After paying for Mounjaro, for over a year, my insurance now declines coverage citing my being free from diabetes type II. I cannot pay $500 a month to get Mounjaro from Canada. The insurance provided a way to appeal to a third party adjudicator whose decision would be binding on the insurance company. I need to get my act together and write an appeal, citing the fact that Lybalvi, a medication the the insurance does cover and the only medication that keeps me stable without causing intolerable size effects, is a weight gainer (less so than Zyprexa alone, but still a weight gainer) and I need Mounjaro on board to counteract that side effect, or else I will be at high risk of developing diabetes. I will also include the records of the insurance paying for Mounjaro in the past, establishing a precedent.