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Prior Authorization Requirements When Anthem does cover Wegovy or Zepbound, it typically requires prior authorization: Clinical Requirements BMI of 30 or higher, OR BMI of 27 or higher with at least one weight-related condition Documentation Requirements Medical records supporting the diagnosis Evidence of previous weight loss attempts Sometimes: trial of other weight loss medications first (step therapy) Initial approval period: Typically 6 to 12 months

He does not recommend recreational use of edibles

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