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What insurance companies look for: Common prior authorization criteria include documented BMI meeting the FDA-approved threshold, documentation of weight-related comorbidities (for patients with BMI 27 to 29.9), evidence of previous weight loss attempts (diet, exercise, behavioral modification), a letter of medical necessity from your provider, and sometimes documentation that you have tried and failed other weight loss medications first (step therapy)

Your Decision Framework Your priority Recommended approach : For newcomers : Start with the safest tier accessible to you

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Pregnancy planning considerations: The UK SmPC recommends discontinuing Wegovy at least 2 months before a planned pregnancy due to the long elimination time and limited data on pregnancy outcomes