Reply to Express Scripts denied pre-authorization for Ozempic. What to do now?

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Reply to "Express Scripts denied pre-authorization for Ozempic. What to do now?"

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[quote=Anonymous][quote=Anonymous]If you bothered to read the requirements for Cigna that someone else posted, you will see you will be required to lose at least 5% of your body weight prior to being given Wegovy.

Maybe this is why OP is gunning so hard for  Ozempic on the “marginal pre-diabetes” argument (which won’t fly)..

Bottom line is you won’t just be issued these drugs. One way or another there are intermittent steps — metformin for a diabetes diagnosis and if that doesn’t improve A1C, you get Ozempic, but that is at least three months away.

[b]For Wegovy, you have to lose at least 5% of your body weight before they will approve it.[/b] This is to demonstrate a commitment to what it will take to sustain any weight loss since you will only be approved for the it for between 5 months and one year,

So if you are 200 pounds, get that documented and work to lose at least 10. That will also take you about two-three months. Then you might get the meds.[/quote]

where did you read this?[/quote]

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