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If formulary search isnt available, call the pharmacy benefit number on the back of your card and ask about Wegovy coverage and PA criteria
P21 showed no adverse effects in studies lasting up to 12 months
This guide walks through the seven steps I take with patients in Papillion, Omaha, and across our 16-state telehealth footprint when their Wegovy or Zepbound coverage is denied, what to ask, what to fix, what to appeal, and when to consider a different path entirely
Your Optum Rx partner can help you craft design changes and the utilization management structure necessary to help ensure appropriate use of GLP-1 drugs
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