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Category 2: Plan exclusion (30% of denials) Medication excluded for weight-loss indication regardless of medical necessity No appeal will succeed because exclusion is a plan design feature, not a medical decision Solution: None via insurance
Sources Varney, Jessica L., et al
While you may have begun with semaglutide, you can now find true weight loss at BodEvolve
Generic versions are currently available only for the injectable semaglutide equivalent to Ozempic
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