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But there is one big concern that almost everyone shares
When a provider writes a Mounjaro prescription with diagnosis code E66.01 (morbid obesity due to excess calories), the pharmacy claim is rejected because Mounjaro's FDA approval is for type 2 diabetes, not obesity
Having a board-certified obesity medicine doctor makes all the difference
Four specific conditions qualify for Tier 3 (BMI 27 or higher): (1) prediabetes per American Diabetes Association criteria (typically A1c 5.7 to 6.4 percent, fasting glucose 100 to 125, or 2-hour oral glucose tolerance test 140 to 199), (2) previous heart attack (myocardial infarction), (3) previous stroke, and (4) symptomatic peripheral artery disease
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