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Learn more about our insurance verification services here: Insurance Verification & Accepted Insurance Plans Prior authorization (PA) is an insurance review process that requires your healthcare provider to submit clinical information before a medication can be approved for coverage

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The provider needs to clarify what medical condition(s) or purpose the GLP-1 drug is intended to treat, why it is medically necessary and others arent appropriate, any prior failed treatments, and include additional documentation like clinical notes, says Michaela Robbins, a doctor of nursing practice (DNP) at East x West Med in New York City

Cigna Medicare Part D plans cover Wegovy only for the cardiovascular indication after the March 2024 CMS coverage update