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Michigan BCBS implemented what amounted to a near-complete removal of weight loss indication coverage, with narrow exceptions for members who could demonstrate specific comorbidities beyond obesity alone

Eligibility Requirements When BCBS plans do cover Wegovy, coverage is generally based on meeting the following criteria: Obesity (BMI of 30 or higher) Overweight (BMI of 27 or higher) with at least one weight-related medical condition, such as hypertension, high cholesterol, or type 2 diabetes Coverage may also be available for other FDA-approved indications, including cardiovascular risk reduction and MASH treatment

As a result, payers are seeking cost-effective alternatives that address the root causes of these conditions and promote sustainable behavior change

Check all values against the product label, certificate of analysis, and any applicable professional guidance before relying on the result

G.et al (2005)

And it promotes a sense of satiety, or fullness