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Diet, Nutrition & Weight Loss
Reply to "Any Feds on Wegovy or Saxenda? "
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[quote=Anonymous]So Optum Rx UHC pharmacy benefit manager has no anti obesity meds on the formulary, not Contrave, not phentermine, nothing. If you look at page 26 of the guidance https://www.opm.gov/healthcare-insurance/healthcare/carriers/2022/2022-04.pdf. if plans do not cover Saxenda or Wegovy under the formulary they need to describe how they will cover them using medical necessity. Calling UHC and Optum they state that they will not cover it under any medical criteria. I am wondering if this is an issue that needs to be brought up with OPM. [/quote]
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