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Insurance plans may still use prior authorizations, formulary restrictions, or step therapy requirements even after lower-cost versions become available

Plan enrollees receiving services from providers that do not participate in plan networks often face higher cost-sharing and may be responsible for charges that exceed the plans allowable amounts

Compounded medications have not undergone the same clinical testing

Yes when prescribed and monitored by a licensed physician

Log into the CVS Caremark member portal, navigate to Prescription Coverage, and search for "Wegovy." The results will show whether it's covered, what tier it's on, and whether prior authorization is required

Wang W, Mei A, Qian H, et al