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Why Anthem might deny Wegovy coverage Coverage denial for Wegovy by Anthem often happens for these reasons: The BMI or health criteria havent been met Missing or incomplete documentation No prior authorization from your provider Use of Wegovy for non-covered purposes (like cosmetic weight loss) If your prescription is denied, you can appeal with additional medical documentation

The good news is that these are areas you can actively address with the right support

Its kind of like heart failure or sleep apnea, he said, referring to conditions for which GLP-1 drugs have recently shown positive results

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New Jersey permits telehealth prescribing for GLP-1 medications