Typical criteria: BMI 30 (or 27 with hypertension, type 2 diabetes, sleep apnea, etc.) 3-6 months documented lifestyle efforts (diet and exercise in your medical record) No concurrent GLP-1 use (can't take Ozempic, Wegovy at same time) Step therapy (trying other medications first): Some plans require trying other weight loss drugs before approving Wegovy Renewal: Must show 5% weight loss to continue coverage For complete documentation checklists and PA preparation: Wegovy Prior Authorization Guide Your GLP-1 coverage, denied approved If Anthem denies your Wegovy, Honest Care can help you build a strong appeal with evidence-backed documentation
Acknowledgments SP is funded by the National Institute of Health Research and works within the National Health Service
Allergic reactions can also occur, though they are rare
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