Do not stop medication without medical advice, but do contact your GP promptly
For a beneficiary to qualify, their provider must submit a prior authorization request that attests the beneficiary is being prescribed the drug to reduce excess body weight and ongoing maintenance of weight reduction and that they fall into one of three categories related to BMI and other clinical diagnostic criteria (Figure 3)
Coverage policies vary with Cigna, Aetna, Blue Cross Blue Shield, and also by Medicaid's and Medicare's state-specific regulations
The FDA has approved the shots for people with a BMI of 27 or more, but patients say theyve been able to get same-day prescriptions without weight verification
Meta-analyses confirm robust effects on body composition, but variable functional outcomes, highlighting the importance of patient selection and concomitant exercise/nutritional strategies [65]
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