Heres whats typically required: Current BMI documentation (measured at an office visit within the past 90 days) Medical history documenting weight-related comorbidities, if your BMI is between 27 and 29.9 Evidence of a prior weight-management attempt (records from a dietitian, behavioral health provider, or structured program) A letter of medical necessity from your prescribing provider explaining why the medication is appropriate for your clinical situation Confirmation of Part D enrollment for at least 12 continuous months In our practice, our care coordination team handles the entire prior authorization process
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