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Common reasons include: "Not medically necessary" "Does not meet plan criteria" "Documentation insufficient" "Drug not on formulary for this indication" Gather Supporting Documentation Work with your doctor to compile: Current BMI documentation (30, or 27 with comorbidity) Weight-related comorbidities (hypertension, T2D, dyslipidemia, sleep apnea) 3-6 months of supervised diet/exercise documentation Letter of Medical Necessity explaining why Foundayo is required File Redetermination Request Submit your appeal within 65 days to your Medicare plan

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doi:10.1016/S0140-6736(23)01185-6 Wharton S, Aronne LJ, Stefanski A, et al