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If your plan has a specific exclusion for weight management medications, a prior authorization or appeal will be denied

Clinical trials showed approximately 15% average weight loss over 68 weeks at the 2.4mg weekly dose

Youll get minimal oversight and a support team thats hit-or-miss, depending on the day

Cagrilintide Vials Cagrilintide starts at Week 9 in the staggered approach

However, like any medication, they may cause side effects in some individuals

Reviewers typically look for an HbA1c at or above 7.0 percent for type 2 diabetes coverage, a BMI of 27 or higher with a comorbidity or 30 or higher standalone, a documented trial of metformin or another agent, and cardiovascular history such as coronary artery disease, stroke, or heart failure