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Most BCBS affiliates require the following documentation for Zepbound prior authorization: a current BMI measurement showing 30 (or 27 with documented comorbidity), evidence of a structured weight management program lasting at least 3-6 months (diet, exercise, behavioral counseling), documentation that the patient has not responded adequately to lifestyle interventions alone, and relevant lab work including A1C levels if type 2 diabetes is a listed comorbidity

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