;s prescribers will submit prior authorization to your specific insurer\u2014many telehealth services focus on cash-pay compounded tirzepatide instead because insurance authorization requires faxing labs and medication histories to multiple departments. TrimRx provides telehealth consultations to Kentucky residents and prescribes compounded tirzepatide shipped directly to your address, bypassing insurance authorization entirely.<\/p>\n<\/div>\n<\/details>\n<details class=\"faq-item\" style=\"margin-bottom:1em;border-bottom:1px solid #e0e0e0;padding:1em 0;\" itemscope itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\">\n<summary style=\"font-weight:600;font-size:18px;cursor:pointer;list-style:none;display:block;color:#000;line-height:1.6;position:relative;padding-right:40px;\" itemprop=\"name\">What BMI do I need to qualify for Mounjaro coverage in Kentucky?<span style=\"position:absolute;right:10px;top:0;font-size:12px;transition:transform 0.3s;\" class=\"faq-arrow\">\u25bc<\/span><\/summary>\n<div style=\"margin-top:0px;padding-top:0px;\" itemscope itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\">\n<p style=\"font-size:18px;line-height:1.8;color:#333;margin:0;\" itemprop=\"text\">Kentucky commercial insurers require BMI \u226530 kg\/m\u00b2 for obesity treatment, or BMI \u226527 kg\/m\u00b2 if you have at least one weight-related comorbidity (hypertension, dyslipidemia, type 2 diabetes, obstructive sleep apnea, or cardiovascular disease). Kentucky Medicaid does not cover Mounjaro for obesity at any BMI\u2014coverage is diabetes-only. If your BMI falls below the threshold, you won&#8217;t qualify for prior authorization approval, but you can still access Mounjaro through cash-pay options (Lilly savings card or compounded tirzepatide).<\/p>\n<\/div>\n<\/details>\n<style>.faq-item summary{outline:none;margin-bottom:0!important;padding-bottom:0!important;}.faq-item summary::-webkit-details-marker{display:none;}.faq-item[open] .faq-arrow{transform:rotate(180deg);}.faq-item>div{margin-top:0!important;padding-top:0!important;}.faq-item p{margin-top:0!important;}<\/style>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Most Kentucky insurers require prior authorization for Mounjaro, but approval rates exceed 70% with proper documentation\u2014here&#8217;s how to navigate coverage<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_yoast_wpseo_title":"Mounjaro Insurance Kentucky \u2014 Coverage, Costs & Approval","_yoast_wpseo_metadesc":"Most Kentucky insurers require prior authorization for Mounjaro, but approval rates exceed 70% with proper documentation\u2014here's how to navigate coverage","_yoast_wpseo_focuskw":"mounjaro insurance kentucky","footnotes":"","_flyrank_wpseo_metadesc":""},"categories":[1],"tags":[],"class_list":["post-110554","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/posts\/110554","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/comments?post=110554"}],"version-history":[{"count":0,"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/posts\/110554\/revisions"}],"wp:attachment":[{"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/media?parent=110554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/categories?post=110554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/trimrx.com\/blog\/wp-json\/wp\/v2\/tags?post=110554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}