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Regulatory Context and Industry Oversight According to company disclaimer: "The telehealth weight loss and prescription compounding industries have been under increased regulatory scrutiny in recent years
If not, who decides our formulary?" Make the business case: Obesity treatment reduces long-term healthcare costs (diabetes, heart disease, joint problems) Gather support: If coworkers also want coverage, a group request carries more weight Time it right: Benefits are often reviewed in Q3-Q4 for the following year Be patient: Formulary changes typically take effect at the next plan year WHAT AETNA REQUIRES Prior Authorization Requirements Prior Authorization Requirements Wegovy Is Covered PA Is Required Since Wegovy is the preferred GLP-1 on most Aetna plans, the main hurdle is meeting the prior authorization requirements
Were all very mindful of Red Dye No
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